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Data from a prospective cohort study examining the association between type of w

ID: 59928 • Letter: D

Question

Data from a prospective cohort study examining the association between type of work schedule and the risk of prostate cancer in men. Incidence of prostate cancer in 14,052 male workers according to type of work schedule What is the incidence density of prostate cancer in all participants in the study?

Table 1 below describes data from a prospective cohort study examining the association between type of work schedule and the risk of prostate cancer in men.

Table 1: Incidence of prostate cancer in 14,052 male workers according to type of work schedule

Work schedule

Daytime

Fixed night

Rotating shift

No. of subjects with no diagnosis of prostate cancer at the time of enrollment in the study

11,269

982

1,801

No. of person-years of follow-up

89,179

8,272

14,523

No. of new prostate cancer cases

21

3

7

Express your answers as per 10,000 person-years of follow-up where appropriate.

A. What is the incidence density of prostate cancer in all participants in the study? (2 points)

Work schedule

Daytime

Fixed night

Rotating shift

No. of subjects with no diagnosis of prostate cancer at the time of enrollment in the study

11,269

982

1,801

No. of person-years of follow-up

89,179

8,272

14,523

No. of new prostate cancer cases

21

3

7

Explanation / Answer

Incident Rate = No of new cases / Person at risk at scheduled time

person at risk = person with no cancer at the beginning + No of persons-year x 1

Incident rate of prostrate cancer for Day time workers = 21/ (11269+10000)/2 x 1=0.0019 or 0.002

Incident rate of prostrate cancer for fixed night workers = 3 / (982 + 929) / 2 x 1 = 0.003

Incident rate of prostrate cancer for rotating shift workers = 7 / ( 1801 + 1631) / 2 x 1 =0.004