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Titolo:
Flood transfusions and risk of non-Hodgkin's lymphoma subtypes and chroniclymphocytic leukemia
Autore:
Cerhan, JR; Wallace, RB; Dick, F; Kemp, J; Parker, AS; Zheng, W; Sellers, TA; Folsom, AR;
Indirizzi:
Mayo Clin, Dept Hlth Sci Res, Rochester, MN 55905 USA Mayo Clin RochesterMN USA 55905 pt Hlth Sci Res, Rochester, MN 55905 USA Univ Iowa, Coll Publ Hlth, Dept Epidemiol, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 Dept Epidemiol, Iowa City, IA 52242 USA Univ Iowa, Coll Med, Dept Pathol, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 ed, Dept Pathol, Iowa City, IA 52242 USA Univ S Carolina, Sch Publ Hlth, S Carolina Canc Ctr, Columbia, SC 29203 USA Univ S Carolina Columbia SC USA 29203 na Canc Ctr, Columbia, SC 29203 USA Univ Minnesota, Sch Publ Hlth, Div Epidemiol, Minneapolis, MN 55454 USA Univ Minnesota Minneapolis MN USA 55454 demiol, Minneapolis, MN 55454 USA
Titolo Testata:
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
fascicolo: 4, volume: 10, anno: 2001,
pagine: 361 - 368
SICI:
1055-9965(200104)10:4<361:FTARON>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
BLOOD-TRANSFUSION; OLDER WOMEN; CANCER RISK; WORKING FORMULATION; INTERMEDIATE-GRADE; CLASSIFICATION; MECHANISM; HISTORY; COHORT; SEARCH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Cerhan, JR Mayo Clin, Dept Hlth Sci Res, 200 1st St SW, Rochester, MN 55905 USA Mayo Clin 200 1st St SW Rochester MN USA 55905 er, MN 55905 USA
Citazione:
J.R. Cerhan et al., "Flood transfusions and risk of non-Hodgkin's lymphoma subtypes and chroniclymphocytic leukemia", CANC EPID B, 10(4), 2001, pp. 361-368

Abstract

Allogeneic blood transfusion has been suggested as a risk factor for non-Hodgkin's lymphoma (NHL), possibly specific to certain NHL subtypes, or chronic lymphocytic leukemia (CLL). Self-reported transfusion history and risk of NHL subtypes and CLL were examined in a cohort of 37,934 older Iowa women, using data from a questionnaire mailed in 1986. Through 1997, 229 cases of NHL and 57 cases of CLL in the cohort were identified through linkage tothe Iowa Surveillance, Epidemiology and End Results Cancer Registry. Womenwho reported ever receiving a blood transfusion were at increased risk forall NHLs [age adjusted relative risk (RR), 1.6; 95% confidence interval (CI), 1.2-2.1). On the basis of the Working Formulation classification, bloodtransfusion was positively associated with low-grade NHL (RR, 2.7; 95% CI,1.7-4.5) but not with intermediate-grade NHL (RR, 1.1; 95% CI, 0.7-1.6); there were only 8 cases of high-grade NHL. Blood transfusion was positively associated with follicular (RR, 2.8; 95% CI, 1.6-5.1) and small lymphocytic(RR, 3.4; 95% CI, 1.5-7.9) NHL subtypes but not with diffuse NHL (RR, 1.0;95% CI, 0.7-1.5). There was also a positive association with CLL (RR, 1.7;95% CI, 1.0-3.0). Finally, transfusion was associated with nodal (RR, 1.8;95% CI, 1.3-2.5) but not extranodal (RR, 1.2; 95% CI, 0.7-2.1) NHL. Further adjustment for marital status, farm residence, diabetes, alcohol use, smoking, and red meat and fruit consumption did not alter these associations. In conclusion, prior blood transfusion was associated with NHL and CLL, andthe strongest associations were seen for low-grade NHL, particularly follicular and small lymphocytic NHL.

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Documento generato il 23/09/20 alle ore 06:26:34