Evidence map›Paper›PMID 33479366›Full record

SynthesisScientific reports2021

Occupational pesticide exposure increases risk of acute myeloid leukemia: a meta-analysis of case-control studies including 3,955 cases and 9,948 controls.

Amelie Foucault, Nicolas Vallet, Noemie Ravalet, Frederic Picou, Marie C Bene, Emmanuel Gyan, Olivier Herault

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Review
  3. Synergistic Control ofInsects · 2026
    Article
  4. Article
  5. Spatial distribution of acute myeloid leukaemia in Denmark.Environmental health : a global access science source · 2025
    Article
  6. 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
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. 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

7 authors at 3 institutions in 1 country.

Amelie Foucault *Department of Biological Hematology, Tours University Hospital, Tours, France.
Nicolas Vallet *Department of Hematology and Cell Therapy, Tours University Hospital, Tours, France.
Noemie RavaletDepartment of Biological Hematology, Tours University Hospital, Tours, France.
Frederic PicouDepartment of Biological Hematology, Tours University Hospital, Tours, France.
Marie C BeneDepartment of Biological Hematology, Nantes University Hospital, Nantes, France.
Emmanuel GyanCNRS ERL7001 LNOX, EA 7501, Tours University, Tours, France.
Olivier HeraultDepartment of Biological Hematology, Tours University Hospital, Tours, France. olivier.herault@univ-tours.fr.
Université de Tours · FRCentre National de la Recherche Scientifique · FRNantes Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of pesticides on health is a major public health concern. A higher risk to develop chronic lymphoid malignancies has been demonstrated to be associated with occupational pesticide exposure (OPE). By contrast, little is known of the impact of OPE on the occurrence of myeloid malignancies especially acute myeloid leukemia (AML). The purpose of this meta-analysis is to summarize data on the association between OPE and AML. A relevant dataset of case-control studies was extracted. Among 6784 references extracted, 14 were selected, representing 3,955 AML patients and 9,948 control subjects diagnosed between 1976 and 2010. An adverse association was found between OPE and AML (OR = 1.51; 95%CI: 1.10-2.08), not affected by sensitivity analyses. Funnel plot asymmetry suggested a publication bias underestimating OR. Stratified analysis showed the association to be driven by studies with: (1) monocentric AML patients and hospital-based control population, (2) Newcastle-Ottawa scale > 6 and the group of studies identified as with the lowest risk, (3) exposure assessment through peer-to-peer interview, (4) diagnosis in North America and Asia and after 1995, (5) restriction to de novo AML. Moreover, the association between OPE and AML was significant with insecticides. These findings broaden the spectrum of pesticide toxicity to myeloid malignancies.

Indexed as

Occupational ExposureAsiaCase-Control StudiesEnvironmental ExposureFemaleHumansLeukemia, Myeloid, AcuteMaleMaternal ExposureNorth AmericaPesticidesRisk FactorsPesticides

Identifiers

PMID33479366
PMCPMC7820275
OpenAlexW3125646184

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.