Evidence map›Paper›PMID 12937183›Full record

SynthesisOccupational and environmental medicine2003

Occupation related pesticide exposure and cancer of the prostate: a meta-analysis.

G Van Maele-Fabry, J L Willems

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Occupational and environmental medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Body concentrations of persistent organic pollutants and prostate cancer: a meta-analysis.Environmental science and pollution research international · 2015
    Pooled it
  3. Prostate cancer and driving occupations: could whole body vibration play a role?International archives of occupational and environmental health · 2009
    Pooled it
  4. Prostate cancer among pesticide applicators: a meta-analysis.International archives of occupational and environmental health · 2004
    Pooled it
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Risk of early-onset prostate cancer associated with occupation in the Nordic countries.European journal of cancer (Oxford, England : 1990) · 2017
    Article
  14. Article
  15. Use of job-exposure matrices to estimate occupational exposure to pesticides: A review.Journal of exposure science & environmental epidemiology · 2017
    Review
  16. Review
  17. Occupational pesticide exposures and cancer risk: a review.Journal of toxicology and environmental health. Part B, Critical reviews · 2012
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

G Van Maele-FabryDepartment of Public Health, Ghent University, De Pintelaan 185, B-9000 Ghent, Belgium. genevieve.vanmaele@rug.ac.be
J L Willems
Ghent University · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo summarise recent literature on the risk of prostate cancer in pesticide related occupations, to calculate the meta-rate ratio, and to compare it to data from meta-analyses previously published.

methodsA meta-analysis of 22 epidemiological studies, published between 1995 and 2001, was conducted in order to pool their rate ratio estimates. Studies were summarised and evaluated for homogeneity and publication bias.

resultsThe meta-rate ratio estimate, based on 25 estimators of relative risk from 22 studies, was 1.13 (95% CI 1.04 to 1.22). Significant heterogeneity of rate ratios existed among the different studies. Therefore, a stratified analysis was carried out. Major sources of heterogeneity identified were geographic location, study design, and healthy worker effect. Overall, pooled risk estimates for studies derived from Europe were lower than those derived from the USA/Canada. A significant increase in rate ratio was observed for the occupation category of pesticide applicators, whereas no significant increase was observed for farmers. There was no evidence of publication bias.

conclusionThis increased meta-rate ratio for prostate cancer in different pesticide related occupations, including farmers, is very similar to three, previously published, meta-rate ratios for prostate cancer in farmers calculated from studies published before 1995. Although the underlying data do not identify pesticide exposure as an independent cause for prostate cancer, the fact that an increased meta-rate ratio is again obtained points to occupational exposure to pesticides as a possible factor. Future epidemiological studies should focus, as far as possible, on reliable methods to estimate actual exposure.

Indexed as

Occupational ExposureAgricultural Workers' DiseasesHumansMaleOccupational DiseasesPesticidesProstatic NeoplasmsPublication BiasRisk AssessmentPesticides

Identifiers

PMID12937183
PMCPMC1740608
OpenAlexW1844223813

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.