| Literature DB >> 31832963 |
Carla Nassour1, Stephen J Barton2, Shereen Nabhani-Gebara2, Yolande Saab3, James Barker2.
Abstract
Water contamination with pharmaceutical products is a well-studied problem. Numerous studies have demonstrated the presence of anticancer drugs in different water resources that failed to be eliminated by conventional wastewater treatment plants. The purpose of this report was to conduct a systematic review of anticancer drugs in the aquatic environment. The methodology adopted was carried out in compliance with the PRISMA guidelines. From the 75 studies that met the specific requirements for inclusion, data extracted showed that the most common anticancer drugs studied are cyclophosphamide, tamoxifen, ifosfamide and methotrexate with concentrations measured ranging between 0.01 and 86,200 ng/L. There was significant variation in the methodologies employed due to lack of available guidelines to address sampling techniques, seasonal variability and analytical strategy. The most routinely used technique for quantitative determination was found to be solid-phase extraction followed by LC-MS analysis. The lowest reported recovery percentage was 11%, and the highest limit of detection was 1700 ng/L. This indicated the inadequacy of some methods to analyse anticancer drugs and the failure to obtain reliable results. The significant heterogeneity within methodologies made it difficult to compare results and draw conclusions, nevertheless, this study aids in the extrapolation of proposed recommendations to guide future studies and reviews. Graphical abstract.Entities:
Keywords: Analytical techniques; Anticancer drugs; Aquatic environment; Pharmaceuticals; Sampling; Systematic review
Year: 2019 PMID: 31832963 PMCID: PMC6994516 DOI: 10.1007/s11356-019-07045-2
Source DB: PubMed Journal: Environ Sci Pollut Res Int ISSN: 0944-1344 Impact factor: 4.223
Eligibility criteria (PICO table)
| Eligibility criteria | |
|---|---|
| Population | All types of anticancer drugs studied in the aquatic environment |
| Intervention | All types of sampling strategies, extraction and analytical techniques |
| Comparator | The stated interventions will be compared with each other |
| Outcome | Any positive or negative results will be included |
| Study design | Original studies; studies that analyse at least one anticancer drug |
Fig. 1Identification of included studies in the systematic review
Fig. 2Summary of the findings for the four most frequently studied anticancer drugs
Fig. 3Sample sources ((A) raw wastewater from (1) households, (2) hospitals or (3) industries; (B) influent of wastewater treatment plants or untreated wastewater; (C) effluent of wastewater treatment plants or treated wastewater; (D) surface water, sea, etc.)