Evidence map›Paper›PMID 28742092›Full record

ArticlePloS one2017

Cadmium exposure and endometrial cancer risk: A large midwestern U.S. population-based case-control study.

Jane A McElroy, Robin L Kruse, James Guthrie, Ronald E Gangnon, J David Robertson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. The Role of Heavy Metals in the Biology of Female Cancers.International journal of molecular sciences · 2025
    Review
  6. Mechanisms of Heavy Metal Cadmium (Cd)-Induced Malignancy.Biological trace element research · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Cadmium toxicity and autophagy: a review.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. The Role of Lead and Cadmium in Gynecological Malignancies.Antioxidants (Basel, Switzerland) · 2022
    Review
  17. Article
  18. Article
  19. Article
  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

5 authors at 2 institutions in 1 country.

Jane A McElroyDepartment of Family & Community Medicine, School of Medicine, University of Missouri, Columbia, Missouri, United States of America.ORCID http://orcid.org/0000-0001-7518-747X
Robin L KruseDepartment of Family & Community Medicine, School of Medicine, University of Missouri, Columbia, Missouri, United States of America.
James GuthrieUniversity of Missouri, Research Reactor Center, Columbia, Missouri, United States of America.
Ronald E GangnonDepartments of Biostatistics & Medical Informatics and Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, United States of America.
J David RobertsonUniversity of Missouri, Research Reactor Center, Columbia, Missouri, United States of America.
University of Missouri · USUniversity of Wisconsin–Madison · US

Funding

NCCDPHP CDC HHS U58 DP003924NCI NIH HHS HHSN261201000032C
6 · The paper itself

Abstract

Estrogen-mimicking chemicals, such as cadmium, may be associated with increased susceptibility to hormone-dependent cancers, though supporting data are sparse, particularly for endometrial cancer. The Health and Environmental Exposure Research (HEER) study worked with the Arkansas Central Cancer Registry, Iowa Cancer Registry and Missouri Cancer Registry to obtain names of women diagnosed with endometrial cancer who were willing to be contacted for participation in our case control study. Voter registration lists from Iowa and Missouri were used to randomly select similarly aged women as represented in the case population. Participants were interviewed by telephone to obtain information on known or suspected endometrial risk factors. Urine kits were sent to participants for home collection and returned for analysis. Our case-control study consisted of 631 incident cases of endometrial cancer diagnosed from January 2010 to October 2012 and 879 age-matched population-based controls, ages 18-81 years (mean age 65 years). We quantified cadmium amounts in urine and standardized these values through creatinine adjustment. Using data from all survey completers, we developed a multivariable model for endometrial cancer. Creatinine-adjusted cadmium concentration was added to this model. Odds ratio (OR) and 95% confidence intervals (CIs) for endometrial cancer were calculated. After multivariable adjustment, higher creatinine-adjusted cadmium exposure was associated with a statistically significant increase of endometrial cancer risk (OR: 1.22; 95% CI: 1.03-1.44). Our results provide evidence that cadmium may increase the risk of endometrial cancer, possibly through estrogenic effects.

Indexed as

AdolescentAdultAgedAged, 80 and overCadmiumCase-Control StudiesConfidence IntervalsEndometrial NeoplasmsEnvironmental ExposureEnvironmental PollutantsFemaleHumansLogistic ModelsMiddle AgedOdds RatioRegistriesCadmiumEnvironmental Pollutants

Identifiers

PMID28742092
PMCPMC5524364
OpenAlexW2737161750

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.