Evidence map›Paper›PMID 24016459›Full record

ArticleBlood2013

Exposure to UV radiation and risk of Hodgkin lymphoma: a pooled analysis.

Alain Monnereau, Sally L Glaser, Clayton W Schupp, Karin Ekström Smedby, Silvia de Sanjosé, Eleanor Kane, Mads Melbye, Lenka Forétova, Marc Maynadié, Anthony Staines and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses.International journal of environmental research and public health · 2021
    Pooled it
  4. Pooled it
  5. Article
  6. Solar UVR and Variations in Systemic Immune and Inflammation Markers.JID innovations : skin science from molecules to population health · 2021
    Article
  7. Epidemiology and Etiology of Leukemia and Lymphoma.Cold Spring Harbor perspectives in medicine · 2020
    Review
  8. Does hypothyroidism augment sun-induced skin damage?Redox report : communications in free radical research · 2018
    Article
  9. Article
  10. 25(OH) vitamin D deficiency in lymphoid malignancies, its prevalence and significance. Are we fully aware of it?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 16 institutions in 10 countries.

Alain MonnereauEnvironmental Epidemiology of Cancer Group, Centre for Research in Epidemiology and Population Health, Institut National de la Santé et de la Recherche Médicale U1018, Villejuif, France;
Sally L Glaser
Clayton W Schupp
Karin Ekström Smedby
Silvia de Sanjosé
Eleanor Kane
Mads Melbye
Lenka Forétova
Marc Maynadié
Anthony Staines
Nikolaus Becker
Alexandra Nieters
Paul Brennan
Paolo Boffetta
Pierluigi Cocco
Ingrid Glimelius
Jacqueline Clavel
Henrik Hjalgrim
Ellen T Chang
Karolinska Institutet · SEStanford University · USStatens Serum Institut · DKCancer Prevention Institute of California · USCentre de recherche en Epidémiologie et Santé des Populations · FRCentre International de Recherche sur le Cancer · FRDublin City University · IEGerman Cancer Research Center · DEInstitut Bergonié · FRInstitut Català d'Oncologia · ESInternational Prevention Research Institute · FRMasaryk Memorial Cancer Institute · CZUniversité de Bourgogne · FRUniversity Medical Center Freiburg · DEUniversity of Cagliari · ITUniversity of York · GB

Funding

Hodgkin Lymphoma Consortium: Pooling epidemiologic data for a research resourceR03CA137828 · NCI · CANCER PREVENTION INSTIT OF CALIFORNIA · PI CHANG, ELLEN TING-YEE, GLASER, SALLY L · 2008 to 2009
$145k
NCI NIH HHS R03 CA137828NCI NIH HHS R03 CA137828-01
6 · The paper itself

Abstract

Ultraviolet radiation (UVR) exposure has been inversely associated with Hodgkin lymphoma (HL) risk, but only inconsistently, only in a few studies, and without attention to HL heterogeneity. We conducted a pooled analysis of HL risk focusing on type and timing of UVR exposure and on disease subtypes by age, histology, and tumor-cell Epstein-Barr virus (EBV) status. Four case-control studies contributed 1320 HL cases and 6381 controls. We estimated lifetime, adulthood, and childhood UVR exposure and history of sunburn and sunlamp use. We used 2-stage estimation with mixed-effects models and weighted pooled effect estimates by inverse marginal variances. We observed statistically significant inverse associations with HL risk for UVR exposures during childhood and adulthood, sunburn history, and sunlamp use, but we found no significant dose-response relationships. Risks were significant only for EBV-positive HL (pooled odds ratio, 0.56; 95% confidence interval, 0.35 to 0.91 for the highest overall UVR exposure category), with a significant linear trend for overall exposure (P = .03). Pooled relative risk estimates were not heterogeneous across studies. Increased UVR exposure may protect against HL, particularly EBV-positive HL. Plausible mechanisms involving UVR induction of regulatory T cells or the cellular DNA damage response suggest opportunities for new prevention targets.

Indexed as

Ultraviolet RaysAdolescentAdultAgedAged, 80 and overAge FactorsCase-Control StudiesComorbidityConfounding Factors, EpidemiologicDNA DamageDNA RepairDose-Response Relationship, RadiationEpstein-Barr Virus InfectionsEuropeFemaleHodgkin Disease

Identifiers

PMID24016459
PMCPMC3829118
OpenAlexW1997876336

What OpenQuestion holds

Textmetadata
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.