Vijayan Keshini, Eslick Guy D
Westmead Clinical School, Westmead, NSW 2145, Australia.
Clinical Links Using Evidence-based Data (CLUED Pty Ltd), Sydney, Australia.
Rev Environ Health. 2022 Jul 11;38(4):591-599. doi: 10.1515/reveh-2022-0055. Print 2023 Dec 15.
To investigate the risk of developing salivary gland tumors associated with the use of mobile phones.
There have been a number of epidemiological studies conducted to assess for a possible association between mobile phone usage and the development of intracranial tumours, however results have been conflicting. We conducted an extensive literature search across four different databases was conducted. After selecting the articles relevant to the area of study, a total of seven studies were included in this meta-analysis, with no restrictions set on publication date or language. Studies were qualitatively assessed using the Newcastle-Ottawa scale. No significant association between the use of mobile phones and salivary gland tumors was observed (OR=1.06, 95% CI=0.86-1.32). No evidence for publication bias was detected.
Our findings indicate no significant association between mobile phone usage and salivary gland tumours. However, there were many limitations encountered in these studies, suggesting that the observed result may not be an accurate estimate of the true carcinogenic risk of mobile phones, especially for heavy long-term users. In fact, the studies included in this meta-analysis highlight the need to correctly define exposure assessment in order to ascertain the risk of a certain variable.
研究使用手机与罹患唾液腺肿瘤之间的风险。
已经开展了多项流行病学研究,以评估手机使用与颅内肿瘤发生之间可能存在的关联,然而结果相互矛盾。我们在四个不同的数据库中进行了广泛的文献检索。在筛选出与研究领域相关的文章后,本荟萃分析共纳入七项研究,对发表日期或语言未设限制。使用纽卡斯尔-渥太华量表对研究进行定性评估。未观察到使用手机与唾液腺肿瘤之间存在显著关联(比值比=1.06,95%置信区间=0.86-1.32)。未检测到发表偏倚的证据。
我们的研究结果表明,使用手机与唾液腺肿瘤之间无显著关联。然而,这些研究存在许多局限性,这表明观察到的结果可能并非对手机真正致癌风险的准确估计,尤其是对于长期重度使用者而言。事实上,本荟萃分析纳入的研究凸显了正确定义暴露评估以确定某一变量风险的必要性。