Evidence map›Paper›PMID 19057694›Full record

SynthesisEnvironmental health perspectives2008

Dioxins and cardiovascular disease mortality.

Olivier Humblet, Linda Birnbaum, Eric Rimm, Murray A Mittleman, Russ Hauser

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Environmental health perspectives, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
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

68 citing papers in PubMed, 161 citations in OpenAlex.

  1. Trial
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  11. Role ofPharmaceuticals (Basel, Switzerland) · 2025
    Article
  12. Article
  13. Review
  14. Review
  15. Water, Soil, Noise, and Light Pollution: JACC Focus Seminar, Part 2.Journal of the American College of Cardiology · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Olivier HumbletDepartment of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA.
Linda Birnbaum
Eric Rimm
Murray A Mittleman
Russ Hauser
Harvard University · USBeth Israel Deaconess Medical Center · USEnvironmental Protection Agency · US

Funding

The HSPH Education and Research Center of Occupational Safety and HealthT42OH008416 · OH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTIANI, DAVID C · 2005 to 2025
$30.5M
NIOSH CDC HHS T42 OH008416NIOSH CDC HHS T42 OH008416-04
6 · The paper itself

Abstract

objectiveIn this systematic review we evaluated the evidence on the association between dioxin exposure and cardiovascular disease (CVD) mortality in humans. DATA SOURCES AND EXTRACTION: We conducted a PubMed search in December 2007 and considered all English-language epidemiologic studies and their citations regarding dioxin exposure and CVD mortality. To focus on dioxins, we excluded cohorts that were either primarily exposed to polychlorinated biphenyls or from the leather and perfume industries, which include other cardiotoxic coexposures. DATA SYNTHESIS: We included results from 12 cohorts in the review. Ten cohorts were occupationally exposed. We divided analyses according to two well-recognized criteria of epidemiologic study quality: the accuracy of the exposure assessment, and whether the exposed population was compared with an internal or an external (e.g., general population) reference group. Analyses using internal comparisons with accurate exposure assessments are the highest quality because they minimize both exposure misclassification and confounding due to workers being healthier than the general population ("healthy worker effect"). The studies in the highest-quality group found consistent and significant dose-related increases in ischemic heart disease (IHD) mortality and more modest associations with all-CVD mortality. Their primary limitation was a lack of adjustment for potential confounding by the major risk factors for CVD.

conclusionsThe results of this systematic review suggest that dioxin exposure is associated with mortality from both IHD and all CVD, although more strongly with the former. However, it is not possible to determine the potential bias, if any, from confounding by other risk factors for CVD.

Indexed as

Cardiovascular DiseasesCohort StudiesDioxinsHumansDioxinscardiovascular diseasedioxinepidemiologyhealthy worker effectherbicidesischemic heart diseasemortalityoccupational exposurePCBTCDD

Identifiers

PMID19057694
PMCPMC2592261
OpenAlexW2024432241

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

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.