(b) Colon and rectal cancers.
| Studies | Location | Year of Publication | Sample Size | Study Design | Exposition Measurement | Site of Cancer | Subgroups Included in the Analysis | Effect Size and CI |
|---|---|---|---|---|---|---|---|---|
| Gottlieb and Carr [65] | Louisiana, USA | 1982 | 546 cases and 534 controls | Case-control | Exposure to chlorinated drinking water | Rectal | n.d. | All: OR = 1.68 (1.17–2.42) |
| Koivusalo et al. [52] | Finland | 1997 | 621 431 | Cohort | Questionnaires. Information on water-pipe connections, past drinking water quality, and treatment practices by waterworks was obtained from administrative registers and municipal waterworks. The level of mutagenicity was estimated by modelling | Colon and rectal | Sex | Colon: All: RR = 0.90 (0.77–1.04); Men: RR = 0.83 (0.66–1.04); Women: RR = 0.95 (0.78–1.85). Rectal: All: RR = 1.04 (0.86–1.26); Men: RR = 0.85 (0.66–1.09); Women: RR = 1.38 (1.03–1.85). |
| Hildesheim et al. [66] | Iowa, USA | 1998 | 560 colon cases, 537 rectal cases, and 1983 controls | Case-control | TTHMs in tap water | Colon and rectal | n.d. | Colon: OR = 1.06 (0.7–1.6); Rectal: OR = 1.66 (1.1–2.6) |
| King et al. [57] | Ontario, Canada | 2000 | 767 colon cases, 661 rectal cases, and 1545 controls | Case-control | Questionnaire about source of water. Water source and chlorination status were provided directly by treatment plant surveys. TTHMs modelling | Colon and rectal | Sex | Colon: OR = 1.87 (1.15–3.05) for Men; OR = 0.92 (0.49–1.71) for Women. Rectal: OR = 0.98 (0.56–1.72) for Men; OR = 0.72 (0.34–1.53) for Women |
| Bove et al. [63] | New York State, USA | 2007 | 128 cases and 253 controls | Case-control | TTHMs in tap water + water consumption | Rectal | n.d. | THM4: OR = 1.01 (0.98–1.03); CLF: OR = 1.00 (0.93–1.09); BRF: OR = 1.20 (1.05–1.35) |
| Kuo et al. [69] | Taiwan | 2009 | 2195 cases and 2195 controls | Case-control | Questionnaire & data on TTHM levels in drinking water in study. Municipalities were collected from the Taiwan Environmental Protection Administration | Colon | n.d. | All: OR = 1.04 (0.89–1.21) |
NB: n.d.: No data; OR: Odds Ratio; RR: Risk Ratio; CLF: Chloroform; BRF: Bromoform; BDCM: Bromodichloromethane.