Evidence map›Paper›PMID 29210319›Full record

ReviewToxicology mechanisms and methods2018

Carcinogenicity of ethylene oxide: key findings and scientific issues.

Jennifer Jinot, Jason M Fritz, Suryanarayana V Vulimiri, Nagalakshmi Keshava

Open access · greenAbstract readReview
In one paragraph

Review in Toxicology mechanisms and methods, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 24% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Reprocessing of single-use medical devices in cardiology: a systematic literature review of safety and performance characteristics applied to cardiac electrophysiology.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Pooled it
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  12. Association of ethylene oxide exposure and obstructive sleep apnea.Environmental health and preventive medicine · 2025
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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

4 authors at 1 institution in 1 country.

Jennifer Jinota National Center for Environmental Assessment , U.S. Environmental Protection Agency , Washington , DC , USA.
Jason M Fritza National Center for Environmental Assessment , U.S. Environmental Protection Agency , Washington , DC , USA.ORCID http://orcid.org/0000-0002-6190-5968
Suryanarayana V Vulimiria National Center for Environmental Assessment , U.S. Environmental Protection Agency , Washington , DC , USA.ORCID http://orcid.org/0000-0003-3734-0036
Nagalakshmi Keshavaa National Center for Environmental Assessment , U.S. Environmental Protection Agency , Washington , DC , USA.
Environmental Protection Agency · US

Funding

Intramural EPA EPA999999
6 · The paper itself

Abstract

In support of the Integrated Risk Information System (IRIS), the U.S. Environmental Protection Agency (EPA) completed an evaluation of the inhalation carcinogenicity of ethylene oxide (EtO) in December 2016. This article reviews key findings and scientific issues regarding the carcinogenicity of EtO in EPA's Carcinogenicity Assessment. EPA's assessment critically reviewed and characterized epidemiologic, laboratory animal, and mechanistic studies pertaining to the human carcinogenicity of EtO, and addressed some key scientific issues such as the analysis of mechanistic data as part of the cancer hazard evaluation and to inform the quantitative risk assessment. The weight of evidence from the epidemiologic, laboratory animal, and mechanistic studies supports a conclusion that EtO is carcinogenic in humans, with the strongest human evidence linking EtO exposure to lymphoid and breast cancers. Analyses of the mechanistic data establish a key role for genotoxicity and mutagenicity in EtO-induced carcinogenicity and reveal little evidence supporting other mode-of-action hypotheses. In conclusion, EtO was found to be carcinogenic to humans by inhalation, posing a potential human health hazard for lymphoid and breast cancers.

Indexed as

AnimalsBreast NeoplasmsCarcinogenicity TestsCarcinogensCell Transformation, NeoplasticEthylene OxideFemaleHumansInhalation ExposureLymphoproliferative DisordersMaleModels, AnimalMutagenicity TestsRisk AssessmentCarcinogensEthylene OxideAssessmentbreast cancercancer/tumorsepidemiologyethylene oxidegenotoxicityintegrated risk information systemmode of actionmutagenesisreview

Identifiers

PMID29210319
PMCPMC10883472
OpenAlexW2771366257

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.