Evidence map›Paper›PMID 30367712›Full record

ArticleBirth defects research2018

Maternal arsenic exposure and nonsyndromic orofacial clefts.

Jonathan Suhl, Stephanie Leonard, Peter Weyer, Anthony Rhoads, Anna Maria Siega-Riz, T Renée Anthony, Trudy L Burns, Kristin M Conway, Peter H Langlois, Paul A Romitti

Abstract 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 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Update of the risk assessment of inorganic arsenic in food.EFSA journal. European Food Safety Authority · 2024
    Article
  5. Review
  6. MicroRNAs and Gene Regulatory Networks Related to Cleft Lip and Palate.International journal of molecular sciences · 2023
    Review
  7. Article
  8. Review
  9. Health Benefits of Turmeric and Curcumin Against Food Contaminants.Advances in experimental medicine and biology · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Article
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 3 institutions in 1 country.

Jonathan SuhlDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
Stephanie LeonardDepartment of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa.
Peter WeyerCenter for Health Effects of Environmental Contamination, University of Iowa, Iowa City, Iowa.
Anthony RhoadsDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
Anna Maria Siega-RizDepartment of Public Health Sciences, University of Virginia, Charlottesville, Virginia.
T Renée AnthonyDepartment of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa.ORCID 0000-0002-3780-7436
Trudy L BurnsDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
Kristin M ConwayDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
Peter H LangloisBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas.ORCID 0000-0001-6765-4963
Paul A RomittiDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.ORCID 0000-0001-5393-9984
University of Iowa · USTexas Department of State Health Services · USUniversity of Virginia · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 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 CBDRP: Birth Defects Study To Evaluate Pregnancy exposureSU01DD001035 · DD · UNIVERSITY OF IOWA · PI ROMITTI, PAUL A · 2013 to 2017
$3.5M
ACL HHS U01DD001035CDC HHS U01DD001035NCBDD CDC HHS U01 DD001035NCBDD CDC HHS U01 DD001223NIEHS NIH HHS P30 ES005605NIOSH CDC HHS T42 OH008491
6 · The paper itself

Abstract

backgroundArsenic is widely distributed in the environment in both inorganic and organic forms. Evidence from animal studies suggests that maternal inorganic arsenic may lead to the development of orofacial clefts (OFC)s in offspring. This evidence, together with the limited epidemiologic data available, supports the need for a comprehensive examination of major sources of arsenic exposure and OFCs in humans.

methodsUsing interview data collected in the National Birth Defects Prevention Study, public and well water arsenic sampling data, and dietary arsenic estimates, we compared expert-rater assessed occupational arsenic exposure, individual-level exposure to arsenic through drinking water, and dietary arsenic exposure between mothers of OFC cases (N = 435) and unaffected controls (N = 1267). Associations for each source of exposure were estimated for cleft lip ± palate (CL/P) and cleft palate (CP) using unconditional logistic regression analyses.

resultsAssociations for maternal drinking water arsenic exposure and CL/P were near or below unity, whereas those for dietary arsenic exposure tended to be positive. For CP, positive associations were observed for maternal occupational arsenic and inorganic arsenic exposures, with confidence intervals that excluded the null value, whereas those for drinking water or dietary arsenic exposures tended to be near or below unity.

conclusionsPositive associations were observed for maternal occupational arsenic exposure and CP and for maternal dietary arsenic exposure and CL/P; the remainder of associations estimated tended to be near or below unity. Given the exploratory nature of our study, the results should be interpreted cautiously, and continued research using improved exposure assessment methodologies is recommended.

Indexed as

AdultArsenicArsenic PoisoningBrainCase-Control StudiesCleft LipCleft PalateFemaleHumansInfant, NewbornLogistic ModelsMaleMaternal ExposureMothersOdds RatioPopulation SurveillanceArsenicArsenicCleft LipCleft PalateMetalPregnancy

Identifiers

PMID30367712
PMCPMC6885005
OpenAlexW2898565910

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.