Date of filling in this questionnaire or last update: 21/11/2021
1. IDENTIFICATION & BASIC DESCRIPTION
Cohort name
  DOC*X
Country
 

  • Denmark

Name
  Esben Meulengracht Flachs
Institution
  Bispebjerg and Frederiksberg Hospital, University of Copenhagen
Email
  esben.meulengracht.flachs@regionh.dk
Phone
  +045 35313531
Website
 

  • www.doc-x.dk

Name of committee
  Danish National Committee on Health Research Ethics
Or provide website
 

  • www.doc-x.dk

Contact Principal Investigator (name)
  Esben Meulengracht Flachs
Participation in pooled analyses
 

  • The cohort is potentially interested in participating in pooled analyses of (European) occupational cohort studies (note pooled analyses also includes remote decentralized analyses that would not require any transfer of primary data as well as meta-analyses).

Main aim of cohort, please briefly describe the main objectives of the cohort
  To build a large nationwide database that can integrates prospective data on occupational exposures with data on health, work participation and labour market exits
Study design (please select as many as appropriate)
 

  • Prospective cohort

Source population (please select as many as appropriate)
 

  • General population: National
  • Industry / occupation-based
  • Hospital / patient-based
  • Mother-child cohort
  • Generation (parents-children) study

Comparators (please select as many as appropriate)
 

  • Internal study population
  • External comparison of workers with other exposure

Inclusion criteria
  Persons aged at least 16 years who were gainfully employed and living in Denmark in 1970 and from 1976 to 2018
Enrollment
  Ongoing
Age range at entry (main cohort)
 

Minimum Maximum Mean
16 105 35

Age range at entry (subcohort)
 

Minimum Maximum Mean Please describe
0 Children of parents in the main cohort

Men at last follow-up
  2984000
Women at last follow-up
  2414000
Comments
  In 2015 the cohort included 6,399,000 individuals - 2,984,000 men and 2,414,000 women.
JEM based exposures in the database:
- Psychosocial exposures (permission needed from JEM owners)
- Shoulder exposures (upper arm elevation, repetitive shoulder movements, forceful shoulder exertions)
- Lower body exposures (total load lifted, standing/walking, sitting, kneeling/squatting)
- Physical exertion and body position (score based on sitting, standing/walking, kneeling, repetition, twisted back, lifted arms, lifting/carrying, pushing/pulling)
- Noise
- Vibration
- Particulate airborne exposures (mineral dust, organic dust, fumes and vapour) (permission needed from JEM owners)
- Wood and endotoxin
- Chemical agents (permission needed from JEM owners)
- Lifestyle (tobacco smoking, body mass index, alcohol consumption, leisure-time physical activity, fruit/vegetables consumption)
- Wet hands and gloves
2. OUTCOME FOLLOW-UP
Type of data for outcome follow-up (please select as many as appropriate)
 

  • Death certificate
  • Disease incidence records
  • Hospital / physician diagnoses
  • Use of registers (specify)

Death certificate (specify)
 

  • Access to Cause of Death register

Disease incidence records (specify)
 

  • Access to the Danish Patient Registry

Hospital / Physician diagnoses (specify)
 

  • ICD-8 pr ICD-10 codes

First follow-up period (provide year)
  1976
Last follow-up period (provide year)
  1918
Number of follow-ups after baseline (provide number)
  Once per year
3. OCCUPATIONAL EXPOSURES
Source of exposure data collected (please select as many as appropriate)
 

  • Job-employment records

Occupational history/time frame
  Follow-up period
Occupational coding performed
  Yes
Occupation (specify coding system used)
 

  • DISCO-88 (Danish version of ISCO-88)

Industry (specify coding system used)
 

  • DB-07

Methods for exposure assessment (please select as many as appropriate)
 

  • Job Exposure Matrix

 

  • ALOHA+ JEM

Please insert reference/further information
  Permission needed from owners
 

  • BEN-JEM

 

  • Endotoxin QJEM

 

  • Lifestyle JEM (DK)

 

  • Light JEM (DK)

 

  • NOCCA JEM

 

  • Noise JEM (DK)

 

  • Psyk JEM

 

  • SYN-JEM

 

  • Wood DUST QJEM

Main categories
 

  • Dusts and fibres
  • Solvents
  • Pesticides
  • Metals and metal oxides
  • Other chemicals
  • Biological factors
  • Ergonomics, physical workload, and injury related
  • Psychosocial domains

4. OUTCOMES EVALUATED
Baseline - type of outcome data collected (select more than one if applicable)
 

  • Death certificates
  • Medical records
  • Registry-based

Registry-based
 

  • Birth register
  • Disease specific clinical database
  • Hospital discharge
  • Mortality register
  • Migration

Follow-up - type of outcome data collected (select more than one if applicable)
 

  • Death certificates
  • Medical records
  • Registry-based

Registry-based
 

  • Birth register
  • Employment status
  • Hospital discharge
  • Mortality register
  • Migration

Outcome type (please select as many as appropriate)
 

  • Mortality
  • Morbidity
  • Disability

6. Other Information
 

  • Alcohol
  • Demographics
  • Diet
  • Education
  • Medical history
  • Physical exercise
  • Residential history
  • Socioeconomic status
  • Smoking

Possibility for linkage to data registries/data enrichment via data linkage
 

  • Birth register
  • Employment status
  • Hospital discharge
  • Migration
  • Mortality register

Please describe plans that are funded or most likely to be funded
  Exposure to air pollution