ベンゼンへの職業的暴露と子宮頸がん,卵巣がん,子宮内膜がんのリスク: 系統的レビューとメタ解析
Veer Shah1, Darshi Shah2, Vincent DeStefano2
1Icahn School of Medicine at Mount Sinai, New York, New York, United States.
まとめ
職業上のベンゼン暴露は,特に死亡率のデータでは,女性の生殖器癌のリスクを増加させる可能性があります. 研究の限界のため,この関連性を確認するにはさらなる研究が必要である.
科学分野:
- 環境 健康
- 職業医学
- 婦人科腫瘍学
背景:
- ベンゼンは白血病に起因する 発がん物質として知られています
- ベンゼン曝露と女性性器がん (卵巣,子宮内膜,子宮頸部) の関連性は十分に確立されていません.
研究 の 目的:
- メタアナリシスを通じて,ベンゼンの職業的暴露と女性の生殖器がんのリスクとの関連を評価する.
主な方法:
- PubMed,SCOPUS,そしてEMBASEの体系的な文献検索
- PRISMA,MOOSE,PECOSのガイドラインを用いて分析した9つのコホート研究を含む.
- 研究の質と出版のバイアスの評価
主要な成果:
- 死亡率データ (RR=1. 69) に基づいて,ベンゼン曝露の総合リスク比 (RR) は1. 22 (95%CI=1. 03-1.44) であった.
- 子宮頸がん (1. 24),子宮内膜がん (1. 21),卵巣がん (1. 28) のがん特有のRRは統計的に有意ではなかった.
- 重要な異質性や出版バイアスは検出されなかった.
結論:
- 職業上のベンゼン曝露は,女性の生殖器癌の死亡率の増加と関連している可能性があります.
- 現状の証拠は,潜在的な混乱要因と研究制限のため,決定的ではありません.
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