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Cancro renal associado ao trabalho
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Introdução/enquadramento/objetivos: Existem vários cancros que podem ter associação com algumas caraterísticas do Trabalho. Em relação à patologia oncológica do Rim, não se encontram muitas publicações. Foi objetivo desta revisão fazer uma síntese do que foi até hoje relatado sobre o assunto, de modo a potenciar o desempenho das Equipas de Saúde e Segurança Ocupacionais a atuar em setores possivelmente visados. Metodologia: Trata-se de uma Revisão Bibliográfica, iniciada através de uma pesquisa realizada em janeiro de 2022 nas bases de dados “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 e RCAAP”. Conteúdo: O Cancro Renal, a nível de etiologia não ocupacional, poderá estar associado a tabaco, obesidade e hipertensão arterial (ou seja, síndroma metabólico), bem como Doença Renal Quística, sexo masculino, idade mais avançada, etnia negra e antecedentes familiares. Acredita-se que o tabaco possa justificar 20 a 30% dos CR em homens e 10 a 20% nas mulheres; sendo a relação dosedependente. Também a associação com a hipertensão arterial parece ser dose-dependente e mais intensa acima de 160 e 100 mmHg para a sistólica e diastólica, respetivamente. Existem várias condições laborais com capacidade de potenciar o Cancro Renal; ainda assim, por vezes, os estudos não consideram a eventual influência de variáveis enviesadoras, como o tabagismo, incluindo passivo. Discussão e Conclusões: Ainda que sem consenso absoluto, esta patologia parece ficar potenciada com a exposição ao Radão/Urânio, Asbestos, Pesticidas, derivados dos Combustíveis e Agentes Químicos diversos (como o tri e o tetracloroetileno, dinitrotolueno e o chumbo). Assim, os setores profissionais mais visados poderão ser a mineração; construção civil e naval, setor das demolições; agricultura; produção, embalamento e distribuição de agentes químicos relevantes; refinarias e postos de abastecimento; bem como a limpeza a seco, indústria gráfica, mecânica de carros e aviões, manutenção, metalurgia, motoristas e pavimentadores de estrada. Seria pertinente que algumas equipas de Saúde e Segurança Ocupacionais iniciassem projetos de investigação neste contexto, para posterior divulgação das conclusões, de modo a fazer progredir o conhecimento e proporcionar um ambiente laboral mais saudável e seguro.
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.
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.
Descrição
Palavras-chave
Cancro do rim Cancro renal Kidney cancer Medicina do trabalho Occupatinal medicine Occupational health Safety at work Saúde ocupacional Segurança no trabalho
Contexto Educativo
Citação
Santos, M., Almeida, A., & Lopes, C. (2023). Cancro renal associado ao trabalho. Revista Portuguesa de Saúde Ocupacional Online, (15), Article esub0396. https://doi.org/10.31252/RPSO.13.05.2023
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Licença CC
Sem licença CC