Systematic review of perchloroethylene and non-Hodgkin's lymphoma

We conducted a systematic review of epidemiology studies that evaluated the association between perchloroethylene (PCE) and non-Hodgkin's lymphoma (NHL). This included an independent detailed assessment of a few critical aspects of study quality (i.e., study design, exposure measurement, exposu...

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Main Authors: Julie E. Goodman, Rebecca C. Ticknor, Jean Zhou
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Global Epidemiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590113322000074
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author Julie E. Goodman
Rebecca C. Ticknor
Jean Zhou
author_facet Julie E. Goodman
Rebecca C. Ticknor
Jean Zhou
author_sort Julie E. Goodman
collection DOAJ
description We conducted a systematic review of epidemiology studies that evaluated the association between perchloroethylene (PCE) and non-Hodgkin's lymphoma (NHL). This included an independent detailed assessment of a few critical aspects of study quality (i.e., study design, exposure measurement, exposure levels, and potential confounding), and a consideration of other aspects of quality less formally. Of the identified 18 cohort studies of 15 unique cohorts, 17 case-control studies of 14 unique population groups, and 3 ecological studies, none was high quality for all four critical quality elements and each study also had other major methodological study limitations. Reported risk estimates were mostly null, ranged widely from below to above 1, and often had extremely wide confidence intervals (CIs), indicating unstable risk estimates. In addition, there was no consistent evidence of dose-response. Overall, given the low quality of the available epidemiology studies, the evidence does not support an association between PCE exposure and NHL.
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spelling doaj.art-1474591271764a6d918d8172262a6f162022-12-22T03:00:04ZengElsevierGlobal Epidemiology2590-11332022-12-014100077Systematic review of perchloroethylene and non-Hodgkin's lymphomaJulie E. Goodman0Rebecca C. Ticknor1Jean Zhou2Gradient, One Beacon St., 17th Floor, Boston, MA 02108, United States of America; Corresponding author.Gradient, 600 Stewart St., Suite 1900, Seattle, WA 98108, United States of AmericaGradient, One Beacon St., 17th Floor, Boston, MA 02108, United States of AmericaWe conducted a systematic review of epidemiology studies that evaluated the association between perchloroethylene (PCE) and non-Hodgkin's lymphoma (NHL). This included an independent detailed assessment of a few critical aspects of study quality (i.e., study design, exposure measurement, exposure levels, and potential confounding), and a consideration of other aspects of quality less formally. Of the identified 18 cohort studies of 15 unique cohorts, 17 case-control studies of 14 unique population groups, and 3 ecological studies, none was high quality for all four critical quality elements and each study also had other major methodological study limitations. Reported risk estimates were mostly null, ranged widely from below to above 1, and often had extremely wide confidence intervals (CIs), indicating unstable risk estimates. In addition, there was no consistent evidence of dose-response. Overall, given the low quality of the available epidemiology studies, the evidence does not support an association between PCE exposure and NHL.http://www.sciencedirect.com/science/article/pii/S2590113322000074TetrachloroethylenePerchloroethyleneNon-Hodgkin's lymphomaBradford HillSystematic reviewEpidemiology
spellingShingle Julie E. Goodman
Rebecca C. Ticknor
Jean Zhou
Systematic review of perchloroethylene and non-Hodgkin's lymphoma
Global Epidemiology
Tetrachloroethylene
Perchloroethylene
Non-Hodgkin's lymphoma
Bradford Hill
Systematic review
Epidemiology
title Systematic review of perchloroethylene and non-Hodgkin's lymphoma
title_full Systematic review of perchloroethylene and non-Hodgkin's lymphoma
title_fullStr Systematic review of perchloroethylene and non-Hodgkin's lymphoma
title_full_unstemmed Systematic review of perchloroethylene and non-Hodgkin's lymphoma
title_short Systematic review of perchloroethylene and non-Hodgkin's lymphoma
title_sort systematic review of perchloroethylene and non hodgkin s lymphoma
topic Tetrachloroethylene
Perchloroethylene
Non-Hodgkin's lymphoma
Bradford Hill
Systematic review
Epidemiology
url http://www.sciencedirect.com/science/article/pii/S2590113322000074
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