Evidence map›Paper›PMID 28851756›Full record

ArticleThorax2018

Metal worker's lung: spatial association with

Phillip L James, Julie Cannon, Christopher M Barber, Laura Crawford, Heather Hughes, Meinir Jones, Joanna Szram, Steven Cowman, William O C Cookson, Miriam F Moffatt and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Thorax, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 20 citations in OpenAlex.

  1. Differential Immunogenicity and Lung Disease-Inducing Potential ofInternational journal of molecular sciences · 2024
    Article
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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

11 authors at 4 institutions in 1 country.

Phillip L JamesFaculty of Medicine, National Heart and Lung Institute, Imperial College, London, UK.
Julie CannonRoyal Brompton and Harefield NHS Foundation Trust, London, UK.
Christopher M BarberCentre for Workplace Health, Northern General Hospital, Sheffield, UK.
Laura CrawfordHealth Management Ltd, London, UK.
Heather HughesHealth Management Ltd, London, UK.
Meinir JonesDepartment of Occupational and Environmental Medicine, Royal Brompton Hospital and Imperial College (NHLI), London, UK.
Joanna SzramRoyal Brompton and Harefield NHS Foundation Trust, London, UK.
Steven CowmanFaculty of Medicine, National Heart and Lung Institute, Imperial College, London, UK.
William O C CooksonFaculty of Medicine, National Heart and Lung Institute, Imperial College, London, UK.
Miriam F MoffattFaculty of Medicine, National Heart and Lung Institute, Imperial College, London, UK.
Paul CullinanRoyal Brompton and Harefield NHS Foundation Trust, London, UK.
Imperial College London · GBRoyal Brompton Hospital · GBNorthern General Hospital · GBRoyal Brompton & Harefield NHS Foundation Trust · GB

Funding

Medical Research Council G1000758Wellcome Trust
6 · The paper itself

Abstract

backgroundOutbreaks of hypersensitivity pneumonitis (HP) are not uncommon in workplaces where metal working fluid (MWF) is used to facilitate metal turning. Inhalation of microbe-contaminated MWF has been assumed to be the cause, but previous investigations have failed to establish a spatial relationship between a contaminated source and an outbreak.

objectivesAfter an outbreak of five cases of HP in a UK factory, we carried out blinded, molecular-based microbiological investigation of MWF samples in order to identify potential links between specific microbial taxa and machines in the outbreak zone.

methodsCustom-quantitative PCR assays, microscopy and phylogenetic analyses were performed on blinded MWF samples to quantify microbial burden and identify potential aetiological agents of HP in metal workers. MEASUREMENTS AND MAIN

resultsMWF from machines fed by a central sump, but not those with an isolated supply, was contaminated by mycobacteria. The factory sump and a single linked machine at the centre of the outbreak zone, known to be the workstation of the index cases, had very high levels of detectable organisms. Phylogenetic placement of mycobacterial taxonomic marker genes generated from these samples indicated that the contaminating organisms were closely related to

conclusionsWe describe, for the first time, a close spatial relationship between the abundance of a mycobacterium-like organism, most probably

Indexed as

Disease OutbreaksMetallurgyAlveolitis, Extrinsic AllergicHumansMaleMycobacterium aviumOccupational DiseasesOccupational ExposureUnited Kingdomallergic alveolitishypersensitivity pneumonitisoccupational lung disease

Identifiers

PMID28851756
PMCPMC5801647
OpenAlexW2750814272

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.