Risk factors of myelodysplastic syndromes: a case-control study

Little is known about the etiology of myelodysplastic syndromes (MDS). A hospital-based case-control study of 354 adult de novo MDS cases and 452 controls was conducted to investigate associations between lifestyle characteristics and MDS risk. The distribution by French-American-British (FAB) type...

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Veröffentlicht in:Leukemia 2005-11, Vol.19 (11), p.1912-1918
Hauptverfasser: STROM, S. S, GU, Y, GRUSCHKUS, S. K, PIERCE, S. A, ESTEY, E. H
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container_end_page 1918
container_issue 11
container_start_page 1912
container_title Leukemia
container_volume 19
creator STROM, S. S
GU, Y
GRUSCHKUS, S. K
PIERCE, S. A
ESTEY, E. H
description Little is known about the etiology of myelodysplastic syndromes (MDS). A hospital-based case-control study of 354 adult de novo MDS cases and 452 controls was conducted to investigate associations between lifestyle characteristics and MDS risk. The distribution by French-American-British (FAB) type was 67 (19%) refractory anemia (RA), 38 (11%) refractory anemia with ringed sideroblasts (RARS), 43 (12%) chronic myelomonocytic leukemia (CMML), 136 (38%) RA with excess blasts (RAEB), and 70 (20%) RAEB in transformation (RAEBT). Multivariate logistic regression analyses were performed among all MDS cases and among each FAB type and gender. For all MDS combined, family history of hematopoietic cancer (odds ratio (OR) = 1.92), smoking (OR = 1.65), and exposure to agricultural chemicals (OR = 4.55) or solvents (OR = 2.05) were associated with MDS risk. Among RA/RARS cases, smoking (OR = 2.23) and agricultural chemical exposure (OR = 5.68) were the only risk factors identified. For RAEB/RAEBT cases, family history of hematopoietic cancer (OR = 2.10), smoking (OR = 1.52), and exposure to agricultural chemicals (OR = 3.79) or solvents (OR = 2.71) were independent risk factors. Drinking wine reduced risk for all FAB types by almost 50% (OR = 0.54). We found a joint effect between smoking and chemical exposure with the highest risk among smokers exposed to solvents/agricultural chemicals (OR = 3.22). Results from this large study suggest that several factors play a role in MDS predisposition with possible joint effects. Risk profiles seem to differ by FAB type and gender.
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S ; GU, Y ; GRUSCHKUS, S. K ; PIERCE, S. A ; ESTEY, E. H</creator><creatorcontrib>STROM, S. S ; GU, Y ; GRUSCHKUS, S. K ; PIERCE, S. A ; ESTEY, E. H</creatorcontrib><description>Little is known about the etiology of myelodysplastic syndromes (MDS). A hospital-based case-control study of 354 adult de novo MDS cases and 452 controls was conducted to investigate associations between lifestyle characteristics and MDS risk. The distribution by French-American-British (FAB) type was 67 (19%) refractory anemia (RA), 38 (11%) refractory anemia with ringed sideroblasts (RARS), 43 (12%) chronic myelomonocytic leukemia (CMML), 136 (38%) RA with excess blasts (RAEB), and 70 (20%) RAEB in transformation (RAEBT). Multivariate logistic regression analyses were performed among all MDS cases and among each FAB type and gender. 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Myelofibrosis ; Life Style ; Male ; Medical sciences ; Middle Aged ; Myelodysplastic syndrome ; Myelodysplastic syndromes ; Myelodysplastic Syndromes - etiology ; Myelodysplastic Syndromes - genetics ; Myelomonocytic leukemia ; Odds Ratio ; Pesticides - poisoning ; Refractory anemia ; Regression analysis ; Risk analysis ; Risk assessment ; Risk Factors ; Risk management ; Risk reduction ; Sex Factors ; Sideroblasts ; Smoking ; Smoking - adverse effects ; Solvents ; Solvents - poisoning ; Wines</subject><ispartof>Leukemia, 2005-11, Vol.19 (11), p.1912-1918</ispartof><rights>2006 INIST-CNRS</rights><rights>COPYRIGHT 2005 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Nov 2005</rights><rights>Nature Publishing Group 2005.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c564t-7290cb8edbe3733caf6ee74c465f3ab211585a9871101b24f0aa0b4d08f8c8c3</citedby><cites>FETCH-LOGICAL-c564t-7290cb8edbe3733caf6ee74c465f3ab211585a9871101b24f0aa0b4d08f8c8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2727,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17205204$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16167059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STROM, S. S</creatorcontrib><creatorcontrib>GU, Y</creatorcontrib><creatorcontrib>GRUSCHKUS, S. K</creatorcontrib><creatorcontrib>PIERCE, S. A</creatorcontrib><creatorcontrib>ESTEY, E. H</creatorcontrib><title>Risk factors of myelodysplastic syndromes: a case-control study</title><title>Leukemia</title><addtitle>Leukemia</addtitle><description>Little is known about the etiology of myelodysplastic syndromes (MDS). A hospital-based case-control study of 354 adult de novo MDS cases and 452 controls was conducted to investigate associations between lifestyle characteristics and MDS risk. The distribution by French-American-British (FAB) type was 67 (19%) refractory anemia (RA), 38 (11%) refractory anemia with ringed sideroblasts (RARS), 43 (12%) chronic myelomonocytic leukemia (CMML), 136 (38%) RA with excess blasts (RAEB), and 70 (20%) RAEB in transformation (RAEBT). Multivariate logistic regression analyses were performed among all MDS cases and among each FAB type and gender. 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S</au><au>GU, Y</au><au>GRUSCHKUS, S. K</au><au>PIERCE, S. A</au><au>ESTEY, E. H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors of myelodysplastic syndromes: a case-control study</atitle><jtitle>Leukemia</jtitle><addtitle>Leukemia</addtitle><date>2005-11-01</date><risdate>2005</risdate><volume>19</volume><issue>11</issue><spage>1912</spage><epage>1918</epage><pages>1912-1918</pages><issn>0887-6924</issn><eissn>1476-5551</eissn><coden>LEUKED</coden><abstract>Little is known about the etiology of myelodysplastic syndromes (MDS). A hospital-based case-control study of 354 adult de novo MDS cases and 452 controls was conducted to investigate associations between lifestyle characteristics and MDS risk. The distribution by French-American-British (FAB) type was 67 (19%) refractory anemia (RA), 38 (11%) refractory anemia with ringed sideroblasts (RARS), 43 (12%) chronic myelomonocytic leukemia (CMML), 136 (38%) RA with excess blasts (RAEB), and 70 (20%) RAEB in transformation (RAEBT). Multivariate logistic regression analyses were performed among all MDS cases and among each FAB type and gender. For all MDS combined, family history of hematopoietic cancer (odds ratio (OR) = 1.92), smoking (OR = 1.65), and exposure to agricultural chemicals (OR = 4.55) or solvents (OR = 2.05) were associated with MDS risk. Among RA/RARS cases, smoking (OR = 2.23) and agricultural chemical exposure (OR = 5.68) were the only risk factors identified. For RAEB/RAEBT cases, family history of hematopoietic cancer (OR = 2.10), smoking (OR = 1.52), and exposure to agricultural chemicals (OR = 3.79) or solvents (OR = 2.71) were independent risk factors. Drinking wine reduced risk for all FAB types by almost 50% (OR = 0.54). We found a joint effect between smoking and chemical exposure with the highest risk among smokers exposed to solvents/agricultural chemicals (OR = 3.22). Results from this large study suggest that several factors play a role in MDS predisposition with possible joint effects. Risk profiles seem to differ by FAB type and gender.</abstract><cop>London</cop><pub>Nature Publishing</pub><pmid>16167059</pmid><doi>10.1038/sj.leu.2403945</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Agricultural chemicals
Agrochemicals
Anemia
Biological and medical sciences
Blast cells
Cancer
Case-Control Studies
Chemicals
Chronic myelomonocytic leukemia
Disorders
Environmental Exposure
Etiology
Exposure
Family medical history
Female
Gender
Genetic Predisposition to Disease
Genetics
Hematologic and hematopoietic diseases
Humans
Leukemia
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Life Style
Male
Medical sciences
Middle Aged
Myelodysplastic syndrome
Myelodysplastic syndromes
Myelodysplastic Syndromes - etiology
Myelodysplastic Syndromes - genetics
Myelomonocytic leukemia
Odds Ratio
Pesticides - poisoning
Refractory anemia
Regression analysis
Risk analysis
Risk assessment
Risk Factors
Risk management
Risk reduction
Sex Factors
Sideroblasts
Smoking
Smoking - adverse effects
Solvents
Solvents - poisoning
Wines
title Risk factors of myelodysplastic syndromes: a case-control study
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