Development of a Crosswalk to Translate Italian Occupation Codes to ISCO-68 Codes.

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Title: Development of a Crosswalk to Translate Italian Occupation Codes to ISCO-68 Codes.
Authors: Spinazzè, Andrea1 andrea.spinazze@uninsubria.it, Consonni, Dario2, Borghi, Francesca1, Mazzucchelli, Libero Andrea1, Rovelli, Sabrina1, Cattaneo, Andrea1, Zellino, Carolina2,3, Dallari, Barbara2, Pesatori, Angela Cecilia2,4, Kromhout, Hans5, Peters, Susan5, Riboldi, Luciano2, Mensi, Carolina2, Cavallo, Domenico Maria1
Source: Annals of Work Exposures & Health. Jul2022, Vol. 66 Issue 6, p815-821. 7p.
Subjects: Mesothelioma, Confidence intervals, Job descriptions, Occupational exposure, Case-control method, Communication, Industrial hygiene, Tumors, Sensitivity & specificity (Statistics), Asbestos, Medical coding
Geographic Terms: Italy
Abstract: In occupational epidemiology, job coding is an important—but time-consuming—step in assigning exposure. We implemented a tool (i.e. a crosswalk) to translate occupation codes from the Italian (ISTAT-CIP-91, n = 6319 five-digit job codes) to the International Standard Classification of Occupations (ISCO-68, n = 1881 five-digit job codes). The former is currently used in Italy for various purposes (e.g. in the National Mesothelioma Registry). The latter has been used in several studies on occupational cancers because it facilitates communication of results to the scientific community and, most importantly, because some job exposure matrices (JEMs) are based on international codes. Three authors created a table containing the crosswalk structure, providing an interpretation for each of the ISTAT-CIP-91 codes job descriptions and then manually recoding them according to ISCO-68. Two other authors independently revised it. The performance of the final version was assessed by comparison with results obtained by manual ISCO-68 coding performed in two previous case-control studies on asbestos and mesothelioma. More specifically, the automatically obtained ISCO-68 codes were merged with a JEM (DOM-JEM). The resulting individual asbestos exposure estimates (ever versus never exposed) were compared to those originally obtained (using the same DOM-JEM) from manual translation of ISTAT-CIP-91 to ISCO-68 (considered as the 'gold standard'). In the first study, among 159 peritoneal mesothelioma cases (400 job codes), Cohen's kappa was 0.91, sensitivity 0.95, and specificity 0.96. In the second study, among 716 pleural mesothelioma cases and controls (4400 job codes) kappa was 0.86, sensitivity 0.94, and specificity 0.91. Performance was better among in women. For men, performance was lower among cases than among controls (kappa 0.70, sensitivity 0.95, specificity 0.72 versus kappa 0.87, sensitivity 0.97, and specificity 0.92). In conclusion, the proposed tool allowed a rapid translation of thousands of job codes with good to excellent accuracy. The table containing ISTAT-CIP-91 codes and job descriptions and the corresponding ISCO-68 codes and job descriptions is made publicly available and can be freely used for epidemiological analyses in Italy and international collaborations. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Work Exposures & Health is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Development of a Crosswalk to Translate Italian Occupation Codes to ISCO-68 Codes.
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  Data: <searchLink fieldCode="AR" term="%22Spinazzè%2C+Andrea%22">Spinazzè, Andrea</searchLink><relatesTo>1</relatesTo><i> andrea.spinazze@uninsubria.it</i><br /><searchLink fieldCode="AR" term="%22Consonni%2C+Dario%22">Consonni, Dario</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Borghi%2C+Francesca%22">Borghi, Francesca</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Mazzucchelli%2C+Libero+Andrea%22">Mazzucchelli, Libero Andrea</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Rovelli%2C+Sabrina%22">Rovelli, Sabrina</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Cattaneo%2C+Andrea%22">Cattaneo, Andrea</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zellino%2C+Carolina%22">Zellino, Carolina</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Dallari%2C+Barbara%22">Dallari, Barbara</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Pesatori%2C+Angela+Cecilia%22">Pesatori, Angela Cecilia</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Kromhout%2C+Hans%22">Kromhout, Hans</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Peters%2C+Susan%22">Peters, Susan</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Riboldi%2C+Luciano%22">Riboldi, Luciano</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Mensi%2C+Carolina%22">Mensi, Carolina</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Cavallo%2C+Domenico+Maria%22">Cavallo, Domenico Maria</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Work+Exposures+%26+Health%22">Annals of Work Exposures & Health</searchLink>. Jul2022, Vol. 66 Issue 6, p815-821. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Mesothelioma%22">Mesothelioma</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Job+descriptions%22">Job descriptions</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+exposure%22">Occupational exposure</searchLink><br /><searchLink fieldCode="DE" term="%22Case-control+method%22">Case-control method</searchLink><br /><searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Industrial+hygiene%22">Industrial hygiene</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors%22">Tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Asbestos%22">Asbestos</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+coding%22">Medical coding</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Italy%22">Italy</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: In occupational epidemiology, job coding is an important—but time-consuming—step in assigning exposure. We implemented a tool (i.e. a crosswalk) to translate occupation codes from the Italian (ISTAT-CIP-91, n = 6319 five-digit job codes) to the International Standard Classification of Occupations (ISCO-68, n = 1881 five-digit job codes). The former is currently used in Italy for various purposes (e.g. in the National Mesothelioma Registry). The latter has been used in several studies on occupational cancers because it facilitates communication of results to the scientific community and, most importantly, because some job exposure matrices (JEMs) are based on international codes. Three authors created a table containing the crosswalk structure, providing an interpretation for each of the ISTAT-CIP-91 codes job descriptions and then manually recoding them according to ISCO-68. Two other authors independently revised it. The performance of the final version was assessed by comparison with results obtained by manual ISCO-68 coding performed in two previous case-control studies on asbestos and mesothelioma. More specifically, the automatically obtained ISCO-68 codes were merged with a JEM (DOM-JEM). The resulting individual asbestos exposure estimates (ever versus never exposed) were compared to those originally obtained (using the same DOM-JEM) from manual translation of ISTAT-CIP-91 to ISCO-68 (considered as the 'gold standard'). In the first study, among 159 peritoneal mesothelioma cases (400 job codes), Cohen's kappa was 0.91, sensitivity 0.95, and specificity 0.96. In the second study, among 716 pleural mesothelioma cases and controls (4400 job codes) kappa was 0.86, sensitivity 0.94, and specificity 0.91. Performance was better among in women. For men, performance was lower among cases than among controls (kappa 0.70, sensitivity 0.95, specificity 0.72 versus kappa 0.87, sensitivity 0.97, and specificity 0.92). In conclusion, the proposed tool allowed a rapid translation of thousands of job codes with good to excellent accuracy. The table containing ISTAT-CIP-91 codes and job descriptions and the corresponding ISCO-68 codes and job descriptions is made publicly available and can be freely used for epidemiological analyses in Italy and international collaborations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Annals of Work Exposures & Health is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1093/annweh/wxac009
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        Text: English
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        PageCount: 7
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    Subjects:
      – SubjectFull: Mesothelioma
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Job descriptions
        Type: general
      – SubjectFull: Occupational exposure
        Type: general
      – SubjectFull: Case-control method
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      – SubjectFull: Communication
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      – SubjectFull: Industrial hygiene
        Type: general
      – SubjectFull: Tumors
        Type: general
      – SubjectFull: Sensitivity & specificity (Statistics)
        Type: general
      – SubjectFull: Asbestos
        Type: general
      – SubjectFull: Medical coding
        Type: general
      – SubjectFull: Italy
        Type: general
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      – TitleFull: Development of a Crosswalk to Translate Italian Occupation Codes to ISCO-68 Codes.
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              Text: Jul2022
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