Evidence map›Paper›PMID 27184412›Full record

ArticleAmerican journal of industrial medicine2016

Mortality from neurodegenerative diseases in a cohort of US flight attendants.

Lynne E Pinkerton, Misty J Hein, Barbara Grajewski, Freya Kamel

Open access · greenAbstract read
In one paragraph

Article in American journal of industrial medicine, 2016. 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
1.8field-weighted citation impact, top 13% 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, 14 citations in OpenAlex.

  1. Amyotrophic Lateral Sclerosis and Occupational Exposures: A Systematic Literature Review and Meta-Analyses.International journal of environmental research and public health · 2018
    Pooled it
  2. Environmental toxins in neurodegeneration - a narrative review.Neurological research and practice · 2025
    Review
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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

4 authors at 2 institutions in 1 country.

Lynne E PinkertonIndustrywide Studies Branch, Division of Surveillance, Hazard Evaluations and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, Ohio.
Misty J HeinCACI, Inc., Cincinnati, Ohio.
Barbara GrajewskiIndustrywide Studies Branch, Division of Surveillance, Hazard Evaluations and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, Ohio.
Freya KamelEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina.
National Institute for Occupational Safety and Health · USNational Institute of Environmental Health Sciences · US

Funding

Lead And Other Neurotoxins As Risk Factors For Amyotrophic Lateral SclerosisZIAES049005 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2009 to 2017
$718k
LEAD AND OTHER NEUROTOXINS AS RISK FACTORS FOR AMYOTROPHIC LATERAL SCLEROSISZ01ES049005 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 1992 to 2008
$158k
Intramural CDC HHS CC999999Intramural NIH HHS Z01 ES049005
6 · The paper itself

Abstract

backgroundConcern exists about the potential chronic neurological effects among aircrew of exposure to chemical contaminants from engine oil in aircraft cabin air. We evaluated mortality from neurodegenerative diseases among 11,311 former US flight attendants.

methodsVital status was ascertained through 2007, and life table analyses were conducted to obtain standardized mortality ratios (SMRs).

resultsAmyotrophic lateral sclerosis (ALS) mortality was over twice as high in the cohort as in the US general population, based on nine observed ALS deaths. There was no clear pattern in risk when SMRs for ALS were stratified by exposure duration. Mortality from other neurodegenerative diseases was not elevated.

conclusionsOur findings are limited due to small numbers of observed deaths and reliance on mortality data, but suggest that flight attendants may have an increased risk of ALS. Additional research is needed. Am. J. Ind. Med. 59:532-537, 2016. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

Indexed as

Aerospace MedicineAgedAircraftAmyotrophic Lateral SclerosisCohort StudiesFemaleFuel OilsHumansMaleMiddle AgedNeurodegenerative DiseasesOccupational DiseasesOccupational ExposureUnited StatesFuel OilsALScohortflight attendantsmortalityneurodegenerative diseases

Identifiers

PMID27184412
PMCPMC4915549
OpenAlexW2398758658

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.