Evidence map›Paper›PMID 26467538›Full record

ArticleBMC gastroenterology2015

Upper gastrointestinal bleeding due to peptic ulcer disease is not associated with air pollution: a case-crossover study.

Samuel Quan, Hong Yang, Divine Tanyingoh, Paul J Villeneuve, David M Stieb, Markey Johnson, Robert Hilsden, Karen Madsen, Sander Veldhuyzen van Zanten, Kerri Novak and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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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

13 authors at 5 institutions in 1 country.

Samuel QuanDepartments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Room 6D56, Calgary, AB, T2N-4N1, Canada. squan15@gmail.com.
Hong YangDepartments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Room 6D56, Calgary, AB, T2N-4N1, Canada. hong.yang550@gmail.com.
Divine TanyingohDepartments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Room 6D56, Calgary, AB, T2N-4N1, Canada. dtanying@ucalgary.ca.
Paul J VilleneuveDepartment of Health Sciences, Carleton University, Ottawa, Ottawa, K1S 5B6, Ontario, Canada. Paul.villeneuve@carleton.ca.
David M StiebPopulation Studies Division, Health Canada, Vancouver, British Columbia, V6C 1A1, Canada. Dave.Stieb@hc-sc.gc.ca.
Markey JohnsonAir Health Science Division, Health Canada, Ottawa, K1A 0K9, Ontario, Canada. markey.johnson@hc-sc.gc.ca.
Robert HilsdenDepartments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Room 6D56, Calgary, AB, T2N-4N1, Canada. rhilsden@ucalgary.ca.
Karen MadsenDepartment of Medicine, University of Alberta, Edmonton, T6G-2R7, Alberta, Canada. karen.madsen@ualberta.ca.
Sander Veldhuyzen van ZantenDepartment of Medicine, University of Alberta, Edmonton, T6G-2R7, Alberta, Canada. vanzanten@ualberta.ca.
Kerri NovakDepartments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Room 6D56, Calgary, AB, T2N-4N1, Canada. knovak@ucalgary.ca.
Eddy LangDepartments of Emergency Medicine, University of Calgary, Calgary, T2N-4N1, Alberta, Canada. Eddy.Lang@albertahealthservices.ca.
Subrata GhoshDepartments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Room 6D56, Calgary, AB, T2N-4N1, Canada. subrata.ghosh@albertahealthservices.ca.
Gilaad G KaplanDepartments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Room 6D56, Calgary, AB, T2N-4N1, Canada. ggkaplan@ucalgary.ca.
University of Calgary · CAUniversity of Alberta · CABGC Engineering (Canada) · CACarleton University · CAHealth Canada · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundRecent studies have demonstrated an association between short-term elevations in air pollution and an increased risk of exacerbating gastrointestinal disease. The objective of the study was to evaluate if day-to-day increases in air pollution concentrations were positively associated with upper gastrointestinal bleeding (UGIB) secondary to peptic ulcer disease (PUD).

methodsA time-stratified case-crossover study design was used. Adults presenting to hospitals with their first UGIB secondary to PUD from 2004-2010 were identified using administrative databases from Calgary (n = 1374; discovery cohort) and Edmonton (n = 1159; replication cohort). Daily concentrations of ozone, nitrogen dioxide, sulfur dioxide, carbon monoxide, and particulate matter (PM10 and PM2.5) were estimated in these two cities. Conditional logistic regression models were employed, adjusting for temperature and humidity. Odds ratios (OR) with 95 % confidence intervals (CI) were expressed relative to an interquartile range increase in the concentration of each pollutant.

resultsNo statistically significant associations were observed for any of the individual pollutants based on same-day, or 1-day lag effects within the Calgary discovery cohort. When the air pollution exposures were assessed as 3-, 5-, and 7-day averages, some pollutants were inversely associated with UGIB in the discovery cohort; for example, 5-day averages of nitrogen dioxide (OR = 0.68; 95 % CI: 0.53-0.88), and particulate matter <2.5 μm (OR = 0.75; 95 % CI: 0.61-0.90). However, these findings could not be reproduced in the replication cohort.

conclusionOur findings suggest that short-term elevations in the level of ambient air pollutants does not increase the incidence of UGIB secondary to PUD.

Indexed as

AgedAged, 80 and overAir PollutantsAir PollutionAlbertaCarbon MonoxideCase-Control StudiesCross-Over StudiesEnvironmental MonitoringFemaleHumansLogistic ModelsMaleMiddle AgedNitrogen OxidesOdds RatioAir PollutantsCarbon MonoxideNitrogen OxidesOzoneParticulate MatterSulfur Dioxide

Identifiers

PMID26467538
PMCPMC4604641
OpenAlexW2138861549

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.