Table 1.
Lymphoma subtype/AML significance levela | No. of studies | No. of cases | Meta relative risk (all studies) | No. of studies | No. of cases | Meta risk ratio (start follow-up before 1970) | No. of studies | No. of cases | Meta risk ratio (start follow-up 1970 and later) | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|
AML | ||||||||||||
A–E (all studies) | 22 | 229 | 1.69 (1.38–2.08)* | 13 | 131 | 1.47 (1.12–1.92)* | 9 | 98 | 2.08 (1.59–2.72) | |||
A–D | 22 | 229 | 1.69 (1.38–2.08)* | 13 | 131 | 1.47 (1.12–1.92)* | 9 | 98 | 2.08 (1.59–2.72) | |||
A–C | 17 | 204 | 1.87 (1.57–2.22) | 9 | 112 | 1.72 (1.38–2.15) | 8 | 92 | 2.11 (1.61–2.77) | |||
A–B | 12 | 144 | 2.15 (1.76–2.63) | 6 | 76 | 1.99 (1.51–2.60) | 6 | 68 | 2.41 (1.77–3.29) | |||
A | 10 | 120 | 2.38 (1.89–2.99) | 5 | 63 | 2.13 (1.57–2.89) | 5 | 57 | 2.88 (1.95–3.99) | |||
HL | ||||||||||||
A–E (all studies) | 28 | 149 | 1.00 (0.84–1.18) | 20 | 126 | 1.01 (0.84–1.23) | 8 | 23 | 0.91 (0.59–1.40) | |||
A–D | 13 | 72 | 0.99 (0.78–1.27) | 9 | 61 | 1.03 (0.79–1.35) | 4 | 11 | 0.83 (0.47–1.48) | |||
A–C | 10 | 42 | 0.84 (0.61–1.16) | 6 | 31 | 0.84 (0.57–1.24) | 4 | 11 | 0.83 (0.47–1.48) | |||
A–B | 6 | 10 | 0.57 (0.30–1.10) | 3 | 9 | 0.65 (0.31–1.38) | 3 | 1b | 0.40 (0.11–1.44) | |||
A | 5 | 10 | 0.61 (0.31–2.19) | 3 | 9 | 0.65 (0.31–1.38) | 2 | 1c | 0.46 (0.10–2.09) | |||
NHLd | ||||||||||||
A–E (all studies) | 34 | 662 | 1.00 (0.89–1.12)* | 23 | 467 | 0.93 (0.82–1.05) | 11 | 195 | 1.21 (0.94–1.55)* | |||
A–D | 16 | 398 | 0.96 (0.81–1.14) | 9 | 223 | 0.83 (0.68–1.01) | 7 | 175 | 1.18 (0.91–1.53)* | |||
A–C | 14 | 359 | 0.98 (0.81–1.18) | 7 | 184 | 0.83 (0.65–1.05) | 7 | 175 | 1.18 (0.91–1.53)* | |||
A–B | 8 | 145 | 1.16 (0.85–1.57) | 3 | 55 | 0.89 (0.62–1.27) | 5 | 90 | 1.38 (0.92–2.06)* | |||
A | 7 | 116 | 1.10 (0.78–1.55) | 3 | 55 | 0.89 (0.62–1.27) | 4 | 61 | 1.40 (0.79–2.51)* | |||
MM | ||||||||||||
A–E (all studies) | 27 | 290 | 1.11 (0.97–1.26) | 17 | 210 | 1.06 (0.92–1.22) | 10 | 80 | 1.26 (0.92–1.71) | |||
A–D | 15 | 166 | 1.13 (0.93–1.37) | 8 | 111 | 1.06 (0.87–1.30) | 7 | 55 | 1.27 (0.81–2.00)* | |||
A–C | 13 | 143 | 1.15 (0.91–1.44) | 6 | 88 | 1.08 (0.86–1.34) | 7 | 55 | 1.27 (0.81–2.00)* | |||
A–B | 8 | 75 | 1.40 (1.02–1.90) | 3 | 35 | 1.20 (0.73–2.00) | 5 | 40 | 1.58 (1.03–2.44) | |||
A | 7 | 62 | 1.42 (0.97–2.08) | 3 | 35 | 1.20 (0.73–2.00) | 4 | 27 | 1.75 (0.94–3.26) | |||
ALL | ||||||||||||
A–E (all studies) | 18 | 47 | 1.41 (1.02–1.97) | 11 | 30 | 1.27 (0.86–1.87) | 7 | 17 | 1.92 (1.00–3.67) | |||
A–D | 18 | 47 | 1.41 (1.02–1.97) | 11 | 30 | 1.27 (0.86–1.87) | 7 | 17 | 1.92 (1.00–3.67) | |||
A–C | 12 | 29 | 1.36 (0.88–2.10) | 6 | 15 | 1.04 (0.60–1.81) | 6 | 14 | 2.10 (1.04–4.25) | |||
A–B | 8 | 16 | 1.59 (0.85–2.99) | 3 | 5 | 0.98 (0.38–2.58) | 5 | 11 | 2.28 (0.99–5.26) | |||
A | 6 | 12 | 1.52 (0.71–3.26) | 2 | 3 | 0.88 (0.27–2.81) | 4 | 9 | 2.30 (0.84–6.29) | |||
CLL | ||||||||||||
A–E (all studies) | 19 | 116 | 1.16 (0.81–1.65)* | 12 | 74 | 0.91 (0.56–1.48)* | 7 | 42 | 1.63 (1.09–2.44) | |||
A–D | 19 | 116 | 1.16 (0.81–1.65)* | 12 | 74 | 0.91 (0.56–1.48) | 7 | 42 | 1.63 (1.09–2.44) | |||
A–C | 14 | 98 | 1.20 (0.78–1.84)* | 8 | 60 | 0.91 (0.47–1.75) | 6 | 38 | 1.61 (1.00–2.59) | |||
A–B | 9 | 62 | 1.37 (0.80–2.35)* | 5 | 43 | 1.13 (0.43–2.97) | 4 | 19 | 1.84 (1.12–3.02) | |||
A | 7 | 50 | 1.36 (0.74–2.51) | 4 | 41 | 1.40 (0.49–4.01) | 3 | 9 | 1.33 (0.64–2.76) | |||
Abbreviations: ALL, acute lymphocytic leukemia; AML, acute myelogenous leukemia; CLL, chronic lymphocytic leukemia; HL, Hodgkin lymphoma; MM, multiple myeloma; NHL, non-Hodgkin lymphoma. Data presented here correspond to Supplemental Material, Table 1 from Vlaanderen et al. (2011; http://dx.doi.org/10.1289/ehp.1002318). Sorahan et al. (2005) was categorized as follow-up starting before 1970; AML significance level A [relative risk > 1 (p < 0.1)]; exposure assessment quality D (qualitative indication that benzene exposure had occurred). No observed cases were reported for ALL by Sorahan et al. We therefore calculated continuity-corrected relative risks (observed and expected number of cases + 1) and estimated associated 95% confidence intervals with mid-P exact. Values that are different from those in the original analyses are in italic type. aAML significance level categories: A, AML risk estimate > 1 (p < 0.1); B, AML risk estimate > 1 (p < 0.2); C, AML risk estimate > 1 (p > 0.2); D, AML risk estimate reported; E, AML risk estimate not reported. bTwo of three studies reported null cases (continuity correction was applied in the meta-analysis). cOne of two studies reported null cases (continuity correction was applied in the meta-analysis). dNHL or lymphosarcoma/reticulosarcoma (preferred NHL if the study reported both). *p < 0.1 for between-study heterogeneity. |