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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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. |
doi_str_mv | 10.1038/sj.leu.2403945 |
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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. 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.</description><identifier>ISSN: 0887-6924</identifier><identifier>EISSN: 1476-5551</identifier><identifier>DOI: 10.1038/sj.leu.2403945</identifier><identifier>PMID: 16167059</identifier><identifier>CODEN: LEUKED</identifier><language>eng</language><publisher>London: Nature Publishing</publisher><subject>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</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&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. 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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Agricultural chemicals</subject><subject>Agrochemicals</subject><subject>Anemia</subject><subject>Biological and medical sciences</subject><subject>Blast cells</subject><subject>Cancer</subject><subject>Case-Control Studies</subject><subject>Chemicals</subject><subject>Chronic myelomonocytic leukemia</subject><subject>Disorders</subject><subject>Environmental Exposure</subject><subject>Etiology</subject><subject>Exposure</subject><subject>Family medical history</subject><subject>Female</subject><subject>Gender</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetics</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Leukemia</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. 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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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