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Revista Portuguesa de Saúde Ocupacional online

Print version ISSN 2183-8453

Abstract

SANTOS, M; ALMEIDA, A  and  LOPES, C. RENAL CANCER ASSOCIATED TO WORK. RPSO [online]. 2023, vol.15, esub0396. ISSN 2183-8453.  https://doi.org/10.31252/rpso.13.05.2023.

Introduction/framework/objectives:

There are several cancers that can be associated with some characteristics of the Work. Regarding the oncological pathology of the Kidney, there are not many publications. The aim of this review was to summarize what has been reported on the subject to date, in order to enhance the performance of Occupational Health and Safety Teams working in possibly targeted sectors.

Methodology:

This is a Bibliographic Review, initiated through a search carried out in January 2022 in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”.

Content:

Kidney Cancer, at the level of non-occupational etiology, may be associated with tobacco, obesity and high blood pressure (metabolic syndrome), as well as Cystic Kidney Disease, male gender, older age, black ethnicity and family history. It is believed that tobacco can explain 20 to 30% of it in men and 10 to 20% in women; being the dose-dependent relationship. The association with arterial hypertension also seems to be dose-dependent and more intense above 160 and 100 mmHg for systolic and diastolic, respectively.

There are several working conditions capable of enhancing it; even so, studies sometimes do not consider the possible influence of biasing variables, such as smoking, including passive.

Discussion and Conclusions:

Although without absolute consensus, this cancer seems to be enhanced by exposure to Radon/Uranium, Asbestos, Pesticides, derivatives of Fuels and various Chemical Agents (such as tri and tetrachlorethylene, dinitrotoluene and lead). Thus, the most targeted professional sectors could be mining; civil and naval construction, demolition sector; agriculture; production, packaging and distribution of relevant chemical agents; refineries and filling stations; as well as dry cleaning, printing, car and aircraft mechanics, maintenance, metallurgy, drivers and road pavers.

It would be pertinent for some Occupational Health and Safety teams to initiate research projects in this context, for subsequent dissemination of conclusions, in order to advance knowledge and provide a healthier and safer work environment.

Keywords : kidney cancer; occupational health; occupational medicine and safety at work.

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