Evidence map›Paper›PMID 30793813›Full record

Observational studyPharmacoepidemiology and drug safety2019

Exposure to phthalate-containing prescription drugs and the risk of colorectal adenocarcinoma: A Danish nationwide case-control study.

Zandra Nymand Ennis, Anton Pottegård, Thomas Patrick Ahern, Jesper Hallas, Per Damkier

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Pharmacoepidemiology and drug safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Medication-Associated Phthalate Exposure and Childhood Cancer Incidence.Journal of the National Cancer Institute · 2022
    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

5 authors at 3 institutions in 2 countries.

Zandra Nymand EnnisDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-6508-0107
Anton PottegårdClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-9314-5679
Thomas Patrick AhernDepartment of Surgery, Larner College of Medicine, University of Vermont, Burlington, VT, USA.ORCID 0000-0003-0440-8727
Jesper HallasDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-8097-8708
Per DamkierDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense, Denmark.ORCID 0000-0003-0591-7187
University of Southern Denmark · DKOdense University Hospital · DKUniversity of Vermont · US

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2022
$21.3M
NIGMS NIH HHS P20 GM103644NIH HHS P20GM103644
6 · The paper itself

Abstract

purposeSome drug products contain phthalates as excipients, and in vitro studies have demonstrated that phthalates interfere with cellular mechanisms involved in colorectal cancer development. We therefore examined the association between cumulative phthalate exposure from drug products and risk of colorectal adenocarcinomas.

methodsWe used the Danish Cancer Registry to identify all patients with incident colorectal adenocarcinoma from 2008 to 2015 (n = 25 814). Each cancer case was matched to ten population controls. Linking information from Danish registers, we quantified cumulative phthalate exposure to the ortho-phthalates diethyl phthalate (DEP) and dibutyl phthalate (DBP) as well as enteric phthalate polymers from orally administered drugs. The association between cumulative phthalate exposure and colorectal cancer was estimated using conditional logistic regression.

resultsCumulative exposure to ortho-phthalates exceeding 500 mg was associated with lower odds of colorectal cancer diagnosis (OR

conclusionWe found an apparent overall protective effect of cumulative phthalate exposure from drug excipients for colorectal adenocarcinoma. Omitting NSAID users reversed the signal and suggested a slightly increased risk associated with high cumulative ortho-phthalate exposure.

Indexed as

AdenocarcinomaAdministration, OralAgedCase-Control StudiesColorectal NeoplasmsDenmarkExcipientsFemaleHumansIncidenceMaleMiddle AgedPhthalic AcidsPrescription DrugsRegistriesTime Factorsdiethyl phthalateExcipientsPhthalic AcidsPrescription Drugscolorectal neoplasmsDenmarkdibutyl phthalatediethyl phthalateexcipientspharmacoepidemiology

Identifiers

PMID30793813
PMCPMC7444013
OpenAlexW2915181489

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.