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Table 2 Tuberculosis risk or odds by silicosis relative to no silicosis or general population

From: The association between silica exposure, silicosis and tuberculosis: a systematic review and meta-analysis

First author,

year of publication

Study

Design

Study /control

population(s)

N

Controlling for

Estimate (95% CI)

(silicosis vs no silicosis)

Low or intermediate TB burden countries

 Westerholm 1986 [46]

Cohort

Mining, quarrying

and tunneling

industries and iron and steel foundries.

1522

Occupation, age, calendar year at first silica exposure.

OR 32.99

(4.50, 241.58) a

 Sherson 1990 [47]

Cohort

Foundry workers,

general population

5579

(i)None

(ii)Age

(i) RR 8.25 (2.81, 24.25) b

(ii) SIR 10.00 (2.72, 25.61)

 Chang 2001 [52]

Cohort

Silicosis register /

general population

707

Age,

gender

SIR 4.9 c

 Li 2011 [53]

Cohort

End-stage renal

disease patients

49,983

Age, gender,

income,COPD

HR 5.82 (2.17, 15.6)

 Yarahmadi 2013 [54]

Case control

Community

 

None

OR 4.08 (2.63, 3.62)

High TB burden countries

 Cowie 1994 [48]

Cohort

Gold miners

1153

Age, date of CXR

RR 2.8 (1.9, 4.1)

 Hnizdo 1998 [49]

Cohort

Gold miners

2255

Age, smoking, cumulative dust exposure

RR 4.18 (2.75, 6.36)

 Corbett 1999 [50]

Case control

Gold miners

561

Age, HIV, duration, employed, dusty job

OR 4.90 (2.32,10.58)

 Corbett 2000 [51]

Cohort

Gold miners

4022

Age, HIV, duration employed, surface/underground

RR 2.2 (1.3, 3.7) d

  1. CI confidence interval, OR odds ratio, RR relative risk, rate ratio or risk ratio (see Table 1); SIR, standardised incidence ratio; HR, hazard ratio;
  2. CXR, chest x-ray
  3. a Estimated for this review
  4. b (i) RR and CI estimated for this review comparing silicotics with non-silicotics in the same cohort; (ii) indirect standardization using general population control, presented here with base 1 rather than 100
  5. c No CI provided
  6. d OR for silicosis > 1/1 not provided. OR for ILO 1/1 used as proxy