Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: JMIR Research Protocols

Date Submitted: Jul 25, 2025
Open Peer Review Period: Jul 25, 2025 - Sep 19, 2025
Date Accepted: Nov 27, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Determinants Associated With Pesticide Exposure in Patients With Head and Neck Cancer: Protocol for a Systematic Review

Sánchez-Ramírez GA, López Cabanillas-Lomelí M, González-Martínez BE, Castro-Sánchez AE, De la Garza-Ramos MA, Cano-Verdugo G

Determinants Associated With Pesticide Exposure in Patients With Head and Neck Cancer: Protocol for a Systematic Review

JMIR Res Protoc 2026;15:e81312

DOI: 10.2196/81312

PMID: 41586803

PMCID: 12834089

Determinants Associated With Pesticide Exposure in Head and Neck Cancer Patients: Protocol for a Systematic Review

  • Gustavo Adolfo Sánchez-Ramírez; 
  • Manuel López Cabanillas-Lomelí; 
  • Blanca Edelia González-Martínez; 
  • Ana Elisa Castro-Sánchez; 
  • Myriam Angélica De la Garza-Ramos; 
  • Guillermo Cano-Verdugo

ABSTRACT

Background:

Background:

Currently, head and neck cancer associated with pesticide exposure represents a global public health concern. However, there is no consensus regarding the specific determinants involved in this association. Moreover, there is a lack of scientific evidence to support the development of systematic reviews on this topic.

Objective:

Objectives: To synthesize the methodology for conducting a systematic review to explore the current scientific evidence on the determinants in head and neck cancer associated with pesticides

Methods:

Methods:

The review will follow PRISMA guidelines to ensure methodological rigor. The protocol includes detailed steps for constructing a robust search strategy using relevant databases like PubMed, Embase, Scopus, Web of Science, CINAHL, LILACS and AGRICOLA. Keywords and MeSH terms related to "pesticides," "exposure," "head and neck neoplasms," and related concepts will be used to capture the most relevant studies. Eligibility criteria will be clearly defined, including study design (e.g., cohort, case-control, cross-sectional), population characteristics, exposure assessment, and cancer outcomes. Studies published in any language with human subjects will be included. Articles will be screened in two phases: first by title and abstract, then by full-text review. Two independent reviewers will assess the quality of each study and extract key data, such as exposure levels, cancer subtypes, and effect sizes. Any disagreements will be resolved through discussion or by a third reviewer.

Results:

Results:

The findings of this review aim to contribute to the understanding of environmental risk factors for HNC and support public health policies regarding pesticide regulation and occupational safety.

Conclusions:

Conclusions:

The necessary steps to conduct a systematic review must be concise and publicly available to ensure replicability within the scientific community.


 Citation

Please cite as:

Sánchez-Ramírez GA, López Cabanillas-Lomelí M, González-Martínez BE, Castro-Sánchez AE, De la Garza-Ramos MA, Cano-Verdugo G

Determinants Associated With Pesticide Exposure in Patients With Head and Neck Cancer: Protocol for a Systematic Review

JMIR Res Protoc 2026;15:e81312

DOI: 10.2196/81312

PMID: 41586803

PMCID: 12834089

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.