2026-05-22T02:01:35Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/269542025-12-18T12:57:29Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608col_20.500.12105_19616

00925njm 22002777a 4500 dc García-Pérez, Javier author Morales-Piga, Antonio author Gomez-Barroso, Diana author Tamayo-Uria, Ibon author Pardo Romaguera, Elena author Fernandez-Navarro, Pablo L author Lopez-Abente, Gonzalo author Ramis, Rebeca author 2016-04 Background: Neuroblastoma is the most common extracranial solid tumor in children but its etiology is not clearly understood. While a small fraction of cases might be attributable to genetic factors, the role of environmental pollution factors needs to be assessed. Objectives: To ascertain the effect of residential proximity to both industrial and urban areas on neuroblastoma risk, taking into account industrial groups and toxic substances released. Methods: We conducted a population-based case-control study of neuroblastoma in Spain, including 398 incident cases gathered from the Spanish Registry of Childhood Tumors (period 1996-2011), and 2388 controls individually matched by year of birth, sex, and region of residence. Distances were computed from the respective subject's residences to the 1271 industries and the 30 urban areas with ≥75,000 inhabitants located in the study area. Using logistic regression, odds ratios (ORs) and 95% confidence intervals (95%CIs) for categories of distance (from 1km to 5km) to industrial and urban pollution sources were calculated, with adjustment for matching variables and socioeconomic confounders. Results: Excess risk (OR; 95%CI) of neuroblastoma was detected for the intersection between industrial and urban areas: (2.52; 1.20-5.30) for industrial distance of 1km, and (1.99; 1.17-3.37) for industrial distance of 2km. By industrial groups, excess risks were observed near 'Production of metals' (OR=2.05; 95%CI=1.16-3.64 at 1.5km), 'Surface treatment of metals' (OR=1.89; 95%CI=1.10-3.28 at 1km), 'Mines' (OR=5.82; 95%CI=1.04-32.43 at 1.5km), 'Explosives/pyrotechnics' (OR=4.04; 95%CI=1.31-12.42 at 4km), and 'Urban waste-water treatment plants' (OR=2.14; 95%CI=1.08-4.27 at 1.5km). Conclusions: These findings support the need for more detailed exposure assessment of certain substances released by these industries. Garcia-Perez J, Morales-Piga A, Gomez-Barroso D, Tamayo-Uria I, Pardo Romaguera E, Fernandez-Navarro P, Lopez-Abente G, Ramis R. Risk of neuroblastoma and residential proximity to industrial and urban sites: a case-control study. Environ Int 2016, 92-93:269-275. https://doi.org/10.1016/j.envint.2016.04.023. 10.1016/j.envint.2016.04.023 Environment International 27123770 https://hdl.handle.net/20.500.12105/26954 Case-control study Industrial pollution Neuroblastoma Pollutant release and transfer register Residential proximity Urban pollution Risk of neuroblastoma and residential proximity to industrial and urban sites: A case-control study.