Evidence map›Paper›PMID 25694496›Full record

ArticleOccupational and environmental medicine2015

Soft tissue sarcoma, non-Hodgkin's lymphoma and chronic lymphocytic leukaemia in workers exposed to phenoxy herbicides: extended follow-up of a UK cohort.

David Coggon, Georgia Ntani, E Clare Harris, Nimeshi Jayakody, Keith T Palmer

Open access · greenAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Chronic Lymphocytic Leukemia.Cold Spring Harbor perspectives in medicine · 2021
    Review
  6. Article
  7. Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study.International journal of environmental research and public health · 2020
    Article
  8. Review
  9. Review
  10. Article
  11. 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

5 authors at 2 institutions in 1 country.

David CoggonMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Georgia NtaniMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
E Clare HarrisMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Nimeshi JayakodyMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Keith T PalmerMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
University of Southampton · GBMRC Lifecourse Epidemiology Unit · GB

Funding

Medical Research Council MC_UP_A620_1018Medical Research Council MC_UU_12011/5
6 · The paper itself

Abstract

objectivesTo provide further information on the possible carcinogenicity of phenoxy herbicides, and in particular their relationship to soft tissue sarcoma (STS), non-Hodgkin's lymphoma (NHL) and chronic lymphocytic leukaemia (CLL).

methodsWe extended follow-up to December 2012 for 8036 men employed at five factories in the UK which had manufactured phenoxy herbicides, or in a contract spraying business. Mortality was compared with that for England and Wales by the person-years method. Nested case-control analyses compared men with incident or fatal STS (n=15) or NHL/CLL (n=74) and matched controls (up to 10 per case).

results4093 men had died, including 2303 since the last follow-up. Mortality from all causes and all cancers was close to expectation, but an excess of deaths from NHL was observed among men who had worked for ≥1 year in jobs with more than background exposure to phenoxy herbicides (19 deaths, SMR 1.85, 95% CI 1.12 to 2.89). Four deaths from STS occurred among men potentially exposed above background (3.3 expected). In the nested case-control analyses, there were no significantly elevated risks or consistent trends across categories of potential exposure for either STS or NHL/CLL. Among men who had worked for ≥1 year in potentially exposed jobs, the highest OR (for STS) was only 1.30 (95% CI 0.30 to 5.62).

conclusionsOur findings are consistent with the current balance of epidemiological evidence. If phenoxy herbicides pose a hazard of either STS or NHL, then any absolute increase in risk is likely to be small.

Indexed as

AdultCase-Control StudiesFemaleFollow-Up StudiesHerbicidesHumansLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Non-HodgkinMaleMiddle AgedOccupational DiseasesOccupational ExposurePhenolsSarcomaSoft Tissue NeoplasmsUnited KingdomHerbicidesPhenolsphenoxy radical

Identifiers

PMID25694496
PMCPMC4445603
OpenAlexW2049737241

What OpenQuestion holds

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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.