Evidence map›Paper›PMID 23955722›Full record

SynthesisCurrent atherosclerosis reports2013

Cadmium exposure and clinical cardiovascular disease: a systematic review.

Maria Tellez-Plaza, Miranda R Jones, Alejandro Dominguez-Lucas, Eliseo Guallar, Ana Navas-Acien

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Current atherosclerosis reports, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 5 pooled it
10.8field-weighted citation impact, top 1% 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

130 citing papers in PubMed, 5 syntheses or guidelines pooled it, 281 citations in OpenAlex.

  1. Environmental toxic metal contaminants and risk of stroke: a systematic review and meta-analysis.Environmental science and pollution research international · 2022
    Pooled it
  2. Toxic metal exposure as a possible risk factor for COVID-19 and other respiratory infectious diseases.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2020
    Pooled it
  3. Pooled it
  4. Association of urinary cadmium with risk of diabetes: a meta-analysis.Environmental science and pollution research international · 2017
    Pooled it
  5. Pooled it
  6. Trial
  7. Urinary Metal Levels after Repeated Edetate Disodium Infusions: Preliminary Findings.International journal of environmental research and public health · 2020
    Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Exposure to Cadmium and Cerebrovascular Mortality in the United States.Hygiene and environmental health advances · 2025
    Article

70 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 2 institutions in 2 countries.

Maria Tellez-PlazaFundacion de Investigacion del Hospital Clinico de Valencia-INCLIVA, Department of Medicine, School of Medicine, Avda. Blasco Ibáñez 15, 46010 Valencia, Spain. maria.tellez@uv.es
Miranda R Jones
Alejandro Dominguez-Lucas
Eliseo Guallar
Ana Navas-Acien
Johns Hopkins University · USINCLIVA Health Research Institute · ES

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
Arsenic Exposure, Cardiovascular Disease and Diabetes in Native AmericansR01HL090863 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI NAVAS-ACIEN, ANA · 2008 to 2011
$3.1M
Arsenic Exposure, Genetic Determinants and Diabetes Risk in a Family StudyR01ES021367 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI NAVAS-ACIEN, ANA, VAIDYA, DHANANJAY MADHUKAR · 2012 to 2015
$2.4M
NHLBI NIH HHS R01 HL090863NHLBI NIH HHS R01HL090863NHLBI NIH HHS T32 HL007024NHLBI NIH HHS T32HL007024NIEHS NIH HHS R01 ES021367NIEHS NIH HHS R01ES021367
6 · The paper itself

Abstract

Mounting evidence supports that cadmium, a toxic metal found in tobacco, air and food, is a cardiovascular risk factor. Our objective was to conduct a systematic review of epidemiologic studies evaluating the association between cadmium exposure and cardiovascular disease. Twelve studies were identified. Overall, the pooled relative risks (95% confidence interval) for cardiovascular disease, coronary heart disease, stroke, and peripheral arterial disease were: 1.36 (95% CI: 1.11, 1.66), 1.30 (95% CI: 1.12, 1.52), 1.18 (95% CI: 0.86, 1.59), and 1.49 (95% CI: 1.15, 1.92), respectively. The pooled relative risks for cardiovascular disease in men, women and never smokers were 1.29 (1.12, 1.48), 1.20 (0.92, 1.56) and 1.27 (0.97, 1.67), respectively. Together with experimental evidence, our review supports the association between cadmium exposure and cardiovascular disease, especially for coronary heart disease. The number of studies with stroke, heart failure (HF) and peripheral arterial disease (PAD) endpoints was small. More studies, especially studies evaluating incident endpoints, are needed.

Indexed as

AnimalsCadmiumCardiovascular DiseasesEnvironmental ExposureHumansRisk AssessmentRisk FactorsSex FactorsCadmium

Identifiers

PMID23955722
PMCPMC3858820
OpenAlexW2078797241

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.