Evidence map›Paper›PMID 34270795›Full record

ArticleInternational journal of cancer2021

Occupational insecticide exposure and risk of non-Hodgkin lymphoma: A pooled case-control study from the InterLymph Consortium.

Anneclaire J De Roos, Leah H Schinasi, Lucia Miligi, James R Cerhan, Parveen Bhatti, Andrea 't Mannetje, Dalsu Baris, Yolanda Benavente, Geza Benke, Jacqueline Clavel and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in International journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Carbaryl use and incident cancer in the Agricultural Health Study: an updated analysis.International journal of hygiene and environmental health · 2025
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  4. Defect-enriched CuO/CeORSC advances · 2025
    Article
  5. Review
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  8. A Population-Based Family Case-Control Study of Sun Exposure and Follicular Lymphoma Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    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

22 authors at 17 institutions in 10 countries.

Anneclaire J De RoosDepartment of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-2811-2405
Leah H SchinasiDepartment of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.
Lucia MiligiEnvironmental and Occupational Epidemiology Branch, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
James R CerhanDivision of Epidemiology, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-7482-178X
Parveen BhattiCancer Control Research, BC Cancer, Vancouver, British Columbia, Canada.
Andrea 't MannetjeCenter for Public Health Research, Massey University-Wellington Campus, Wellington, New Zealand.
Dalsu BarisDepartment of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, Minnesota, USA.
Yolanda BenaventeCancer Epidemiology Research Program, Institut Català d'Oncologia (ICO)/Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Geza BenkeDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Jacqueline ClavelEpidemiology of Childhood and Adolescent Cancers Group, Inserm, Center of Research in Epidemiology and Statistics Sorbonne Paris Cité (CRESS), Paris, France.
Delphine CasabonneCancer Epidemiology Research Program, Institut Català d'Oncologia (ICO)/Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Lin FritschiCurtin University, Perth, Australia.
Jonathan N HofmannOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Betthesda, Maryland, USA.
Tran HuynhDepartment of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.
Alain MonnereauEpidemiology of Childhood and Adolescent Cancers Group, Inserm, Center of Research in Epidemiology and Statistics Sorbonne Paris Cité (CRESS), Paris, France.
Sara PiroEnvironmental and Occupational Epidemiology Branch, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Susan L SlagerDivision of Computational Biology and Hematology, Department of Quantitative Health Sciences and Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Claire M VajdicCentre for Big Data Research in Health, University of New South Wales, New South Wales, Australia.ORCID 0000-0002-3612-8298
Sophia S WangDivision of Health Analytics, Department of Computational and Quantitative Medicine, City of Hope Comprehensive Cancer Center, Duarte, California, USA.
Yawei ZhangNational Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Leslie BernsteinDivision of Biomarkers of Early Detection and Prevention, Beckman Research Institute of City of Hope, City of Hope Comprehensive Cancer Center, Duarte, California, USA.
Pierluigi CoccoDivision of Population Health, Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK.
Drexel University · USCity of Hope · USInstituto de Salud Carlos III · ESPrevention Institute · USChinese Academy of Medical Sciences & Peking Union Medical College · CNCurtin University · AUDélégation Paris 5 · FRMayo Clinic in Arizona · USMayo Clinic in Florida · USMonash University · AUNational Cancer Institute · UAUniversité de Bordeaux · FRUniversity of British Columbia · CAUniversity of Cagliari · ITUniversity of Minnesota · USUNSW Sydney · AUVictoria University of Wellington · NZ

Funding

The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI WEINER, GEORGE J. · 2002 to 2021
$45.7M
Molecular Epidemiology of NHL and CLLR01CA092153 · NCI · MAYO CLINIC ROCHESTER · PI CERHAN, JAMES R · 2003 to 2012
$6.7M
Occupational Pesticide Use and Risk of Lymphoid CancersR03CA199515 · NCI · DREXEL UNIVERSITY · PI DE ROOS, ANNECLAIRE J · 2015 to 2016
$157k
NCI NIH HHS P50 CA097274NCI NIH HHS R01 CA092153NCI NIH HHS R03 CA199515
6 · The paper itself

Abstract

Evidence for the human health effects of pesticides is needed to inform risk assessment. We studied the relationship between occupational insecticide use and risk of non-Hodgkin lymphoma (NHL) by pooling data from nine case-control studies participating in the InterLymph Consortium, including 7909 cases and 8644 controls from North America, the European Union and Australia. Insecticide use was coded using self-report or expert assessment, for insecticide groups (eg, organophosphates, pyrethroids) and active ingredients (eg, malathion, permethrin). Associations with insecticides were estimated using logistic regression to produce odds ratios (ORs) and 95% confidence intervals (CI) for all NHL and NHL subtypes, with adjustment for study site, demographic factors and use of other pesticides. Occupational insecticide use, overall, was not associated with risk of NHL. Use of organophosphate insecticides was associated with increased risk of all NHL and the subtype follicular lymphoma, and an association was found with diazinon, in particular (ever use: OR = 2.05, 95%CI: 1.24-3.37). The carbamate insecticide, carbaryl, was associated with risk of all NHL, and the strongest associations were found with T-cell NHL for ever-use (OR = 2.44, 95%CI: 1.13-5.28) and longer duration (>8 years vs never: OR = 2.90, 95%CI: 1.02-8.25). There was no association of NHL with other broad groups of insecticides, including organochlorines and pyrethroids, and some inverse associations were estimated in relation to historical DDT use. Our findings contribute to the totality of evidence available to help inform risk decisions by public health and regulatory agencies of importance given continued, widespread use of organophosphate and carbamate insecticides.

Indexed as

AdultAgedAustraliaCase-Control StudiesEuropean UnionFemaleHumansInsecticidesLymphoma, Non-HodgkinMaleMiddle AgedNorth AmericaOccupational DiseasesOccupational ExposureOccupational HealthOdds RatioInsecticideschronic lymphocytic leukemiainsecticidemultiple myelomanon-Hodgkin lymphomapesticide

Identifiers

PMID34270795
PMCPMC10560384
OpenAlexW3179874743

What OpenQuestion holds

Textmetadata
LicenceTDM
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.