Evidence map›Paper›PMID 27696280›Full record

ReviewCurrent environmental health reports2016

Is Urinary Cadmium a Biomarker of Long-term Exposure in Humans? A Review.

Caterina Vacchi-Suzzi, Danielle Kruse, James Harrington, Keith Levine, Jaymie R Meliker

Erratum issuedOpen access · greenAbstract readReview
In one paragraph

Review in Current environmental health reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 4% 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

76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 166 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Urinary Metal Levels after Repeated Edetate Disodium Infusions: Preliminary Findings.International journal of environmental research and public health · 2020
    Trial
  6. Article
  7. Article
  8. Review
  9. Consistency of Biomarkers of Exposure in the Population Assessment of Tobacco and Health Study from Samples Taken 3 to 5 Years Apart.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  10. From environmental exposure to retinal pathology: epidemiological and mechanistic insights into multi-metal driven ocular diseases.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Article
  11. Article
  12. Exposure to Cadmium and Cerebrovascular Mortality in the United States.Hygiene and environmental health advances · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. The MAK collection for occupational health and safety · 2025
    Review

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Caterina Vacchi-SuzziDepartment of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, 11794, USA. caterina.vacchi-suzzi@stonybrookmedicine.edu.
Danielle KruseStony Brook University School of Medicine, Stony Brook, NY, 11794, USA.
James HarringtonAnalytical Sciences Department, Innovation, Technology and Development RTI International, Research Triangle Park, NC, 27709, USA.
Keith LevineAnalytical Sciences Department, Innovation, Technology and Development RTI International, Research Triangle Park, NC, 27709, USA.
Jaymie R MelikerProgram in Public Health, Department of Family, Population and Preventive Medicine Stony Brook University, Stony Brook, NY, 11794, USA.
Stony Brook University · USRTI International · US

Funding

Urinary cadmium and risk of breast cancerR01ES019209 · NIEHS · STATE UNIVERSITY NEW YORK STONY BROOK · PI MELIKER, JAYMIE R · 2011 to 2014
$1.9M
NIEHS NIH HHS R01 ES019209
6 · The paper itself

Abstract

Cadmium is a naturally-occurring element, and humans are exposed from cigarettes, food, and industrial sources. Following exposure, cadmium accumulates in the kidney and is slowly released into the urine, usually proportionally to the levels found in the kidneys. Cadmium levels in a single spot urine sample have been considered indicative of long-term exposure to cadmium; however, such a potentially exceptional biomarker requires careful scrutiny. In this review, we report good to excellent temporal stability of urinary cadmium (intraclass correlation coefficient 0.66-0.81) regardless of spot urine or first morning void sampling. Factors such as changes in smoking habits and diseases characterized by increased excretion of proteins may produce short-term changes in urinary cadmium levels. We recommend that epidemiologists use this powerful biomarker in prospective studies stratified by smoking status, along with thoughtful consideration of additional factors that can influence renal physiology and cadmium excretion.

Indexed as

BiomarkersCadmiumCreatinineEnvironmental ExposureHumansKidneySmokingBiomarkersCadmiumCreatinineBiomarkerBiomonitoringCadmiumCreatinineHeavy metalUrinary-cadmium

Identifiers

PMID27696280
PMCPMC5453507
OpenAlexW2524346406

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.