Evidence map›Paper›PMID 30804163›Full record

ArticleOccupational and environmental medicine2019

Pesticide use and incident hyperthyroidism in farmers in the Agricultural Health Study.

Srishti Shrestha, Christine G Parks, Whitney S Goldner, Freya Kamel, David M Umbach, Mary H Ward, Catherine C Lerro, Stella Koutros, Jonathan N Hofmann, Laura E Beane Freeman and 1 more

Open access · greenAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Time for Re-Evaluating the Human Carcinogenicity of Ethylenedithiocarbamate Fungicides? A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Review
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

11 authors at 3 institutions in 2 countries.

Srishti ShresthaEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA.
Christine G ParksEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA.
Whitney S GoldnerDepartment of Internal Medicine, Division of Diabetes, Endocrinology, and Metabolism, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Freya KamelEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA.
David M UmbachBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA.
Mary H WardOccupational and Environmental Epidemiology Branch, National Cancer Institute, Rockville, Maryland, USA.
Catherine C LerroOccupational and Environmental Epidemiology Branch, National Cancer Institute, Rockville, Maryland, USA.
Stella KoutrosOccupational and Environmental Epidemiology Branch, National Cancer Institute, Rockville, Maryland, USA.ORCID 0000-0001-5294-5485
Jonathan N HofmannOccupational and Environmental Epidemiology Branch, National Cancer Institute, Rockville, Maryland, USA.
Laura E Beane FreemanOccupational and Environmental Epidemiology Branch, National Cancer Institute, Rockville, Maryland, USA.
Dale P SandlerEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA.
National Cancer Institute · USNational Institute of Environmental Health Sciences · USDiabetes Australia · AU

Funding

Health Effects Of Exposures In AgricultureZIAES049030 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2009 to 2025
$11.2M
STUDIES OF OCCUPATIONAL CANCER--PESTICIDESZ01CP010119 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALAVANJA, MICHAEL · 1996 to 2008
$5.0M
Statistical techniques applied to environmental health sciencesZIAES103126 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI UMBACH, DAVID M · 2012 to 2025
$1.0M
HEALTH EFFECTS OF EXPOSURES IN AGRICULTUREZ01ES049030 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 1997 to 2008
$889k
Intramural NIH HHS Z01 CP010119Intramural NIH HHS Z01 ES049030NCI NIH HHS Z01 CP010119NIEHS NIH HHS Z01 ES049030
6 · The paper itself

Abstract

backgroundFew studies have evaluated associations between pesticides and hyperthyroidism.

objectiveWe evaluated associations between specific pesticides and incident hyperthyroidism in private pesticide applicators in the Agricultural Health Study.

methodsWe used Cox proportional hazards models to estimate HRs and 95% CIs for associations between pesticide use at enrolment and hyperthyroidism (n=271) in 35 150 applicators (mostly men), adjusting for potential confounders.

resultsEver use of several pesticides (organophosphate insecticide malathion, fungicide maneb/mancozeb, herbicides dicamba, metolachlor, and atrazine in overall sample and chlorimuron ethyl among those ≤62 years) was associated with reduced hyperthyroidism risk, with HRs ranging from 0.50 (95% CI 0.30 to 0.83) for maneb/mancozeb to 0.77 (95% CI 0.59 to 1.00) for atrazine. Hyperthyroidism risk was lowest among those with higher intensity-weighted lifetime days of using carbofuran and chlorpyrifos (p

conclusionsObserved associations between pesticides and decreased risk of hyperthyroidism warrant further investigation.

Indexed as

AdultAgedAgricultureHumansHyperthyroidismMaleMiddle AgedOccupational ExposurePesticidesProportional Hazards ModelsRisk FactorsSurveys and QuestionnairesPesticidesAgricultural Health Studyhyperthyroidismpesticides

Identifiers

PMID30804163
PMCPMC7866491
OpenAlexW2915193959

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.