Evidence map›Paper›PMID 30199328›Full record

SynthesisJournal of toxicology and environmental health. Part B, Critical reviews2018

Systematic reviews and meta-analyses of human and animal evidence of prenatal diethylhexyl phthalate exposure and changes in male anogenital distance.

David C Dorman, Weihsueh Chiu, Barbara F Hales, Russ Hauser, Kamin J Johnson, Ellen Mantus, Susan Martel, Karen A Robinson, Andrew A Rooney, Ruthann Rudel and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of toxicology and environmental health. Part B, Critical reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Associations of endocrine disrupting chemicals with anogenital distance across infancy.The Journal of clinical endocrinology and metabolism · 2026
    Observational
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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

13 authors at 12 institutions in 2 countries.

David C Dormana Department of Molecular and Biomedical Sciences, College of Veterinary Medicine , North Carolina State University , Raleigh , NC , USA.
Weihsueh Chiub Department of Veterinary Integrative Biosciences, College of Veterinary Medicine , Texas A&M University , College Station , TX , USA.
Barbara F Halesc Department of Pharmacology and Therapeutics , McGill University , Montreal , Quebec , Canada.
Russ Hauserd Department of Environmental Health and Department of Epidemiology , Harvard T.H. Chan School of Public Health , Boston , MA , USA.
Kamin J Johnsone Predictive Safety Center , The Dow Chemical Company , Midland , MI , USA.
Ellen Mantusf Board on Environmental Studies and Toxicology at the National Academies of Sciences , Engineering, and Medicine , Washington , DC , USA.
Susan Martelf Board on Environmental Studies and Toxicology at the National Academies of Sciences , Engineering, and Medicine , Washington , DC , USA.
Karen A Robinsong Department of Medicine , Johns Hopkins University , Baltimore , MD , USA.
Andrew A Rooneyh Office of Health Assessment and Translation, Division of the National Toxicology Program, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services , Research Triangle Park , NC , USA.
Ruthann Rudeli Silent Spring Institute , Newton , MA , USA.
Sheela Sathyanarayanaj Department of Pediatrics , University of Washington, Seattle Children's Research Institute , Seattle , WA , USA.
Susan L Schantzk Department of Comparative Biosciences, College of Veterinary Medicine and Beckman Institute for Advanced Science and Technology , University of Illinois at Urbana-Champaign , Urbana , IL , USA.
Katrina M Watersl Biological Sciences Division , Pacific Northwest National Laboratory , Richland , WA , USA.
National Academies of Sciences, Engineering, and Medicine · USDow Chemical (United States) · USHarvard University · USJohns Hopkins University · USMcGill University · CANational Institutes of Health · USNorth Carolina State University · USPacific Northwest National Laboratory · USSeattle Children's Hospital · USSilent Spring Institute · USTexas A&M University · USUniversity of Illinois Urbana-Champaign · US

Funding

Integrated Health Assessments for the National Toxicology ProgramZIAES103317 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI ROONEY, ANDREW · 2016 to 2019
$24.4M
Intramural NIH HHS ZIA ES103317
6 · The paper itself

Abstract

Male reproductive alterations found in animals and humans following in utero phthalate exposure include decreased anogenital distance (AGD) and other reproductive-tract malformations. The aim of this investigation was to conduct systematic reviews of human and animal evidence of the effect of in utero exposure to diethylhexyl phthalate (DEHP) on anogenital distance (AGD) in males. PubMed, Embase, and Toxline were searched for relevant human and experimental animal studies on August 15, 2016. Search results were screened for relevance, and studies that met the inclusion criteria were evaluated for quality and data extracted for analysis. Confidence in the human and animal bodies of evidence was assessed and hazard conclusions reached by integrating evidence streams. The search yielded 6 relevant human studies and 19 animal studies. Meta-analysis of 5 human observational prospective cohort studies showed that increased maternal urinary concentrations of DEHP metabolites were associated with decreased AGD in boys (-4.07 [CI, -6.49 to -1.66] % decrease per log

Indexed as

AnimalsDiethylhexyl PhthalateEnvironmental PollutantsFemaleGenitalia, MaleHumansMalePregnancyPrenatal Exposure Delayed EffectsDiethylhexyl PhthalateEnvironmental Pollutantsanogenital distanceepidemiologyphthalateReproductive toxicity

Identifiers

PMID30199328
PMCPMC6786271
OpenAlexW2891830273

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.