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CompletedNCT07831083Skin Cancer AmUpdated Sep 21, 2026

Skin Cancer Among Outdoor Workers

An observational study in Melanoma (Skin Cancer), Basal Cell Carcinoma of Skin and Squamous Cell Cancer of Head and Neck (SCCHN), sponsored by Assuta Medical Center. Completed at 1 site in Israel. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Assuta Medical Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
10,000
Ages
18 Years and older
Sex
All
01

Study summary

This observational study examines skin cancer among workers who may have prolonged occupational exposure to sunlight. Long-term exposure to ultraviolet radiation from the sun is an important risk factor for several types of skin cancer, particularly among people who work outdoors for many years.

The study will use routinely collected administrative and medical data to describe the characteristics of workers with recognized skin cancer, including age, sex, geographic region, type of skin cancer, occupational characteristics, and disability-related outcomes. Trends over time and differences between population groups will also be evaluated when the available data permit.

The purpose of the study is to better understand the burden of skin cancer associated with occupational sun exposure and to identify groups of workers who may be at increased risk. The findings may help support improved prevention, earlier detection, workplace sun-protection measures, and occupational health policies for outdoor workers.

Read the detailed description

Occupational exposure to solar ultraviolet radiation is a recognized carcinogenic hazard and is particularly relevant for individuals who spend substantial portions of their working lives outdoors. Chronic cumulative exposure to sunlight may increase the risk of skin malignancies, especially keratinocyte cancers such as squamous-cell carcinoma and basal-cell carcinoma. The relationship between occupational sunlight exposure and melanoma is more complex and will therefore be evaluated separately when diagnostic information permits.

This retrospective observational study will evaluate administrative and medical records of individuals with occupationally relevant skin cancer. The study will characterize the demographic, geographic, occupational, clinical, and disability-related features of affected workers. Available data will be used to examine age and sex distributions, geographic variation, diagnostic categories, patterns over time, and occupational characteristics associated with prolonged outdoor work and potential solar ultraviolet exposure.

Skin cancers will be classified according to the diagnostic information available in the database. Where possible, basal-cell carcinoma, squamous-cell carcinoma, melanoma, and other malignant skin tumors will be evaluated separately because their epidemiology and relationship with ultraviolet radiation differ. Disability-related characteristics, including the type and degree of recognized impairment and whether disability determinations were temporary or permanent, will also be evaluated when available.

Temporal trends will be examined to determine whether the number and proportion of occupational skin-cancer cases changed during the study period. Geographic and demographic differences will also be explored to identify groups with a higher burden of disease. Where appropriate denominators are available, rates will be calculated using the relevant working population as the population at risk. When appropriate population denominators are not available, results will be reported as distributions and proportions of claims rather than population incidence rates.

Because skin cancer generally develops after cumulative ultraviolet exposure over many years, the study will not assume that the year in which a cancer was diagnosed or recognized represents the period during which the relevant occupational exposure occurred. Instead, occupational solar exposure will be considered a long-term cumulative exposure.

The study is intended to improve understanding of the occupational burden of skin cancer among outdoor workers and to identify demographic, geographic, and occupational patterns that may be useful for prevention. Findings may contribute to improved occupational health strategies, including sun-protection policies, worker education, use of protective clothing and sunscreen, reduction of intense midday ultraviolet exposure when feasible, and targeted skin surveillance for workers with prolonged occupational exposure to sunlight.

02

Conditions studied

  • Melanoma (Skin Cancer)
  • Basal Cell Carcinoma of Skin
  • Squamous Cell Cancer of Head and Neck (SCCHN)
  • Work Injury
  • Sun Exposure

Keywords

  • sun exposure
  • skin cancer
03

In context

Melanoma

3,370 studies on the registry are indexed under Melanoma; 578 are open to participants now.

This study's enrollment of 10,000 is above the median of 187 across 488 observational studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Assuta Medical Center is the lead sponsor of 43 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

  • Records without a diagnosis of malignant skin cancer.
  • Benign skin lesions or nonmalignant dermatologic conditions.
  • Records in which the diagnosis cannot be sufficiently identified or classified as skin cancer.
  • Duplicate records representing the same determination or event when applicable.
  • Records lacking sufficient information for inclusion in the primary analysis.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals with a documented or recognized occupational skin cancer during the predefined study period.
  • Skin cancer potentially associated with occupational exposure to solar ultraviolet radiation.
  • Diagnoses including basal-cell carcinoma, squamous-cell carcinoma, melanoma, or other malignant skin tumors when diagnostic classification is available.
  • Availability of sufficient administrative, occupational, medical, or disability-related information for inclusion in the analysis

Exclusion criteria

Exclusion Criteria:

-

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
10,000 participants (actual)
Patient registry
No

Groups and cohorts

  • Skin cancer in workers under sun

    Workers with documented or recognized skin cancer potentially associated with occupational exposure to solar ultraviolet radiation. The cohort includes individuals with available administrative, occupational, medical, and disability-related records during the study period. Skin cancers will be classified, when data permit, as basal-cell carcinoma, squamous-cell carcinoma, melanoma, or other malignant skin tumors. Demographic characteristics, occupational features, geographic distribution, temporal trends, and disability outcomes will be evaluated. This is an observational study; no intervention or treatment is assigned as part of the study.

06

What researchers measure

Primary outcomes

  1. Number and Proportion of Recognized Occupational Skin Cancer Cases by Cancer Type

    Cancer type was determined at the initial recognition of each occupational skin cancer claim. The number and proportion of recognized cases were summarized by cancer type, including basal-cell carcinoma, squamous-cell carcinoma, melanoma, and other malignant skin tumors, for claims recorded in the national administrative database from January 1, 2018 through December 31, 2025.

    Time frame: Baseline (at initial recognition of the occupational skin cancer claim)

07

Study locations

1 site
  • Israel National Insurance Institute
    Jerusalem, 91099, Israel
08

References and documents

Publications

  • Schmitt J, Seidler A, Diepgen TL, Bauer A. Occupational ultraviolet light exposure increases the risk for the development of cutaneous squamous cell carcinoma: a systematic review and meta-analysis. Br J Dermatol. 2011 Feb;164(2):291-307. doi: 10.1111/j.1365-2133.2010.10118.x. PubMed 21054335 ↗
  • Pega F, Momen NC, Streicher KN, Leon-Roux M, Neupane S, Schubauer-Berigan MK, Schuz J; Technical Advisory Group on Occupational Burden of Disease Estimation; Baker M, Driscoll T, Guseva Canu I, Kiiver HM, Li J, Nwanaji-Enwerem JC, Turner MC, Viegas S, Villeneuve PJ. Global, regional and national burdens of non-melanoma skin cancer attributable to occupational exposure to solar ultraviolet radiation for 183 countries, 2000-2019: A systematic analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environ Int. 2023 Nov;181:108226. doi: 10.1016/j.envint.2023.108226. Epub 2023 Nov 8. PubMed 37945424 ↗
  • Wendt A, Mohner M. Occupational solar exposure and basal cell carcinoma. A review of the epidemiologic literature with meta-analysis focusing on particular methodological aspects. Eur J Epidemiol. 2024 Jan;39(1):13-25. doi: 10.1007/s10654-023-01061-w. Epub 2024 Jan 3. PubMed 38170370 ↗
  • Slavinsky V, Helmy J, Vroman J, Valdebran M. Solar ultraviolet radiation exposure in workers with outdoor occupations: a systematic review and call to action. Int J Dermatol. 2024 Mar;63(3):288-297. doi: 10.1111/ijd.16877. Epub 2023 Oct 18. PubMed 37853576 ↗
  • Kristensen I, Iversen IB, Fenger-Gron M, Kolstad HA, Wurtz ET, Turner MC, Grandahl K, Schmidt SAJ, Stokholm ZA. Occupational solar ultraviolet radiation and incidence of non-melanoma skin cancer in a nationwide cohort. Environ Pollut. 2025 Dec 1;386:127275. doi: 10.1016/j.envpol.2025.127275. Epub 2025 Oct 15. PubMed 41106796 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because the study uses confidential administrative, medical, occupational, and disability records that are subject to privacy, ethical, and institutional data-protection restrictions. The investigators are not authorized to distribute individual-level records to external researchers. Study results will be reported only in aggregated or appropriately de-identified form. Additional information regarding the study methodology, statistical analyses, and aggregated results may be made available upon reasonable request, subject to applicable institutional and regulatory requirements.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in Jul 2026, 102 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 1, 2026
First posted
Sep 21, 2026
StartActual
Jan 1, 2018
Primary completionActual
Jul 31, 2026
CompletionActual
Jul 31, 2026
Last update
Sep 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07831083
Lead sponsor
Assuta Medical Center
Responsible party
Sergio Gabriel Susmallian (Medicine doctor, Assuta Medical Center) — Principal investigator
First posted
Sep 21, 2026
Start date
Jan 1, 2018
Primary completion
Jul 31, 2026
Completion
Jul 31, 2026
Last update
Sep 21, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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