Chronic myelogenous leukemia and benzene exposure: a systematic review and meta-analysis of the case-control literature

Chem Biol Interact. 2009 Dec 10;182(2-3):93-7. doi: 10.1016/j.cbi.2009.08.010. Epub 2009 Aug 18.

Abstract

Benzene exposure is well demonstrated as a cause of acute myelogenous leukemia, but not of chronic myelogenous leukemia. Previous literature reviews based on case series and cohort studies have not shown an association. We have now conducted a literature search for case-control studies that examine the association between benzene exposure and chronic myelogenous leukemia. Six case-control studies have been found. These derive from occupational groups, cancer registries, and a clinical laboratory. Their exposure ascertainments are all based on job histories, job-exposure matricies, or industrial hygiene data. The odds ratios (ORs) for individual studies range from 0.73 to 1.2. The pooled OR is 1.003 with 95% confidence interval (CI) of 0.94-1.07 (p=0.98) for both a fixed effects model and a random effects model. The case-control literature indicates that chronic myelogenous leukemia does not appear to be related to benzene exposure.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Benzene / toxicity*
  • Case-Control Studies
  • Humans
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / etiology*
  • Occupational Exposure*

Substances

  • Benzene