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Occupational trichloroethylene exposure and risk of lymphatic and haematopoietic cancers: a meta-analysis
- Source :
- Occupational and Environmental Medicine. 70:591-599
- Publication Year :
- 2013
- Publisher :
- BMJ, 2013.
-
Abstract
- The carcinogenic potential of trichloroethylene (TCE) continues to generate much controversy, even after the US Environmental Protection Agency raised its classification to 'carcinogenic to humans'. We conducted a meta-analysis of published cohort and case-control studies exploring occupational TCE exposure in relation to five different lymphatic and haematopoietic cancers: non-Hodgkin's lymphoma (NHL, N=24), Hodgkin's lymphoma (HL, N=13), multiple myeloma (MM, N=11), leukaemia (N=12) and chronic/small lymphocytic leukaemia (CLL/SLL, N=7). Studies published between 1950 and 2011 were identified through a PubMed Medline search. All studies included in analyses were classified as those that assessed either occupational TCE exposure specifically ('TCE-exposure' studies) or a broader classification of all chlorinated solvents ('chlorinated solvent-exposure' studies). A significantly raised summary estimate for NHL was seen for all cohort and case-control 'TCE-exposure' studies combined (N=19; relative risk (RR)=1.32, 95% CI 1.14 to 1.54; I(2)=25.20; p-heterogeneity=0.12) and for cohort 'TCE-exposure' studies (N=10; RR=1.52, 95% CI 1.29 to 1.79; I(2)=7.09; p-heterogeneity=0.63). A non-significant but raised summary estimate was seen for NHL case-control 'TCE-exposure' studies. No significant association with NHL risk was detected overall for any 'chlorinated solvent-exposure' studies. Summary estimates for occupational TCE exposure were not associated with risk of HL, MM, leukaemia or CLL/SLL. Our updated meta-analysis of NHL, which incorporates new analytical results from three cohort and four case-control studies, supports an association between occupational TCE exposure and NHL.
- Subjects :
- Oncology
medicine.medical_specialty
Trichloroethylene
Toxicology
chemistry.chemical_compound
Occupational Exposure
hemic and lymphatic diseases
Internal medicine
Humans
Medicine
Multiple myeloma
Leukemia
business.industry
Lymphoma, Non-Hodgkin
Public Health, Environmental and Occupational Health
medicine.disease
Hodgkin Disease
Lymphoma
Occupational Diseases
Haematopoiesis
Lymphatic system
chemistry
Relative risk
Meta-analysis
Cohort
Carcinogens
Solvents
Multiple Myeloma
business
Subjects
Details
- ISSN :
- 14707926 and 13510711
- Volume :
- 70
- Database :
- OpenAIRE
- Journal :
- Occupational and Environmental Medicine
- Accession number :
- edsair.doi.dedup.....a6adf9bcf20085e4082d80787d2003c7