Association between night work and prostate cancer: a systematic review and meta-analysis
Objective The aim was to conduct a systematic review and meta-analysis to study the association between night work and the development of prostate cancer. Methods A systematic literature search was conducted in CINAHL, Embase, MEDLINE, and Web of Science. Studies were included based on a PECOS; the...
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| Veröffentlicht in: | International archives of occupational and environmental health 2024-03, Vol.97 (2), p.207-215 |
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| creator | Jahn, Alexander Nielsen, Mathilde Lumbye Kyndi, Marianne Dalbøge, Annett |
| description | Objective
The aim was to conduct a systematic review and meta-analysis to study the association between night work and the development of prostate cancer.
Methods
A systematic literature search was conducted in CINAHL, Embase, MEDLINE, and Web of Science. Studies were included based on a PECOS; the population included men in/above the working age, exposure defined as night work, outcome defined as prostate cancer, and study design restricted to cohort studies. The exclusion of articles, risk-of-bias assessment, and data extraction were performed by two reviewers. A meta-analysis was conducted using a random-effects model, including a sensitivity analysis stratified based on the risk-of-bias assessment. We evaluated publication bias using a funnel plot and Egger´s test, and the level of evidence was assessed using GRADE.
Results
A total of 528 articles were identified, and eight cohort studies were included. Three studies had a moderate risk of bias, while five studies had a high risk of bias. The meta-analysis showed a pooled hazard ratio (HR) of 1.0 (95% CI 0.6–1.7). In the sensitivity analysis, moderate vs. high risk-of-bias studies showed a pooled HR of 1.2 (95% CI 0.3–4.1) and 0.9 (95% CI 0.6–1.3), respectively. Based on GRADE, the level of evidence was rated low.
Conclusion
We found no association between night work and the development of prostate cancer. The evidence was assessed as limited and inconsistent. Future studies encompassing consistent definitions of night work, including objective exposure data, are highly warranted. |
| doi_str_mv | 10.1007/s00420-023-02037-9 |
| format | Article |
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The aim was to conduct a systematic review and meta-analysis to study the association between night work and the development of prostate cancer.
Methods
A systematic literature search was conducted in CINAHL, Embase, MEDLINE, and Web of Science. Studies were included based on a PECOS; the population included men in/above the working age, exposure defined as night work, outcome defined as prostate cancer, and study design restricted to cohort studies. The exclusion of articles, risk-of-bias assessment, and data extraction were performed by two reviewers. A meta-analysis was conducted using a random-effects model, including a sensitivity analysis stratified based on the risk-of-bias assessment. We evaluated publication bias using a funnel plot and Egger´s test, and the level of evidence was assessed using GRADE.
Results
A total of 528 articles were identified, and eight cohort studies were included. Three studies had a moderate risk of bias, while five studies had a high risk of bias. The meta-analysis showed a pooled hazard ratio (HR) of 1.0 (95% CI 0.6–1.7). In the sensitivity analysis, moderate vs. high risk-of-bias studies showed a pooled HR of 1.2 (95% CI 0.3–4.1) and 0.9 (95% CI 0.6–1.3), respectively. Based on GRADE, the level of evidence was rated low.
Conclusion
We found no association between night work and the development of prostate cancer. The evidence was assessed as limited and inconsistent. Future studies encompassing consistent definitions of night work, including objective exposure data, are highly warranted.</description><identifier>ISSN: 0340-0131</identifier><identifier>ISSN: 1432-1246</identifier><identifier>EISSN: 1432-1246</identifier><identifier>DOI: 10.1007/s00420-023-02037-9</identifier><identifier>PMID: 38175230</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bias ; Cohort analysis ; Earth and Environmental Science ; Environment ; Environmental Health ; Humans ; Male ; Meta-analysis ; Night ; Nighttime ; Occupational Medicine/Industrial Medicine ; Prostate cancer ; Prostatic Neoplasms - epidemiology ; Prostatic Neoplasms - etiology ; Rehabilitation ; Review ; Risk assessment ; Risk Factors ; Sensitivity analysis ; Shift Work Schedule - adverse effects ; Systematic review ; Work Schedule Tolerance</subject><ispartof>International archives of occupational and environmental health, 2024-03, Vol.97 (2), p.207-215</ispartof><rights>The Author(s), under exclusive license to Springer-Verlag GmbH Germany, part of Springer Nature 2024. corrected publication 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive license to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c440t-efea92fd0bcd1516ebb2af5204e2a1e62744e7cb656378c6fd769732155880c63</cites><orcidid>0000-0002-6806-0371</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00420-023-02037-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00420-023-02037-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38175230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jahn, Alexander</creatorcontrib><creatorcontrib>Nielsen, Mathilde Lumbye</creatorcontrib><creatorcontrib>Kyndi, Marianne</creatorcontrib><creatorcontrib>Dalbøge, Annett</creatorcontrib><title>Association between night work and prostate cancer: a systematic review and meta-analysis</title><title>International archives of occupational and environmental health</title><addtitle>Int Arch Occup Environ Health</addtitle><addtitle>Int Arch Occup Environ Health</addtitle><description>Objective
The aim was to conduct a systematic review and meta-analysis to study the association between night work and the development of prostate cancer.
Methods
A systematic literature search was conducted in CINAHL, Embase, MEDLINE, and Web of Science. Studies were included based on a PECOS; the population included men in/above the working age, exposure defined as night work, outcome defined as prostate cancer, and study design restricted to cohort studies. The exclusion of articles, risk-of-bias assessment, and data extraction were performed by two reviewers. A meta-analysis was conducted using a random-effects model, including a sensitivity analysis stratified based on the risk-of-bias assessment. We evaluated publication bias using a funnel plot and Egger´s test, and the level of evidence was assessed using GRADE.
Results
A total of 528 articles were identified, and eight cohort studies were included. Three studies had a moderate risk of bias, while five studies had a high risk of bias. The meta-analysis showed a pooled hazard ratio (HR) of 1.0 (95% CI 0.6–1.7). In the sensitivity analysis, moderate vs. high risk-of-bias studies showed a pooled HR of 1.2 (95% CI 0.3–4.1) and 0.9 (95% CI 0.6–1.3), respectively. Based on GRADE, the level of evidence was rated low.
Conclusion
We found no association between night work and the development of prostate cancer. The evidence was assessed as limited and inconsistent. Future studies encompassing consistent definitions of night work, including objective exposure data, are highly warranted.</description><subject>Bias</subject><subject>Cohort analysis</subject><subject>Earth and Environmental Science</subject><subject>Environment</subject><subject>Environmental Health</subject><subject>Humans</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>Night</subject><subject>Nighttime</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - epidemiology</subject><subject>Prostatic Neoplasms - etiology</subject><subject>Rehabilitation</subject><subject>Review</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Sensitivity analysis</subject><subject>Shift Work Schedule - adverse effects</subject><subject>Systematic review</subject><subject>Work Schedule Tolerance</subject><issn>0340-0131</issn><issn>1432-1246</issn><issn>1432-1246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFO3DAQhi0EgoXyAj1Ulrj0kjJjO3bSG0JtqYTEBQ49WY4zWbJsEmp7We3b42UplThwsHyY7_89_hj7jPANAcx5BFACChAyH5CmqPfYDJUUBQql99kMpMpjlHjEjmNcAKDRRh6yI1mhKYWEGftzEePke5f6aeQNpTXRyMd-fp_4egoP3I0tfwxTTC4R9270FL5zx-MmJhpyyvNATz2tX8CBkivc6Jab2MdP7KBzy0inr_cJu_v54_byqri--fX78uK68EpBKqgjV4uuhca3WKKmphGuKwUoEg5JC6MUGd_oUktTed21RtdGCizLqgKv5Qn7uuvNa_5dUUx26KOn5dKNNK2iFTUC1gYNZvTsHbqYViHvu6VEpVAaVWdK7Cif_x0DdfYx9IMLG4tgt-LtTrzN4u2LeLsNfXmtXjUDtW-Rf6YzIHdAzKNxTuH_2x_UPgMg342I</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Jahn, Alexander</creator><creator>Nielsen, Mathilde Lumbye</creator><creator>Kyndi, Marianne</creator><creator>Dalbøge, Annett</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7T5</scope><scope>7TM</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6806-0371</orcidid></search><sort><creationdate>20240301</creationdate><title>Association between night work and prostate cancer: a systematic review and meta-analysis</title><author>Jahn, Alexander ; Nielsen, Mathilde Lumbye ; Kyndi, Marianne ; Dalbøge, Annett</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-efea92fd0bcd1516ebb2af5204e2a1e62744e7cb656378c6fd769732155880c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Bias</topic><topic>Cohort analysis</topic><topic>Earth and Environmental Science</topic><topic>Environment</topic><topic>Environmental Health</topic><topic>Humans</topic><topic>Male</topic><topic>Meta-analysis</topic><topic>Night</topic><topic>Nighttime</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - epidemiology</topic><topic>Prostatic Neoplasms - etiology</topic><topic>Rehabilitation</topic><topic>Review</topic><topic>Risk assessment</topic><topic>Risk Factors</topic><topic>Sensitivity analysis</topic><topic>Shift Work Schedule - adverse effects</topic><topic>Systematic review</topic><topic>Work Schedule Tolerance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jahn, Alexander</creatorcontrib><creatorcontrib>Nielsen, Mathilde Lumbye</creatorcontrib><creatorcontrib>Kyndi, Marianne</creatorcontrib><creatorcontrib>Dalbøge, Annett</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International archives of occupational and environmental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jahn, Alexander</au><au>Nielsen, Mathilde Lumbye</au><au>Kyndi, Marianne</au><au>Dalbøge, Annett</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between night work and prostate cancer: a systematic review and meta-analysis</atitle><jtitle>International archives of occupational and environmental health</jtitle><stitle>Int Arch Occup Environ Health</stitle><addtitle>Int Arch Occup Environ Health</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>97</volume><issue>2</issue><spage>207</spage><epage>215</epage><pages>207-215</pages><issn>0340-0131</issn><issn>1432-1246</issn><eissn>1432-1246</eissn><abstract>Objective
The aim was to conduct a systematic review and meta-analysis to study the association between night work and the development of prostate cancer.
Methods
A systematic literature search was conducted in CINAHL, Embase, MEDLINE, and Web of Science. Studies were included based on a PECOS; the population included men in/above the working age, exposure defined as night work, outcome defined as prostate cancer, and study design restricted to cohort studies. The exclusion of articles, risk-of-bias assessment, and data extraction were performed by two reviewers. A meta-analysis was conducted using a random-effects model, including a sensitivity analysis stratified based on the risk-of-bias assessment. We evaluated publication bias using a funnel plot and Egger´s test, and the level of evidence was assessed using GRADE.
Results
A total of 528 articles were identified, and eight cohort studies were included. Three studies had a moderate risk of bias, while five studies had a high risk of bias. The meta-analysis showed a pooled hazard ratio (HR) of 1.0 (95% CI 0.6–1.7). In the sensitivity analysis, moderate vs. high risk-of-bias studies showed a pooled HR of 1.2 (95% CI 0.3–4.1) and 0.9 (95% CI 0.6–1.3), respectively. Based on GRADE, the level of evidence was rated low.
Conclusion
We found no association between night work and the development of prostate cancer. The evidence was assessed as limited and inconsistent. Future studies encompassing consistent definitions of night work, including objective exposure data, are highly warranted.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38175230</pmid><doi>10.1007/s00420-023-02037-9</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6806-0371</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bias Cohort analysis Earth and Environmental Science Environment Environmental Health Humans Male Meta-analysis Night Nighttime Occupational Medicine/Industrial Medicine Prostate cancer Prostatic Neoplasms - epidemiology Prostatic Neoplasms - etiology Rehabilitation Review Risk assessment Risk Factors Sensitivity analysis Shift Work Schedule - adverse effects Systematic review Work Schedule Tolerance |
| title | Association between night work and prostate cancer: a systematic review and meta-analysis |
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