Evidence map›Paper›PMID 29033383›Full record

ArticleEnvironmental health perspectives2017

Long-Term Exposure to Ambient Air Pollution and Incidence of Postmenopausal Breast Cancer in 15 European Cohorts within the ESCAPE Project.

Zorana J Andersen, Massimo Stafoggia, Gudrun Weinmayr, Marie Pedersen, Claudia Galassi, Jeanette T Jørgensen, Anna Oudin, Bertil Forsberg, David Olsson, Bente Oftedal and 42 more

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 7 pooled it
7.6field-weighted citation impact, top 2% 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

65 citing papers in PubMed, 7 syntheses or guidelines pooled it, 144 citations in OpenAlex.

  1. Impact of Pollution on Cancer: A Systematic Review and Meta-Analysis with Focus on Air Pollution.International journal of environmental research and public health · 2026
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  8. Article
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  12. Geospatial Genomics: Operationalizing Multilevel Conceptual Frameworks of Cancer Health Outcomes to Account for Gene-Person-Place Relationships.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  13. Growing Evidence for the Role of Air Pollution in Breast Cancer Development.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  14. Air Pollution and Breast Cancer Incidence in the Multiethnic Cohort Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  15. Article
  16. Review
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  20. Additive effects of 10-year exposures to PMEnvironmental epidemiology (Philadelphia, Pa.) · 2023
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

52 authors at 20 institutions in 12 countries.

Zorana J AndersenCentre for Epidemiology and Screening, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Massimo StafoggiaDepartment of Epidemiology, Lazio Regional Health Service, Local Health Unit Azienda Sanitaria Locale Roma 1 (ASL RM1), Rome, Italy.
Gudrun WeinmayrInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.
Marie PedersenCentre for Epidemiology and Screening, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Claudia GalassiUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Center for Cancer Prevention (CPO), Turin, Italy.
Jeanette T JørgensenCentre for Epidemiology and Screening, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Anna OudinOccupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Bertil ForsbergOccupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
David OlssonOccupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Bente OftedalNorwegian Institute of Public Health, Oslo, Norway.
Gunn Marit AasvangNorwegian Institute of Public Health, Oslo, Norway.
Geir AamodtNorwegian Institute of Public Health, Oslo, Norway.
Andrei PykoInstitute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
Göran PershagenInstitute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
Michal KorekInstitute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
Ulf De FaireInstitute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
Nancy L PedersenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
Claes-Göran ÖstensonDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Laura FratiglioniAging Research Center, Department of Neurobiology Care Science and Society, Karolinska Institute, Stockholm, Sweden.
Kirsten T EriksenThe Danish Cancer Society Research Center, Copenhagen, Denmark.
Anne TjønnelandThe Danish Cancer Society Research Center, Copenhagen, Denmark.
Petra H PeetersJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
Bas Bueno-de-MesquitaMRC-PHE Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College, London, UK.
Michelle PlusquinMRC-PHE Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College, London, UK.
Timothy J KeyCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Andrea JaenschInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.
Gabriele NagelInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.
Alois LangVorarlberg Cancer Registry, Agency for Preventive and Social Medicine (aks, Bregenz, Austria.
Meng WangDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA.
Ming-Yi TsaiDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA.
Agnes FournierCentre de recherche en Épidémiologie et Santé des Populations (CESP) "Health across Generations", Institut national de la santé et de la recherche médicale (Inserm), Université Paris-Saclay, Villejuif, France.
Marie-Christine Boutron-RuaultCentre de recherche en Épidémiologie et Santé des Populations (CESP) "Health across Generations", Institut national de la santé et de la recherche médicale (Inserm), Université Paris-Saclay, Villejuif, France.
Laura BagliettoCentre de recherche en Épidémiologie et Santé des Populations (CESP) "Health across Generations", Institut national de la santé et de la recherche médicale (Inserm), Université Paris-Saclay, Villejuif, France.
Sara GrioniEpidemiology and Prevention Unit, Department of Preventive and Predictive Medicine, Fondazione Istituto di ricovero e cura a carattere scientifico (IRCCS) Istituto Nazionale dei Tumori, Milan, Italy.
Alessandro MarconUnit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Vittorio KroghEpidemiology and Prevention Unit, Department of Preventive and Predictive Medicine, Fondazione Istituto di ricovero e cura a carattere scientifico (IRCCS) Istituto Nazionale dei Tumori, Milan, Italy.
Fulvio RicceriUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Center for Cancer Prevention (CPO), Turin, Italy.
Carlotta SacerdoteUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Center for Cancer Prevention (CPO), Turin, Italy.
Enrica MiglioreUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Center for Cancer Prevention (CPO), Turin, Italy.
Ibon Tamayo-UriaISGlobal Institute de Salut Global Barcelona, Barcelona, Spain.
Pilar AmianoConsortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiología y Salud Pública-CIBERESP), Madrid, Spain.
Miren DorronsoroConsortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiología y Salud Pública-CIBERESP), Madrid, Spain.
Roel VermeulenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
Ranjeet SokhiCentre for Atmospheric and Instrumentation Research, University of Hertfordshire, Hatfield, UK.
Menno KeukenNetherlands Organization for Applied Scientific Research, Utrecht, Netherlands.
Kees de HooghSwiss Tropical and Public Health Institute, Basel, Switzerland.
Rob BeelenInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, Netherlands.
Paolo VineisMRC-PHE Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College, London, UK.
Giulia CesaroniDepartment of Epidemiology, Lazio Regional Health Service, Local Health Unit Azienda Sanitaria Locale Roma 1 (ASL RM1), Rome, Italy.
Bert BrunekreefJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
Gerard HoekJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
Ole Raaschou-NielsenThe Danish Cancer Society Research Center, Copenhagen, Denmark.
Karolinska Institutet · SEInserm · FRNorwegian Institute of Public Health · NOPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUmeå University · SEUniversität Ulm · DEUniversity of Copenhagen · DKUtrecht University · NLBiogipuzkoa Health Research Institute · ESDanish Cancer Society · DKFondazione IRCCS Istituto Nazionale dei Tumori · ITSwiss Tropical and Public Health Institute · CHUniversity Medical Center Utrecht · NLAarhus University · DKASL Roma · ITAzienda Sanitaria Locale Roma 3 · ITItalian institute for Genomic Medicine · ITMRC Centre for Environment and HealthNetherlands Organisation for Applied Scientific Research · NLUniversitat Pompeu Fabra · ES

Funding

Cancer Research UK 16491Cancer Research UK C570/A16491Cancer Research UK C8221/A19170Medical Research Council MR/M012190/1
6 · The paper itself

Abstract

backgroundEpidemiological evidence on the association between ambient air pollution and breast cancer risk is inconsistent.

objectiveWe examined the association between long-term exposure to ambient air pollution and incidence of postmenopausal breast cancer in European women.

methodsIn 15 cohorts from nine European countries, individual estimates of air pollution levels at the residence were estimated by standardized land-use regression models developed within the European Study of Cohorts for Air Pollution Effects (ESCAPE) and Transport related Air Pollution and Health impacts – Integrated Methodologies for Assessing Particulate Matter (TRANSPHORM) projects: particulate matter (PM) ≤2.5μm, ≤10μm, and 2.5–10μm in diameter (PM

resultsOf 74,750 postmenopausal women included in the study, 3,612 developed breast cancer during 991,353 person-years of follow-up. We found positive and statistically insignificant associations between breast cancer and PM

conclusionsWe found suggestive evidence of an association between ambient air pollution and incidence of postmenopausal breast cancer in European women. https://doi.org/10.1289/EHP1742.

Indexed as

AgedAir PollutantsAir PollutionBreast NeoplasmsCohort StudiesEnvironmental ExposureEuropeFemaleHumansIncidenceMiddle AgedPostmenopauseAir Pollutants

Identifiers

PMID29033383
PMCPMC5933325
OpenAlexW2765193733

What OpenQuestion holds

Textmetadata
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.