Evidence map›Paper›PMID 25820072›Full record

ArticleBirth defects research. Part A, Clinical and molecular teratology2015

Maternal occupational exposure to ionizing radiation and major structural birth defects.

Hyeyeun Lim, A J Agopian, Lawrence W Whitehead, Charles W Beasley, Peter H Langlois, Robert J Emery, Dorothy Kim Waller, National Birth Defects Prevention Study

Abstract read
In one paragraph

Article in Birth defects research. Part A, Clinical and molecular teratology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Risk of ionizing radiation in pregnancy: just a myth or a real concern?Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Residential radon and birth defects: A population-based assessment.Birth defects research. Part A, Clinical and molecular teratology · 2016
    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

8 authors at 3 institutions in 1 country.

Hyeyeun LimUniversity of Texas School of Public Health, UTHealth, Houston, Texas.
A J Agopian
Lawrence W Whitehead
Charles W Beasley
Peter H Langlois
Robert J Emery
Dorothy Kim Waller
National Birth Defects Prevention Study
The University of Texas Health Science Center at Houston · USTexas Department of State Health Services · USThe University of Texas Health Science Center at San Antonio · US

Funding

Southwest Center for Occupational and Environmental HealthT42OH008421 · OH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FELKNOR, SARAH A. · 2005 to 2024
$24.1M
Regional Centers for Public Health Preparedness and Response- HWWTPU45ES019360 · NIEHS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Janelle Rios · 2010 to 2026
$12.2M
Parental exposure to ionizing radiation and birth defectsR03OH010315 · OH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI WALLER, DOROTHY KIM · 2012 to 2013
$150k
NIEHS NIH HHS U45 ES019360NIOSH CDC HHS 2T42OH008421NIOSH CDC HHS R03 OH010315NIOSH CDC HHS R03OH010315NIOSH CDC HHS T42 OH008421
6 · The paper itself

Abstract

backgroundIonizing radiation (IR) is known to be carcinogenic and mutagenic, but little is known about the association between maternal occupational exposure to IR and birth defects.

methodsWe studied 38,009 mothers who participated in the National Birth Defects Prevention Study and delivered between 1997 and 2009. We assessed odds ratios [ORs] for the association between maternal occupations with potential exposure to IR and 39 birth defects.

resultsWe observed significant odds ratios (ORs) for isolated hydrocephaly (adjusted OR [AOR], 2.1; 95% confidence interval [CI], 1.1-4.2), isolated anotia/microtia (AOR, 2.0; 95% CI, 1.0-4.0), isolated colonic atresia (crude OR, 7.5; 95% CI, 2.5-22.3), isolated omphalocele (AOR, 2.3; 95% CI, 1.1-4.6) and isolated anencephaly (crude OR, 0.23; 95% CI, 0.06-0.94). We also observed a nonsignificant OR for birth defects in aggregate (AOR, 2.0; 95% CI, 0.9-4.6) among mothers with potential occupational exposure to fluoroscopy.

conclusionWe assessed 39 birth defects, observing that maternal occupations with potential exposure to IR were associated with a significantly increased risk for 4 birth defects and a significantly protected risk for 1 birth defect. These results should be interpreted cautiously because our measurement of exposure is qualitative, some of these associations may be due to occupational exposures that are correlated with IR and some may be due to chance. However, these findings serve as the first evaluation of these relationships in a large study and may be useful for generating hypotheses for future studies.

Indexed as

Abnormalities, Radiation-InducedColonCongenital MicrotiaFemaleFluoroscopyHernia, UmbilicalHumansHydrocephalusIntestinal AtresiaMaternal ExposureOccupational ExposureOdds RatioUnited Statesanencephalyanotiabirth defectscolon atresiafluoroscopyhydrocephalusionizing radiationoccupationalomphalocele

Identifiers

PMID25820072
PMCPMC5937122
OpenAlexW1920859842

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.