MP06-05 GEO-MAPPING AND SPATIAL ANALYSIS OF ENVIRONMENTAL EXPOSURES IN PATIENTS WITH BLADDER CANCER IN UPSTATE NEW YORK: AN EXPLORATORY STUDY

Abstract

You have accessJournal of UrologyBladder Cancer: Epidemiology & Evaluation I1 Apr 2018MP06-05 GEO-MAPPING AND SPATIAL ANALYSIS OF ENVIRONMENTAL EXPOSURES IN PATIENTS WITH BLADDER CANCER IN UPSTATE NEW YORK: AN EXPLORATORY STUDY Hijab Khan, Zhu Jin, Ahmed Aly Hussein, Youssef Ahmed, Samantha Bulkilvish, Shelby Hall, Renuka Kannappan, Omer Rana, Peter Rogerson, Samina Raja, and Khurshid Guru Hijab KhanHijab Khan More articles by this author , Zhu JinZhu Jin More articles by this author , Ahmed Aly HusseinAhmed Aly Hussein More articles by this author , Youssef AhmedYoussef Ahmed More articles by this author , Samantha BulkilvishSamantha Bulkilvish More articles by this author , Shelby HallShelby Hall More articles by this author , Renuka KannappanRenuka Kannappan More articles by this author , Omer RanaOmer Rana More articles by this author , Peter RogersonPeter Rogerson More articles by this author , Samina RajaSamina Raja More articles by this author , and Khurshid GuruKhurshid Guru More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.197AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The potential association of environmental exposures with bladder cancer is yet to be elucidated. We aimed to map patients treated with bladder cancer at our institution using Geographic Information Systems (GIS), and further attempted to identify and describe any environmental "hot spots." METHODS A retrospective review of our prospectively maintained database for patients with bladder cancer who visited our institution between 2006 and 2016 was performed. ArcGIS (v 10.4) was used to map patient residential addresses in Erie and Niagara counties in Upstate New York. We also conducted a “Hot Spot” analysis using the Getis-Ord Gi* statistic (using 90-99% confidence intervals). Analysis was conducted at the census block level (the smallest geographic unit used by the US Census Bureau) and accounted for population density of patients older than 50 years. Hot spots were further described in terms of water body quality (using reports from the New York State Department of Environmental Conservation) and industrial site presence (using data from the Environmental Protection Agency Facility Registry Service). RESULTS Out of 1543 patients with bladder cancer who visited our institution, 49% lived in Erie and Niagara counties. The mean age was 68 years (SD=13), 68% were males, and 55% used tobacco. Four hot spots were identified (Figure 1). Poor water quality was present in 3 and industrial sites were identified in 2 out of the 4 hot spots (Table 1). Water was contaminated with priority organic pollutants in one hot spot and pathogens in another. Additional suspected contaminants were present in 2 hot spots. Industrial sites produced specialty chemicals and processed food in one hot spot and fabricated metal at a second. CONCLUSIONS Spatial clustering of patients in 4 hotspots was identified in Erie and Niagara counties in Upstate New York. Within these hot spots, water quality and industrial sites of environmental concern were also identified. Future work will involve determining the relationship between these exposures, patient characteristics, and prevalence of bladder cancer. © 2018FiguresReferencesRelatedDetailsCited byYankelevich G, Dreher P, Taylor Z, Kim D, Buckley M, Larson S, Belkoff L, Bernstein G and Edwards D (2021) Socio-Environmental Conditions Associated with Geospatial Clusters of Urothelial Carcinoma: A Multi-Institutional AnalysisJournal of Urology, VOL. 206, NO. 6, (1390-1402), Online publication date: 1-Dec-2021. Volume 199Issue 4SApril 2018Page: e53-e54 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Hijab Khan More articles by this author Zhu Jin More articles by this author Ahmed Aly Hussein More articles by this author Youssef Ahmed More articles by this author Samantha Bulkilvish More articles by this author Shelby Hall More articles by this author Renuka Kannappan More articles by this author Omer Rana More articles by this author Peter Rogerson More articles by this author Samina Raja More articles by this author Khurshid Guru More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...