Evidence map›Paper›PMID 30880337›Full record

ArticleInternational journal of epidemiology2019

Pesticide use and risk of non-Hodgkin lymphoid malignancies in agricultural cohorts from France, Norway and the USA: a pooled analysis from the AGRICOH consortium.

Maria E Leon, Leah H Schinasi, Pierre Lebailly, Laura E Beane Freeman, Karl-Christian Nordby, Gilles Ferro, Alain Monnereau, Maartje Brouwer, Séverine Tual, Isabelle Baldi and 7 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 9 pooled it
7.1field-weighted citation impact, top 2% 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

65 citing papers in PubMed, 9 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
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  10. Review
  11. Article
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  15. Review
  16. Carbaryl use and incident cancer in the Agricultural Health Study: an updated analysis.International journal of hygiene and environmental health · 2025
    Article
  17. Article
  18. Defect-enriched CuO/CeORSC advances · 2025
    Article
  19. Article
  20. Glyphosate exposure and GM seed rollout unequally reduced perinatal health.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article

5 more citing papers are in PubMed but not listed here.

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

17 authors at 10 institutions in 4 countries.

Maria E LeonSection of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.
Leah H SchinasiSection of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.
Pierre LebaillyANTICIPE, U1086 INSERM, Université de Caen Normandie, and Centre de Lutte Contre le Cancer François Baclesse, Caen, France.
Laura E Beane FreemanOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute (NCI), Bethesda, MD, USA.
Karl-Christian NordbyDepartment of Occupational Medicine and Epidemiology, National Institute of Occupational Health (STAMI), Oslo, Norway.
Gilles FerroSection of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.
Alain MonnereauHematological Malignancies Registry of Gironde, Bergonie Institute, Comprehensive Cancer Centre, Bordeaux, France.
Maartje BrouwerInstitute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands.
Séverine TualANTICIPE, U1086 INSERM, Université de Caen Normandie, and Centre de Lutte Contre le Cancer François Baclesse, Caen, France.
Isabelle BaldiCHU de Bordeaux, Service de Médecine du Travail et Pathologie Professionnelle, Bordeaux, France.
Kristina KjaerheimDepartment of Research, Cancer Registry of Norway, Oslo, Norway.
Jonathan N HofmannOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute (NCI), Bethesda, MD, USA.
Petter KristensenDepartment of Occupational Medicine and Epidemiology, National Institute of Occupational Health (STAMI), Oslo, Norway.
Stella KoutrosOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute (NCI), Bethesda, MD, USA.
Kurt StraifSection of Evidence Synthesis and Classification, International Agency for Research on Cancer (IARC), Lyon, France.
Hans KromhoutInstitute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands.
Joachim SchüzSection of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.
Centre International de Recherche sur le Cancer · FRDivision of Cancer Epidemiology and GeneticsNational Institute of Occupational Health · NOUniversité de Caen Normandie · FRUtrecht University · NLCancer Registry of Norway · NOCentre Hospitalier Universitaire de Bordeaux · FRDrexel University · USNational Cancer Institute · USUniversité de Bordeaux · FR

Funding

STUDIES OF OCCUPATIONAL CANCER--PESTICIDESZ01CP010119 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALAVANJA, MICHAEL · 1996 to 2008
$5.0M
Intramural NIH HHS Z01 CP010119NCI NIH HHS Z01 CP010119World Health Organization 001
6 · The paper itself

Abstract

backgroundPesticides are commonly used in agriculture, and previous studies endorsed the need to further investigate the possible association between their use and risk of lymphoid malignancies in agricultural workers.

methodsWe investigated the relationship of ever use of 14 selected pesticide chemical groups and 33 individual active chemical ingredients with non-Hodgkin lymphoid malignancies (NHL) overall or major subtypes, in a pooled analysis of three large agricultural worker cohorts. Pesticide use was derived from self-reported history of crops cultivated combined with crop-exposure matrices (France and Norway) or self-reported lifetime use of active ingredients (USA). Cox regression models were used to estimate cohort-specific hazard ratios (HRs) and 95% confidence intervals (CIs), which were combined using random effects meta-analysis to calculate meta-HRs.

resultsDuring follow-up, 2430 NHL cases were diagnosed in 316 270 farmers accruing 3 574 815 person-years under risk. Most meta-HRs suggested no association. Moderately elevated meta-HRs were seen for: NHL and ever use of terbufos (meta-HR = 1.18, 95% CI: 1.00-1.39); chronic lymphocytic leukaemia/small lymphocytic lymphoma and deltamethrin (1.48, 1.06-2.07); and diffuse large B-cell lymphoma and glyphosate (1.36, 1.00-1.85); as well as inverse associations of NHL with the broader groups of organochlorine insecticides (0.86, 0.74-0.99) and phenoxy herbicides (0.81, 0.67-0.98), but not with active ingredients within these groups, after adjusting for exposure to other pesticides.

conclusionsAssociations of pesticides with NHL appear to be subtype- and chemical-specific. Non-differential exposure misclassification was an important limitation, showing the need for refinement of exposure estimates and exposure-response analyses.

Indexed as

AgriculturePesticidesAgedAged, 80 and overAge of OnsetCase-Control StudiesFemaleFranceHumansLymphoma, Non-HodgkinMaleMiddle AgedNorwayOccupational ExposureRegression AnalysisRisk FactorsPesticidesAGRICOHcohortfarmersmeta-analysisNHLPesticides

Identifiers

PMID30880337
PMCPMC6857760
OpenAlexW2924548805

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.