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. 2018 May 14;15(5):979. doi: 10.3390/ijerph15050979

(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.