Evidence map›Paper›PMID 28163209›Full record

ArticleReproductive toxicology (Elmsford, N.Y.)2017

Low-level environmental metals and metalloids and incident pregnancy loss.

Germaine M Buck Louis, Melissa M Smarr, Rajeshwari Sundaram, Amy J Steuerwald, Katherine J Sapra, Zhaohui Lu, Patrick J Parsons

Open access · greenAbstract read
In one paragraph

Article in Reproductive toxicology (Elmsford, N.Y.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Australasian recurrent pregnancy loss clinical management guideline 2024, part II.The Australian & New Zealand journal of obstetrics & gynaecology · 2024
    Guideline
  2. Article
  3. Update of the risk assessment of inorganic arsenic in food.EFSA journal. European Food Safety Authority · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Prenatal blood levels of some toxic metals and the risk of spontaneous abortion.Journal of environmental health science & engineering · 2021
    Article
  8. Article
  9. Biomarkers of metal toxicity in embryos in the general population.Journal of clinical laboratory analysis · 2019
    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

7 authors at 5 institutions in 1 country.

Germaine M Buck LouisOffice of the Director, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, MD 20852, USA. Electronic address: louisg@mail.nih.gov.
Melissa M SmarrOffice of the Director, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, MD 20852, USA. Electronic address: Melissa.smarr@nih.gov.
Rajeshwari SundaramBiostatistics and Bioinformatics Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, MD 20852, USA. Electronic address: Sundaramr2@mail.nih.gov.
Amy J SteuerwaldLaboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, Albany, NY 12201-0509 USA. Electronic address: amy.steuwerwald@health.ny.gov.
Katherine J SapraOffice of the Director, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, MD 20852, USA. Electronic address: kjs2004@med.cornell.edu.
Zhaohui LuGlotech, Inc., Rockville, MD 20852, USA. Electronic address: luz5@mail.nih.gov.
Patrick J ParsonsLaboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, Albany, NY 12201-0509 USA; Department of Environmental Health Sciences, School of Public Health, The University at Albany, State University of New York, Albany, NY 12201-0509 USA. Electronic address: patrick.parsons@health.ny.gov.
Eunice Kennedy Shriver National Institute of Child Health and Human Development · USGlotech (United States) · USNew York State Department of Health · USOffice of the Director · USUniversity at Albany, State University of New York · US

Funding

Longitudinal Investigation of Fertility and the EnvironmentZIAHD008770 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI SUNDARAM, RAJESHWARI · 2009 to 2025
$2.2M
Longitudinal Study:Fertility and the EnvironmentZ01HD008770 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI LOUIS, GERMAINE · 2004 to 2008
$352k
Intramural NIH HHS Z01 HD008770Intramural NIH HHS ZIA HD008770
6 · The paper itself

Abstract

Environmental exposure to metals and metalloids is associated with pregnancy loss in some but not all studies. We assessed arsenic, cadmium, mercury, and lead concentrations in 501 couples upon trying for pregnancy and followed them throughout pregnancy to estimate the risk of incident pregnancy loss. Using Cox proportional hazard models, we estimated hazard ratios (HR) and 95% confidence intervals (CIs) for pregnancy loss after covariate adjustment for each partner modeled individually then we jointly modeled both partners' concentrations. Incidence of pregnancy loss was 28%. In individual partner models, the highest adjusted HRs were observed for female and male blood cadmium (HR=1.08; CI 0.81, 1.44; HR=1.09; 95% CI 0.84, 1.41, respectively). In couple based models, neither partner's blood cadmium concentrations were associated with loss (HR=1.01; 95% CI 0.75, 1.37; HR=0.92; CI 0.68, 1.25, respectively). We observed no evidence of a significant relation between metal(loids) at these environmentally relevant concentrations and pregnancy loss.

Indexed as

Abortion, SpontaneousAdolescentAdultArsenicCadmiumEnvironmental ExposureEnvironmental PollutantsFemaleHumansLeadMaleMaternal ExposureMercuryModels, TheoreticalPaternal ExposurePregnancyArsenicCadmiumEnvironmental PollutantsLeadMercuryArsenicCadmiumEpidemiologyLeadMercuryMiscarriagePregnancySpontaneous abortion

Identifiers

PMID28163209
PMCPMC5406243
OpenAlexW2584142958

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.