Evidence map›Paper›PMID 25031861›Full record

ArticleIranian Red Crescent medical journal2014

Delayed polyneuropathy in farm sprayers due to chronic low dose pesticide exposure.

Reza Boostani, Ali Mellat, Reza Afshari, Siavash Derakhshan, Morteza Saeedi, Ehsan Rafeemanesh, Maryam Mellat

Open access · bronzeAbstract read
In one paragraph

Article in Iranian Red Crescent medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

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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

7 authors at 5 institutions in 1 country.

Reza BoostaniNeurology Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Ali MellatNeurology Department, Shahid Sadoughi Hospital, Yazd University of Medical Sciences, Yazd, IR Iran.
Reza AfshariMedical Toxicology Research Centre, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Siavash DerakhshanNeurology Department, North Khorasan University of Medical Sciences, Bojnourd, IR Iran.
Morteza SaeediNeurology Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Ehsan RafeemaneshOccupational and Environmental Health Department, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Maryam MellatPhysical Medicine and Rehabilitation Department, Isfahan University of Medical Sciences, Isfahan, IR Iran.
Mashhad University of Medical Sciences · IRGhaem Hospital · IRIsfahan University of Medical Sciences · IRNorth Khorasan University of Medical Sciences · IRYazd University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of organophosphates (OPs) in developing countries is rising in large quantities and non-secure methods. This problem not only causes acute poisoning but also may lead to chronic diseases such as polyneuropathy. In Iran, 60% of pesticides are organophosphate compounds that may lead to delayed polyneuropathy.

objectivesThe purpose of the current study was to evaluate delayed polyneuropathy in farm sprayers due to chronic low dose pesticide exposure. PATIENTS AND

methodsIn our cross-sectional study, non-randomized sampling method was performed and 100 farm sprayers (cases) and 100 hospital personnel (controls) after precise systemic and neurological examination were recruited to this study from June 2011 to august 2011. The nerve conduction studies were performed and these indices were recorded: Compound Muscle Action Potential (CMAP), amplitude and Distal Latency (DL) and Nerve Conduction Velocity (NCV) of common peroneal nerve, Peak Latency (PL) and amplitude of Sensory Nerve Action Potential (SNAP) and Nerve Conduction Velocity (NCV) of sural and radial sensory nerves.

resultsAmong 100 cases, 55 farm sprayers complained of non-neurological problems including: ophthalmologic, dermatologic and pulmonary complications. The ophthalmologic complaints (44%) were the most. The mean peroneal CMAP amplitude and NCV, sural PL, radial SNAP amplitude, PL and NCV in the case group were significantly different compared to control group. Mean exposure time to OPs in farm sprayers without neurological problem (40%) was 11.81 ± 5.84 years but in farm sprayers with neurological problems (60%) was 15.70 ± 9.08 years, which represents the effect of OPs exposure duration on neurologic problems.

conclusionsChronic low dose pesticide exposure could lead to delayed peripheral neuropathy as well as systemic (skin, eyes and lungs) complications. In farm sprayers electrodiagnostic indices were significantly abnormal as compared to control group. The normal indices did not rule out neurologic involvement and it seems that measurement of these indices at the beginning of the farm sprayers employment and intermittently during their work is helpful for detecting delayed polyneuropathy.

Indexed as

ElectrodiagnosisNeurotoxicity SyndromesOrganophosphatesPesticidesPolyneuropathies

Identifiers

PMID25031861
PMCPMC4082521
OpenAlexW2099290076

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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.