Evidence map›Paper›PMID 25988990›Full record

ArticleEnvironmental research2015

Fine particulate air pollution, nitrogen dioxide, and systemic autoimmune rheumatic disease in Calgary, Alberta.

Sasha Bernatsky, Audrey Smargiassi, Markey Johnson, Gilaad G Kaplan, Cheryl Barnabe, Larry Svenson, Allan Brand, Stefania Bertazzon, Marie Hudson, Ann E Clarke and 4 more

Abstract read
In one paragraph

Article in Environmental research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. The Relationship between Climate Change and Rheumatic Disease: A Review.International archives of allergy and immunology · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Systemic Lupus Erythematosus Risk: The Role of Environmental Factors.Rheumatic diseases clinics of North America · 2022
    Review
  14. Role of air pollution in systemic lupus erythematosus.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Long-term exposure to a mixture of industrial SOEnvironmental health : a global access science source · 2020
    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

14 authors.

Sasha BernatskyDepartment of Medicine, McGill University, Montreal, Quebec, Canada; Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Quebec, Canada. Electronic address: sasha.bernatsky@mcgill.ca.
Audrey SmargiassiDépartement de Santé Environnementale et de Santé au Travail, Université de Montréal, Montreal, Quebec, Canada; Institut National de Santé Publique du Québec, Montréal, Canada.
Markey JohnsonAir Health Science Division, Health Canada, Ottawa, Ontario, Canada.
Gilaad G KaplanDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Cheryl BarnabeDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, University of Calgary, Canada; Surveillance and Assessment, Alberta Ministry of Health, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Albert, Canada; University of Alberta, School of Public Health, Edmonton, Alberta, Canada.
Larry SvensonDepartment of Community Health Sciences, University of Calgary, Canada; Surveillance and Assessment, Alberta Ministry of Health, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Albert, Canada; University of Alberta, School of Public Health, Edmonton, Alberta, Canada.
Allan BrandDépartement de Santé Environnementale et de Santé au Travail, Université de Montréal, Montreal, Quebec, Canada; Institut National de Santé Publique du Québec, Montréal, Canada.
Stefania BertazzonDepartment of Geography, University of Calgary, Calgary, Alberta, Canada.
Marie HudsonDepartment of Medicine, McGill University, Montreal, Quebec, Canada; Division of Rheumatology, Jewish General Hospital, Montréal, Quebec, Canada.
Ann E ClarkeDepartment of Medicine, McGill University, Montreal, Quebec, Canada; Division of Allergy and Clinical Immunology, McGill University Health Centre, Montreal, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Paul R FortinDivision of Rheumatology, Department of Medicine, Université Laval, Quebec city, Quebec, Canada.
Steven EdworthyDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, University of Calgary, Canada; Surveillance and Assessment, Alberta Ministry of Health, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Albert, Canada; University of Alberta, School of Public Health, Edmonton, Alberta, Canada.
Patrick BélisleDivision of Clinical Epidemiology, McGill University Health Centre, Montreal, Quebec, Canada.
Lawrence JosephDepartment of Medicine, McGill University, Montreal, Quebec, Canada; Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Quebec, Canada.

Funding

Cancer Risk: Advancing knowledge in systemic rheumatic diseaseR03CA173822 · NCI · MCGILL UNIVERSITY HEALTH CTR RES INST · PI BERNATSKY, SASHA RUTH, CLARKE, ANN ELAINE · 2013 to 2014
$138k
Canadian Institutes of Health Research CAP-120355NCI NIH HHS R03 CA173822
6 · The paper itself

Abstract

objectiveTo estimate the association between fine particulate (PM2.5) and nitrogen dioxide (NO2) pollution and systemic autoimmune rheumatic diseases (SARDs).

methodsAssociations between ambient air pollution (PM2.5 and NO2) and SARDs were assessed using land-use regression models for Calgary, Alberta and administrative health data (1993-2007). SARD case definitions were based on ≥2 physician claims, or ≥1 rheumatology billing code; or ≥1 hospitalization code (for systemic lupus, Sjogren's Syndrome, scleroderma, polymyositis, dermatomyositis, or undifferentiated connective tissue disease). Bayesian hierarchical latent class regression models estimated the probability that each resident was a SARD case, based on these case definitions. The sum of individual level probabilities provided the estimated number of cases in each area. The latent class model included terms for age, sex, and an interaction term between age and sex. Bayesian logistic regression models were used to generate adjusted odds ratios (OR) for NO2 and PM2.5. pollutant models, adjusting for neighbourhood income, age, sex, and an interaction between age and sex. We also examined models stratified for First-Nations (FN) and non-FN subgroups.

resultsResidents that were female and/or aged >45 had a greater probability of being a SARD case, with the highest OR estimates for older females. Independently, the odds of being a SARDs case increased with PM2.5 levels, but the results were inconclusive for NO2. The results stratified by FN and non-FN groups were not distinctly different.

conclusionIn this urban Canadian sample, adjusting for demographics, exposure to PM2.5 was associated with an increased risk of SARDs. The results for NO2 were inconclusive.

Indexed as

AlbertaAutoimmune DiseasesFemaleHumansMaleMiddle AgedNitrogen DioxideParticulate MatterRheumatic DiseasesNitrogen DioxideParticulate MatterAir pollutionSystemic autoimmune rheumatic diseases

Identifiers

PMID25988990
PMCPMC4492844

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.