Evidence map›Paper›PMID 25337994›Full record

ArticlePloS one2014

Non-hodgkin lymphoma risk and insecticide, fungicide and fumigant use in the agricultural health study.

Michael C R Alavanja, Jonathan N Hofmann, Charles F Lynch, Cynthia J Hines, Kathryn H Barry, Joseph Barker, Dennis W Buckman, Kent Thomas, Dale P Sandler, Jane A Hoppin and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 5 pooled it
10.9field-weighted citation impact, top 1% 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

56 citing papers in PubMed, 5 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Systematic review and meta-analysis of glyphosate exposure and risk of lymphohematopoietic cancers.Journal of environmental science and health. Part. B, Pesticides, food contaminants, and agricultural wastes · 2016
    Pooled it
  6. Review
  7. Cancer disparities: an extensive review.Ecancermedicalscience · 2026
    Review
  8. Review
  9. Risk factors of Esophageal Cancer in Punjab- A Case Control Study.Asian Pacific journal of cancer prevention : APJCP · 2025
    Article
  10. Article
  11. Carbaryl use and incident cancer in the Agricultural Health Study: an updated analysis.International journal of hygiene and environmental health · 2025
    Article
  12. Article
  13. Antifungal effect and some properties of cell-free supernatants of two Bacillus subtilis isolates against Fusarium verticillioides.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  14. Article
  15. Isolation of a novelFrontiers in microbiology · 2024
    Article
  16. Limosilactobacillus reuteri as sustainable biological control agent against toxigenic Fusarium verticillioides.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Article
  17. Review
  18. Review
  19. Review
  20. Review
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

15 authors at 7 institutions in 1 country.

Michael C R AlavanjaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Jonathan N HofmannDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Charles F LynchCollege of Public Health, University of Iowa, Iowa City, Iowa, United States of America.
Cynthia J HinesNational Institute for Occupational Safety and Health, Cincinnati, Ohio, United States of America.
Kathryn H BarryDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Joseph BarkerIMS, Inc, Calverton, Maryland, United States of America.
Dennis W BuckmanIMS, Inc, Calverton, Maryland, United States of America.
Kent ThomasNational Exposure Research Laboratory, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina, United States of America.
Dale P SandlerEpidemiology Branch, National Institute for Environmental Health Sciences, Research Triangle Park, North Carolina, United States of America.
Jane A HoppinEpidemiology Branch, National Institute for Environmental Health Sciences, Research Triangle Park, North Carolina, United States of America.
Stella KoutrosDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Gabriella AndreottiDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Jay H LubinDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Aaron BlairDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Laura E Beane FreemanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America.
Division of Cancer Epidemiology and GeneticsNational Cancer Institute · USInformation Management Services · USNational Institute of Environmental Health Sciences · USEnvironmental Protection Agency · USNational Institute for Occupational Safety and Health · USUniversity of Iowa · US

Funding

Studies of Occupational Cancer (Pesticides)ZIACP010119 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI BEANE FREEMAN, LAURA · 2009 to 2025
$46.1M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI HANS-JOACHIM LEHMLER · 1990 to 2026
$40.5M
Health Effects Of Exposures In AgricultureZIAES049030 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2009 to 2025
$11.2M
STUDIES OF OCCUPATIONAL CANCER--PESTICIDESZ01CP010119 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALAVANJA, MICHAEL · 1996 to 2008
$5.0M
Environmental Exposures And Risk For Cancer and Chronic Diseases In AdultsZIAES049028 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2009 to 2024
$1.6M
HEALTH EFFECTS OF EXPOSURES IN AGRICULTUREZ01ES049030 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 1997 to 2008
$889k
Intramural NIH HHS Z01 CP010119Intramural NIH HHS Z01 ES049030NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

Farming and pesticide use have previously been linked to non-Hodgkin lymphoma (NHL), chronic lymphocytic leukemia (CLL) and multiple myeloma (MM). We evaluated agricultural use of specific insecticides, fungicides, and fumigants and risk of NHL and NHL-subtypes (including CLL and MM) in a U.S.-based prospective cohort of farmers and commercial pesticide applicators. A total of 523 cases occurred among 54,306 pesticide applicators from enrollment (1993-97) through December 31, 2011 in Iowa, and December 31, 2010 in North Carolina. Information on pesticide use, other agricultural exposures and other factors was obtained from questionnaires at enrollment and at follow-up approximately five years later (1999-2005). Information from questionnaires, monitoring, and the literature were used to create lifetime-days and intensity-weighted lifetime days of pesticide use, taking into account exposure-modifying factors. Poisson and polytomous models were used to calculate relative risks (RR) and 95% confidence intervals (CI) to evaluate associations between 26 pesticides and NHL and five NHL-subtypes, while adjusting for potential confounding factors. For total NHL, statistically significant positive exposure-response trends were seen with lindane and DDT. Terbufos was associated with total NHL in ever/never comparisons only. In subtype analyses, terbufos and DDT were associated with small cell lymphoma/chronic lymphocytic leukemia/marginal cell lymphoma, lindane and diazinon with follicular lymphoma, and permethrin with MM. However, tests of homogeneity did not show significant differences in exposure-response among NHL-subtypes for any pesticide. Because 26 pesticides were evaluated for their association with NHL and its subtypes, some chance finding could have occurred. Our results showed pesticides from different chemical and functional classes were associated with an excess risk of NHL and NHL subtypes, but not all members of any single class of pesticides were associated with an elevated risk of NHL or NHL subtypes. These findings are among the first to suggest links between DDT, lindane, permethrin, diazinon and terbufos with NHL subtypes.

Indexed as

AdultAgedAgricultural Workers' DiseasesAgricultureFungicides, IndustrialHumansHydrocarbons, ChlorinatedInsecticidesIowaLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Non-HodgkinMiddle AgedMultiple MyelomaNorth CarolinaRisk FactorsFumigant 93Fungicides, IndustrialHydrocarbons, ChlorinatedInsecticides

Identifiers

PMID25337994
PMCPMC4206281
OpenAlexW2010940201

What OpenQuestion holds

Textmetadata
LicenceCC0
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.