Evidence map›Paper›PMID 15933351›Full record

ArticleBMJ (Clinical research ed.)2005

Childhood cancer in relation to distance from high voltage power lines in England and Wales: a case-control study.

Gerald Draper, Tim Vincent, Mary E Kroll, John Swanson

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Exposure to Electromagnetic Fields of High Voltage Overhead Power Lines and Female Infertility.The international journal of occupational and environmental medicine · 2019
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  20. Healthy Cities of Tomorrow: the Case for Large Scale Built Environment-Health Studies.Journal of urban health : bulletin of the New York Academy of Medicine · 2017
    Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Gerald DraperChildhood Cancer Research Group, University of Oxford, Oxford OX2 6HJ. gerald.draper@ccrg.ox.ac.uk
Tim Vincent
Mary E Kroll
John Swanson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether there is an association between distance of home address at birth from high voltage power lines and the incidence of leukaemia and other cancers in children in England and Wales.

designCase-control study.

settingCancer registry and National Grid records. SUBJECTS: Records of 29 081 children with cancer, including 9700 with leukaemia. Children were aged 0-14 years and born in England and Wales, 1962-95. Controls were individually matched for sex, approximate date of birth, and birth registration district. No active participation was required.

main outcome measuresDistance from home address at birth to the nearest high voltage overhead power line in existence at the time.

resultsCompared with those who lived > 600 m from a line at birth, children who lived within 200 m had a relative risk of leukaemia of 1.69 (95% confidence interval 1.13 to 2.53); those born between 200 and 600 m had a relative risk of 1.23 (1.02 to 1.49). There was a significant (P < 0.01) trend in risk in relation to the reciprocal of distance from the line. No excess risk in relation to proximity to lines was found for other childhood cancers.

conclusionsThere is an association between childhood leukaemia and proximity of home address at birth to high voltage power lines, and the apparent risk extends to a greater distance than would have been expected from previous studies. About 4% of children in England and Wales live within 600 m of high voltage lines at birth. If the association is causal, about 1% of childhood leukaemia in England and Wales would be attributable to these lines, though this estimate has considerable statistical uncertainty. There is no accepted biological mechanism to explain the epidemiological results; indeed, the relation may be due to chance or confounding.

Indexed as

AdolescentCase-Control StudiesChildChild, PreschoolElectromagnetic FieldsEnglandEnvironmental ExposureHumansInfantInfant, NewbornNeoplasms, Radiation-InducedResidence CharacteristicsRisk FactorsWales

Identifiers

PMID15933351
PMCPMC558197

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.