ReviewJournal of occupational and environmental medicine2014
Reproductive health risks associated with occupational exposures to antineoplastic drugs in health care settings: a review of the evidence.
Review in Journal of occupational and environmental medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 6 of them syntheses that pooled 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.
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.
Who cites it
65 citing papers in PubMed, 6 syntheses or guidelines pooled it, 169 citations in OpenAlex.
- Influence of occupational exposure to antineoplastic agents on adverse pregnancy outcomes among nurses: A meta-analysis.Nursing open · 2023Pooled it
- Pregnancy, obstetrical and neonatal outcomes in women exposed to physician-related occupational hazards: a scoping review.BMJ open · 2023Pooled it
- Exposure to Antineoplastic Drugs in Occupational Settings: A Systematic Review of Biological Monitoring Data.International journal of environmental research and public health · 2022Pooled it
- Closed-system drug-transfer devices plus safe handling of hazardous drugs versus safe handling alone for reducing exposure to infusional hazardous drugs in healthcare staff.The Cochrane database of systematic reviews · 2018Pooled it
- Safe handling of oral antineoplastic medications: Focus on targeted therapeutics in the home setting.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2017Pooled it
- Meta-analysis of chromosomal aberrations as a biomarker of exposure in healthcare workers occupationally exposed to antineoplastic drugs.Mutation research. Reviews in mutation researchPooled it
- Occupational Reproductive Health Risks Among Women Healthcare Workers: A Narrative Review for Clinical Surveillance, Preconception Counseling, and Prevention.Journal of clinical medicine · 2026Review
- Policy Analysis of Canadian Occupational Health and Safety Legislation and Regulations: Workplace Protections for Reproductive Health and Fetal Development.New solutions : a journal of environmental and occupational health policy : NS · 2026Article
- Cytotoxic Drug Handling Practices Among Pharmacy Technicians in Portugal: The Dig Deeper Study.Healthcare (Basel, Switzerland) · 2026Article
- Working conditions and reproductive health among healthcare professionals: Insights from a pilot study.European journal of midwifery · 2026Article
- Exposure Registries as a Prevention Tool for Occupational Cancers: Establishing a New Hazardous Drug Registry for Oncology Personnel.American journal of industrial medicine · 2025Article
- Construction of testicular organoids and their applications in the field of toxicology.Archives of toxicology · 2025Review
- Health Effects of Ergonomics and Personal Protective Equipment on Chemotherapy Professionals.Current oncology (Toronto, Ont.) · 2025Review
- The multifaceted role of hair as a biospecimen: recent advances in precision medicine and forensic science.Experimental & molecular medicine · 2025Review
- Healthcare Waste Toxicity: From Human Exposure to Toxic Mechanisms and Management Strategies.Journal of xenobiotics · 2025Review
- Intraperitoneal Chemotherapy: A Call to Study Reproductive Safety for Healthcare Workers.Annals of surgical oncology · 2025Article
- Economic evaluation of a robotic chemotherapy compounding system and its service expansion to network hospital in Thailand.BMC health services research · 2025Article
- The effects of parental occupational exposures on autism spectrum disorder severity and skills in cognitive and adaptive domains in children with autism spectrum disorder.International journal of hygiene and environmental health · 2025Article
- What makes oncology nurses and registered nurses motivated to work in oncology specialty: a qualitative interview study.BMC nursing · 2025Article
- Infantile neuroblastoma and maternal occupational exposure to medical agents.Pediatric research · 2025Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesAntineoplastic drugs are known reproductive and developmental toxicants. Our objective was to review the existing literature of reproductive health risks to workers who handle antineoplastic drugs.
methodsA structured literature review of 18 peer-reviewed, English language publications of occupational exposure and reproductive outcomes was performed.
resultsAlthough effect sizes varied with study size and population, occupational exposure to antineoplastic drugs seems to raise the risk of both congenital malformations and miscarriage. Studies of infertility and time to pregnancy also suggested an increased risk for subfertility.
conclusionsAntineoplastic drugs are highly toxic in patients receiving treatment, and adverse reproductive effects have been well documented in these patients. Health care workers with long-term, low-level occupational exposure to these drugs also seem to have an increased risk of adverse reproductive outcomes. Additional precautions to prevent exposure should be considered.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.