Evidence map›Paper›PMID 28122372›Full record

ArticleNeuro-degenerative diseases2017

Environmental and Occupational Exposures and Amyotrophic Lateral Sclerosis in New England.

Angeline S Andrew, Tracie A Caller, Rup Tandan, Eric J Duell, Patricia L Henegan, Nicholas C Field, Walter G Bradley, Elijah W Stommel

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Neuro-degenerative diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03580616 (Tolerability and Efficacy of L-Serine in Patients With Amyotrophic Lateral Sclerosis), which is not on this map. Cited by 46 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 6 pooled it
5.1field-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.

NCT03580616 phase2terminatednot on this mapstarted 2018, after this paper: background citation

Tolerability and Efficacy of L-Serine in Patients With Amyotrophic Lateral Sclerosis: A Phase IIa Study

TypeinterventionalSponsorElijah W. StommelRan2018 to 2022Enrolled43ConditionsAmyotrophic Lateral Sclerosis (ALS)ArmsL-Serine
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 6 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Environmental and Occupational solvents exposure and amyotrophic lateral sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Population-based study of environmental/occupational lead exposure and amyotrophic lateral sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Pooled it
  6. Amyotrophic Lateral Sclerosis and Occupational Exposures: A Systematic Literature Review and Meta-Analyses.International journal of environmental research and public health · 2018
    Pooled it
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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 5 institutions in 2 countries.

Angeline S AndrewDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Tracie A Caller
Rup Tandan
Eric J Duell
Patricia L Henegan
Nicholas C Field
Walter G Bradley
Elijah W Stommel
Dartmouth College · USCheyenne Regional Medical Center · USInstitut d'Investigació Biomédica de Bellvitge · ESUniversity of Miami · USUniversity of Vermont Medical Center · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceKL2TR001088 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$3.3M
A Population-Based Ohio ALS Repository and a Case-Control Study of ALS Risk FactorsR01TS000245 · TS · DARTMOUTH COLLEGE · PI ANDREW, ANGELINE SANDERSON, BRADLEY, WALTER GEORGE · 2016 to 2017
$800k
ATSDR CDC HHS R01 TS000245NCATS NIH HHS KL2 TR001088NCATS NIH HHS UL1 TR001086
6 · The paper itself

Abstract

backgroundRecent data provide support for the concept that potentially modifiable exposures are responsible for sporadic amyotrophic lateral sclerosis (ALS).

objectiveTo evaluate environmental and occupational exposures as risk factors for sporadic ALS.

methodsWe performed a case-control study of ALS among residents of New England, USA. The analysis compared questionnaire responses from 295 patients with a confirmed ALS diagnosis to those of 225 controls without neurodegenerative illness.

resultsSelf-reported job- or hobby-related exposure to one or more chemicals, such as pesticides, solvents, or heavy metals, increased the risk of ALS (adjusted OR 2.51; 95% CI 1.64-3.89). Industries with a higher toxicant exposure potential (construction, manufacturing, mechanical, military, or painting) were associated with an elevated occupational risk (adjusted OR 3.95; 95% CI 2.04-8.30). We also identified increases in the risk of ALS associated with frequent participation in water sports, particularly waterskiing (adjusted OR 3.89; 95% CI 1.97-8.44). Occupation and waterskiing both retained independent statistical significance in a composite model containing age, gender, and smoking status.

conclusionsOur study contributes to a growing body of literature implicating occupational- and hobby-related toxicant exposures in ALS etiology. These epidemiologic study results also provide motivation for future evaluation of water-body-related risk factors.

Indexed as

AgedAmyotrophic Lateral SclerosisCase-Control StudiesEnvironmental ExposureFemaleHumansMaleMiddle AgedNew EnglandOccupational ExposureRisk Factors

Identifiers

PMID28122372
PMCPMC5383428
OpenAlexW2580583097

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.