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Table 6 Pooled estimates on the relative risk (RR) of leukaemia incidence within 5 km of a petrochemical facility, moderated by different characteristics

From: A systematic review and meta-analysis of haematological malignancies in residents living near petrochemical facilities

Assessment

Characteristics

Heterogeneity Tests

Pooled Relative Risks

(95% CI)

I2 (%)

QE (p-value) c

QM (p-value) c

Base Model

–

52.18

0.01

–

–

Demographic

1.1. Gender

  • All (n = 5)

  • Male (n = 5)

  • Female (n = 3)

47.98

0.03

0.67

–

1.2. Participants

  • Children (n = 2)

  • General Population (n = 11)

57.63

0.01

0.51

–

Diagnosis

2.1. Classification Scheme

  • ICD 7–10 (n = 8)

  • ICD for Oncology (n = 5)

49.48

0.02

0.37

–

2.2. Classification Scheme

  • ICD 7–8 (n = 3)

  • ICD 9–10 (n = 5)

  • ICD for Oncology (n = 5)

56.71

0.02

0.73

–

Exposure

3.1. Petrochemical Sector

  • Upstream (n = 7)

  • Downstream (n = 3)

  • Combination (n = 3)

52.99

0.02

0.85

–

3.2. Maximum Distance

  • 3 km (n = 10)

  • 3.1 to 5 km (n = 3)

41.98

0.05

0.12

–

Geography

4. Continent

  • Europe (n = 8)

  • North America (n = 4)

  • Asia (n = 1)

31.67

0.09

0.24

–

Quality d

5.1. Newcastle-Ottawa Score

  • Low (n = 4)

  • High (n = 9)

45.10

0.04

0.07

–

5.1.1. Participant Selection

  • Low (n = 4)

  • High (n = 9)

<  0.01

0.60

<  0.01

Low: 1.01 [0.90 to 1.14]

High: 1.58 [1.32 to 1.90]

5.1.2. Study Comparability

  • Low (n = 7)

  • High (n = 6)

45.07

0.04

0.20

–

5.1.3. Outcome Assessment

  • Low (n = 5)

  • High (n = 8)

33.38

0.12

0.03

Low: 1.71 [1.25 to 2.35]

High: 1.15 [0.98 to 1.37]

Temporal

6.1. Study Start

  • 1965 to 1974 (n = 3)

  • 1975 to 1984 (n = 3)

  • 1985 to 1994 (n = 2)

  • 1995 to 2004 (n = 5)

<  0.01

0.42

<  0.01

1965/74: 1.02 [0.91 to 1.15]

1975/84: 1.21 [1.09 to 1.34]

1985/94: 1.43 [1.23 to 1.65]

1995/04: 1.69 [1.36 to 2.11]

2005/14: 2.00 [1.48 to 2.70] b

6.2. Study Start (+ 1 Year) a

<  0.01

0.28

<  0.01

1971: 1.00 [0.88 to 1.14]

1981: 1.20 [1.09 to 1.33]

1991: 1.44 [1.23 to 1.69]

2001: 1.73 [1.36 to 2.22]

2011: 2.08 [1.48 to 2.93] b

Mixed Effect

5.1.1. Participant Selection, and

6.2 Study Start (+ 1 Year) a

<  0.01

0.63

<  0.01

1971: 1.38 [1.02 to 1.87]

1981: 1.49 [1.21 to 1.84]

1991: 1.61 [1.34 to 1.93]

2001: 1.74 [1.36 to 2.22]

2011: 1.88 [1.32 to 2.67] b

  1. a Continuous variable
  2. b Predicted risk
  3. c Wald type Chi-Squared tests: QE Test for Residual Heterogeneity, QM Test of Moderators
  4. d Newcastle-Ottawa Score: Total (L = 0–5, H = 6–9), Selection (L = 0–2, H = 3–4), Comparability (L = 0–1, H = 2), Assessment (L = 0–1, H = 2–3)