Evidence map›Paper›PMID 22290210›Full record

ArticleInternational journal of cancer2012

Dichlorodiphenyltrichloroethane and risk of hepatocellular carcinoma.

E Christina Persson, Barry I Graubard, Alison A Evans, W Thomas London, Jean-Philippe Weber, Alain LeBlanc, Gang Chen, Wenyao Lin, Katherine A McGlynn

Open access · bronzeAbstract read
In one paragraph

Article in International journal of cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Environmental risk factors for liver cancer.Hepatology (Baltimore, Md.) · 2025
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Assessment of risk factors, and racial and ethnic differences in hepatocellular carcinoma.JGH open : an open access journal of gastroenterology and hepatology · 2020
    Review
  10. Chemical Risk Factors of Primary Liver Cancer: An Update.Hepatic medicine : evidence and research · 2020
    Review
  11. Article
  12. Update in global trends and aetiology of hepatocellular carcinoma.Contemporary oncology (Poznan, Poland) · 2018
    Review
  13. Article
  14. Article
  15. Pesticide exposure and liver cancer: a review.Cancer causes & control : CCC · 2017
    Review
  16. Review
  17. Review
  18. Article
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

9 authors at 7 institutions in 3 countries.

E Christina PerssonDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA. christina.persson@nih.gov
Barry I Graubard
Alison A Evans
W Thomas London
Jean-Philippe Weber
Alain LeBlanc
Gang Chen
Wenyao Lin
Katherine A McGlynn
Hepatitis B Foundation · USInstitut National de Santé Publique du Québec · CADivision of Cancer Epidemiology and GeneticsFox Chase Cancer Center · USHainan Center for Disease Control & Prevention · CNIn-Q-Tel · USNational Cancer Institute · US

Funding

Studies of Rare CancersZIACP010158 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI MCGLYNN, KATHERINE · 2009 to 2025
$19.1M
Intramural NIH HHS ZIA CP010158
6 · The paper itself

Abstract

Dichlorodiphenyltrichloroethane (p,p'-DDT), an organochlorine pesticide known to have deleterious health effects in humans, has been linked to hepatocellular carcinoma (HCC) in rodents. A recent study has reported that p,p'-DDT and its most persistent metabolite, dichlorodiphenyldichloroethylene (p,p'-DDE), may also be associated with HCC in humans. To examine whether there is an association between p,p'-DDT and/or p,p'-DDE in a population at high-risk of developing HCC, a nested case-control study was conducted within the 83,794 person Haimen City Cohort in China. Sera and questionnaire data were collected from all participants between 1992 and 1993. This study included 473 persons who developed HCC and 492 who did not, frequency matched on sex, age and area of residence. p,p'-DDT and p,p'-DDE levels were determined by mass spectrometry. Hepatitis B viral infection status (based on hepatitis B virus surface antigen; HBsAg) was also determined. p,p'-DDT and/or p,p'-DDE serum levels were significantly associated with sex, area of residence, occupation, alcohol consumption and cigarette smoking. Adjusting for age, sex, area of residence, HBsAg, family history of HCC, history of acute hepatitis, smoking, alcohol, occupation (farmer vs. other) and levels of p,p'-DDT or p,p'-DDE, odds ratios (OR) and 95% confidence intervals (CI) were calculated via unconditional logistic regression. Overall, the highest quintile of p,p'-DDT was associated with an increased risk of HCC, OR = 2.96 95% CI; 1.19-7.40. There were no statistically significant associations with p,p'-DDE. Overall, these results suggest that recent exposure to p,p'-DDT may increase risk of HCC.

Indexed as

AdultCarcinoma, HepatocellularCase-Control StudiesCohort StudiesDDTDichlorodiphenyl DichloroethyleneEnvironmental ExposureFemaleHumansLiver NeoplasmsMalePesticidesRisk FactorsSurveys and QuestionnairesDDTDichlorodiphenyl DichloroethylenePesticides

Identifiers

PMID22290210
PMCPMC4127991
OpenAlexW1964984147

What OpenQuestion holds

Textmetadata
LicenceTDM
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.