Evidence map›Paper›PMID 31054169›Full record

ArticleInternational journal of cancer2020

Parental occupational exposure to pesticides, animals and organic dust and risk of childhood leukemia and central nervous system tumors: Findings from the International Childhood Cancer Cohort Consortium (I4C).

Deven M Patel, Rena R Jones, Benjamin J Booth, Ann C Olsson, Hans Kromhout, Kurt Straif, Roel Vermeulen, Gabriella Tikellis, Ora Paltiel, Jean Golding and 15 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07328516 (Natural History Study of Early Life Exposures in Agriculture), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT07328516 enrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Natural History Study of Early Life Exposures in Agriculture (ELEA)

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2026 to 2030Enrolled64,277ConditionsProstate Cancer, Leukemia, Breast Cancer, Melanoma
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Trend in cancer incidence and mortality among children and adolescents in Mato Grosso, 2001-2018.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    Article
  8. Observational
  9. Review
  10. Review
  11. Genetic predisposition to childhood cancer.World journal of clinical pediatrics · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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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

25 authors at 13 institutions in 8 countries.

Deven M PatelOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.ORCID 0000-0003-0300-1917
Rena R JonesOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.ORCID 0000-0003-1294-1679
Benjamin J BoothOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.
Ann C OlssonSection of Environment and Radiation, International Agency for Research on Cancer, Lyon, France.
Hans KromhoutDivision of Environmental Epidemiology, Institute for Risk Assessment Sciences, University of Utrecht, Utrecht, The Netherlands.
Kurt StraifInternational Agency for Research on Cancer, Lyon, France.
Roel VermeulenDivision of Environmental Epidemiology, Institute for Risk Assessment Sciences, University of Utrecht, Utrecht, The Netherlands.
Gabriella TikellisPopulation Health, Murdoch Children's Research Institute, Royal Children's Hospital, University of Melbourne, Melbourne, Australia.
Ora PaltielDepartment of Hematology and Braun School of Public Health and Community Medicine, Hadassah-Hebrew University, Jerusalem, Israel.ORCID 0000-0001-8324-3873
Jean GoldingPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Kate NorthstonePopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Camilla StoltenbergNorwegian Institute of Public Health, Oslo, Norway.
Siri E HåbergNorwegian Institute of Public Health, Oslo, Norway.
Joachim SchüzSection of Environment and Radiation, International Agency for Research on Cancer, Lyon, France.
Melissa C FriesenOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.
Anne-Louise PonsonbyPopulation Health, Murdoch Children's Research Institute, Royal Children's Hospital, University of Melbourne, Melbourne, Australia.
Stanley LemeshowCollege of Public Health, Ohio State University, Columbus, OH.
Martha S LinetRadiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.
Per MagnusNorwegian Institute of Public Health, Oslo, Norway.
Jørn OlsenDepartment of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
Sjurdur F OlsenDepartment of Epidemiology Research, Center for Fetal Programming, Staten Serum Institute, Copenhagen, Denmark.
Terence DwyerPopulation Health, Murdoch Children's Research Institute, Royal Children's Hospital, University of Melbourne, Melbourne, Australia.
Leslie T StaynerDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL.
Mary H WardOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.
International Childhood Cancer Cohort Consortium
National Institutes of Health · USCentre international de recherche sur le cancer · FRNorwegian Institute of Public Health · NORoyal Children's Hospital · AUUniversity of Bristol · GBUtrecht University · NLChicago Department of Public Health · USHebrew University of Jerusalem · ILLos Angeles County Department of Public Health · USOhio Department of Health · USStatens Serum Institut · DKUniversity of Tasmania · AUWashington State Department of Health · US

Funding

Cancer Risk and Environmental ExposuresZIACP010125 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI PURDUE, MARK · 2009 to 2025
$41.3M
Intramural NIH HHS ZIA CP010125Medical Research Council 102215/2/13/2Medical Research Council G9815508Medical Research Council MC_PC_19009Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

Parental occupational exposures to pesticides, animals and organic dust have been associated with an increased risk of childhood cancer based mostly on case-control studies. We prospectively evaluated parental occupational exposures and risk of childhood leukemia and central nervous system (CNS) tumors in the International Childhood Cancer Cohort Consortium. We pooled data on 329,658 participants from birth cohorts in five countries (Australia, Denmark, Israel, Norway and United Kingdom). Parental occupational exposures during pregnancy were estimated by linking International Standard Classification of Occupations-1988 job codes to the ALOHA+ job exposure matrix. Risk of childhood (<15 years) acute lymphoblastic leukemia (ALL; n = 129), acute myeloid leukemia (AML; n = 31) and CNS tumors (n = 158) was estimated using Cox proportional hazards models to generate hazard ratios (HR) and 95% confidence intervals (CI). Paternal exposures to pesticides and animals were associated with increased risk of childhood AML (herbicides HR = 3.22, 95% CI = 0.97-10.68; insecticides HR = 2.86, 95% CI = 0.99-8.23; animals HR = 3.89, 95% CI = 1.18-12.90), but not ALL or CNS tumors. Paternal exposure to organic dust was positively associated with AML (HR = 2.38 95% CI = 1.12-5.07), inversely associated with ALL (HR = 0.55, 95% CI = 0.31-0.99) and not associated with CNS tumors. Low exposure prevalence precluded evaluation of maternal pesticide and animal exposures; we observed no significant associations with organic dust exposure. This first prospective analysis of pooled birth cohorts and parental occupational exposures provides evidence for paternal agricultural exposures as childhood AML risk factors. The different risks for childhood ALL associated with maternal and paternal organic dust exposures should be investigated further.

Indexed as

AdolescentAdultAnimalsAnimals, DomesticAustraliaCentral Nervous System NeoplasmsChildChild, PreschoolDenmarkDustFemaleFollow-Up StudiesHumansInfantInfant, NewbornIsraelDustPesticidesagricultural exposuresanimalschildhood brain tumorschildhood cancerchildhood leukemiaorganic dustparental occupationpesticides

Identifiers

PMID31054169
PMCPMC9359063
OpenAlexW2943939145

What OpenQuestion holds

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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.