Pooled risk estimates for non-Hodgkin’s lymphoma by exposure assessment method, study design, publication year period and geographic region, based on meta-analysis of articles on occupational pesticide exposure published between 1987 and 2017.
Number of risk estimates | sRR | 95% CI | Heterogeneity measures | ||||
I2 (%) | P value | Q | P value | ||||
Exposure assessment method | 6.23 | 0.07 | |||||
Group-level | 17 | 1.21 | 1.05 to 1.40 | 63 | <0.01 | ||
Self-reported exposure | 13 | 1.49 | 1.16 to 1.91 | 76 | <0.01 | ||
Expert-level | 10 | 1.74 | 1.39 to 2.19 | 0 | 0.68 | ||
Study design | 22.1 | <0.01 | |||||
Cohort (prospective) | 8 | 1.04 | 0.96 to 1.13 | 23 | 0.24 | ||
Cohort (retrospective) | 4 | 1.11 | 0.89 to 1.39 | 11 | 0.34 | ||
Case–control | 28 | 1.66 | 1.39 to 1.98 | 57 | <0.01 | ||
Publication year period | |||||||
1987–2005 | 19 | 1.15 | 1.00 to 1.32 | 21 | 0.2 | 8.5 | <0.01 |
2006–2017 | 21 | 1.59 | 1.34 to 1.87 | 78 | <0.01 | ||
Geographic region | 3.89 | 0.14 | |||||
Europe | 18 | 1.42 | 1.13 to 1.77 | 55 | <0.01 | ||
North America | 18 | 1.27 | 1.10 to 1.47 | 70 | <0.01 | ||
Other | 4 | 1.77 | 1.31 to 2.39 | 38 | 0.18 | ||
Case–control studies only | |||||||
Exposure assessment method | 0.1 | 0.95 | |||||
Group-level | 9 | 1.63 | 1.20 to 2.21 | 61 | <0.01 | ||
Self-reported exposure | 11 | 1.67 | 1.21 to 2.31 | 71 | <0.01 | ||
Expert-level | 8 | 1.73 | 1.33 to 2.27 | 0 | 0.47 | ||
Exposure assessment method during publication year periods | |||||||
1987–2005 | |||||||
Exposure assessment method | 2.30 | 0.32 | |||||
Group-level | 8 | 1.04 | 0.83 to 1.28 | 31 | 0.18 | ||
Self-reported exposure | 8 | 1.26 | 1.05 to 1.51 | 0 | 0.51 | ||
Expert-level | 3 | 1.37 | 0.86 to 2.17 | 0 | 0.51 | ||
2006–2017 | |||||||
Exposure assessment method | 4.68 | 0.1 | |||||
Group-level | 9 | 1.35 | 1.11 to 1.64 | 74 | <0.01 | ||
Self-reported exposure | 5 | 1.94 | 1.14 to 3.30 | 91 | <0.01 | ||
Expert-level | 7 | 1.88 | 1.45 to 2.24 | 0 | 0.7 |
I2=percentage of variation across studies due to heterogeneity. Q=Cochran’s Q.
sRR, summary risk ratio.