Evidence map›Paper›PMID 29359414›Full record

ArticleBirth defects research2018

Maternal occupational cadmium exposure and nonsyndromic orofacial clefts.

Jonathan Suhl, Paul A Romitti, Yanyan Cao, Carissa M Rocheleau, Trudy L Burns, Kristin Conway, Preetha Rajaraman, A J Agopian, Patricia Stewart, National Birth Defects Prevention Study

Open access · greenAbstract read
In one paragraph

Article in Birth defects research, 2018. 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
0.6field-weighted citation impact, top 34% 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, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Disruption of DNA methylation-mediated cranial neural crest proliferation and differentiation causes orofacial clefts in mice.Proceedings of the National Academy of Sciences of the United States of America · 2024
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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

10 authors at 5 institutions in 1 country.

Jonathan SuhlDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.
Paul A RomittiDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.ORCID 0000-0001-5393-9984
Yanyan CaoDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.
Carissa M RocheleauNational Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio.
Trudy L BurnsDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.
Kristin ConwayDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.
Preetha RajaramanOffice of Global Affairs, U.S. Department of Health and Human Services, Washington, District of Columbia.
A J AgopianDepartment of Epidemiology, Human Genetics and Environmental Sciences, UT Health School of Public Health, Houston, Texas.
Patricia StewartStewart Exposure Assessments, LLC, Arlington, Virginia.
National Birth Defects Prevention Study
University of Iowa · USCenters for Disease Control and Prevention · USOAI Consulting (United States) · USOffice of the Assistant Secretary for Health · USUniversity of Texas Health Science Center at Dallas · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Brandi Janssen · 1990 to 2026
$40.5M
The Heartland Center for Occupational Health and Safety Education and Research CenterT42OH008491 · OH · UNIVERSITY OF IOWA · PI O'SHAUGHNESSY, PATRICK T · 2005 to 2025
$31.7M
Iowa Center for Birth Defects Research and Prevention (ICBDRP)U01DD000492 · DD · UNIVERSITY OF IOWA · PI ROMITTI, PAUL A · 2009 to 2013
$3.9M
Iowa CBDRP: Birth Defects Study To Evaluate Pregnancy exposureSU01DD001035 · DD · UNIVERSITY OF IOWA · PI ROMITTI, PAUL A · 2013 to 2017
$3.5M
ACL HHS U01DD001035Intramural CDC HHS CC999999NCBDD CDC HHS U01 DD000492NCBDD CDC HHS U01 DD001035NCBDD CDC HHS U01 DD001223NIEHS NIH HHS P30 ES005605NIOSH CDC HHS T42 OH008491
6 · The paper itself

Abstract

backgroundCigarette smoking is a well-studied risk factor for orofacial clefts (OFCs). Little is known about which constituents in cigarette smoke contribute to this teratogenicity in humans. One constituent, cadmium, has been associated with OFCs in animal studies; in humans, the role of maternal cadmium exposure on OFCs, independent of cigarette smoke, is unclear. In particular, the relation between maternal occupational cadmium exposure and OFCs is largely unexplored.

methodsUsing data from a large, population-based case-control study, we compared expert rater assessed maternal occupational cadmium exposure from self-reported occupational histories during the period 1 month before through 3 months after conception between OFC cases (n = 1,185) and unaffected controls (n = 2,832). Multivariable logistic regression analyses were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals for any (yes/no) and cumulative (no, low, high exposure) occupational cadmium exposures and all OFCs, cleft lip ± cleft palate (CL/P) and cleft palate (CP).

resultsOverall, 45 mothers (cases = 13, controls = 32) were rated as having occupational cadmium exposure. Comparing all OFCs to controls, we observed inverse, nonsignificant aORs for any or low exposure, and positive, nonsignificant aORs for high exposure. Where data were available, aORs for CL/P and CP tended to parallel those for all OFCs.

conclusionTo our knowledge, this is the first study to specifically examine maternal occupational cadmium exposure and OFCs, using expert rater exposure assessment. The small numbers of exposed mothers observed, however, led to imprecise estimates. Continued research using more detailed occupational exposure assessment and increased sample sizes is recommended.

Indexed as

Abnormalities, Drug-InducedAdultCadmiumCase-Control StudiesCleft LipCleft PalateFemaleHumansLogistic ModelsMaleMaternal ExposureMiddle AgedOccupational ExposureCadmiumcadmiumcleft lipcleft palatemetaloccupationpregnancy

Identifiers

PMID29359414
PMCPMC5914503
OpenAlexW2789894125

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.