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Multiple myeloma and occupation: A pooled analysis by the International Multiple Myeloma Consortium
Journal article   Peer reviewed

Multiple myeloma and occupation: A pooled analysis by the International Multiple Myeloma Consortium

Carla Perrotta, Silke Kleefeld, Anthony Staines, Prerna Tewari, Anneclaire J. De Roos, Dalsu Baris, Brenda Birmann, Brian Chiu, Wendy Cozen, Nikolaus Becker, …
Cancer epidemiology, v 37(3), pp 300-305
Jun 2013
PMID: 23403129

Abstract

Agriculture Case–control study Farmers Multiple myeloma Solvents
Objective: We investigated occupational risk of multiple myeloma (MM) in a pooled analysis of five international case–control studies. Methods: We calculated the odds ratio and its 95% confidence interval for selected occupations with unconditional regression analysis in 1959 MM cases and 6192 controls, by pooling study-specific risks using random-effects meta-analysis. Exposure to organic solvents was assessed with a job-exposure matrix (JEM). Results: Gardeners and nursery workers combined, most likely exposed to pesticides, showed a 50% increase in risk (OR=1.50, 95% CI 0.9–2.3), while other farming jobs did not. Metal processors (OR=1.55, 95% CI 0.9–2.3), female cleaners (OR=1.32, 95% CI 1.0–1.8), and high level exposure to organic solvents (OR=1.38, 95% CI 0.96–1.8) also showed moderately increased risks. Conclusions: Additional case–control studies of MM aetiology are warranted to further investigate the nature of the repeatedly reported increase in MM risk in several occupational groups.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Oncology
Public, Environmental & Occupational Health
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