Evidence map›Paper›PMID 31430279›Full record

ArticlePLoS biology2019

Air pollution as cause of mental disease: Appraisal of the evidence.

John P A Ioannidis

Abstract readComment
In one paragraph

Article in PLoS biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Urbanicity and psychotic disorders: Facts and hypotheses.Dialogues in clinical neuroscience · 2023
    Review
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

John P A IoannidisMeta-Research Innovation Center at Stanford (METRICS) and Stanford Prevention Research Center, Departments of Medicine, Health Research and Policy, Biomedical Data Science, and Statistics, Stanford University, Stanford, California, United States of America.ORCID 0000-0003-3118-6859

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A causal association of air pollution with mental diseases is an intriguing possibility raised in a Short Report just published in PLOS Biology. Despite analyses involving large data sets, the available evidence has substantial shortcomings, and a long series of potential biases may invalidate the observed associations. Only bipolar disorder shows consistent results, with similar effects across United States and Denmark data sets, but the effect has modest magnitude, appropriate temporality is not fully secured, and biological gradient, plausibility, coherence, and analogy offer weak support. The signal seems to persist in some robustness analyses, but more analyses by multiple investigators, including contrarians, are necessary. Broader public sharing of data sets would also enhance transparency.

Indexed as

Air PollutantsAir PollutionMental DisordersDenmarkHumansUnited StatesAir Pollutants

Identifiers

PMID31430279
PMCPMC6701741

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.