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Abstract
To present results of a bladder cancer screening program conducted in 18 aluminum smelters in the United States from January 2000 to December 2010.Data were collected on a cohort of workers with a history of working in coal tar pitch volatile exposed areas including urine analysis for conventional cytology and ImmunoCyt/uCyt+ assay.ImmunoCyt/uCyt+ and cytology in combination showed a sensitivity of 62.30%, a specificity of 92.60%, a negative predictive value of 99.90%, and a positive predictive value of 2.96%. Fourteen cases of bladder cancer were detected, and the standardized incidence ratio of bladder cancer was 1.18 (95% confidence interval, 0.65 to 1.99). Individuals who tested positive on either test who were later determined to be cancer free had undergone expensive and invasive tests.Evidence to support continued surveillance of this cohort has not been demonstrated.
View details for DOI 10.1097/JOM.0000000000000377
View details for Web of Science ID 000352507700016
View details for PubMedID 25525927