Medical insurance claims and surveillance for occupational disease: analysis of respiratory, cardiac, and cancer outcomes in auto industry tool grinding operations

Journal of Occupational and Environmental Medicine
R Park

Abstract

To evaluate medical insurance claims for chronic disease investigation, claims from eight automotive machining plants (1984 to 1993) were linked with work histories (1967 to 1993), and associations with respiratory, cardiac, and cancer conditions were investigated, in a case-control design analyzed with logistic regression. The primary focus was tool grinding, but other important processes examined were metal-working, welding, forging, heat treat, engine testing, and diverse-skilled trades work. Considerable variability in claim-derived incidence rates across plants was not explained by age or known exposure differences. Asthma incidence increased in tool grinding (at mean cumulative duration: odds ratio [OR], 3.0; 95% confidence interval [CI], 0.90 to 10.0), as did non-ischemic heart disease (cardiomyopathy, cor pulmonale, rheumatic heart disease, or hypertension; OR, 3.1; 95% CI, 1.26 to 7.6). These trends appeared in models with deficits (OR < 1.0) for those ever exposed to tool grinding because of exposure-response miss-specification, demographic confounding, or removal of high-risk workers from the exposed group. The apparent cancer rates identified from claims greatly exceeded the expected rates from a cancer registry, su...Continue Reading

References

Nov 1, 1992·American Journal of Public Health·N A NelsonF E Mirer
Dec 1, 1992·Scandinavian Journal of Work, Environment & Health·P E TolbertT J Smith
Jan 1, 1992·British Journal of Industrial Medicine·A FischbeinA Miller
Feb 1, 1991·American Journal of Epidemiology·K SteenlandL Elliot
Dec 1, 1988·American Journal of Epidemiology·F B SternC S McCammon
Dec 1, 1988·Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association·B A SilversteinD Woody
Jan 1, 1988·American Journal of Industrial Medicine·R M ParkF E Mirer
Oct 1, 1987·British Journal of Industrial Medicine·J R RüttnerI Stolkin
Jul 1, 1986·British Journal of Industrial Medicine·Y KusakaS Goto
Feb 1, 1985·British Journal of Industrial Medicine·J E VenaR E Barnes
Nov 1, 1971·Annals of Internal Medicine·E O Coates, J H Watson
Oct 1, 1984·Chest·N L SprinceH Kazemi
Mar 1, 1995·Occupational and Environmental Medicine·S M KennedyK Teschke
Aug 1, 1994·Scandinavian Journal of Work, Environment & Health·R S Koskela
Oct 1, 1994·American Journal of Industrial Medicine·R ParkF Mirer
Sep 1, 1994·Occupational and Environmental Medicine·R McNameeN M Cherry
Dec 1, 1996·American Journal of Industrial Medicine·R M Park, F E Mirer
Jun 1, 1997·American Journal of Industrial Medicine·E A EisenR R Monson
Jun 1, 1997·Journal of Occupational and Environmental Medicine·M T WuD C Christiani
Jul 1, 1997·Occupational and Environmental Medicine·B LieseB Demure
Nov 5, 1997·American Journal of Industrial Medicine·I A GreavesR R Monson
Dec 31, 1997·American Journal of Industrial Medicine·D K MiltonR F Herrick
May 8, 1998·Journal of Occupational and Environmental Medicine·J BiddleE M Welch
Feb 1, 2000·Journal of Occupational and Environmental Medicine·K D RosenmanE Welch

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Citations

Aug 30, 2019·Environmental Science and Pollution Research International·Mahmoud MohammadyanSomayeh Rahimi Moghadam

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