Evidence map›Paper›PMID 32770943›Full record

ArticleEnvironmental health and preventive medicine2020

Association between metal cobalt exposure and the risk of congenital heart defect occurrence in offspring: a multi-hospital case-control study.

Nannan Zhang, Shuihua Yang, Jiaxiang Yang, Ying Deng, Shengli Li, Nana Li, Xinlin Chen, Ping Yu, Zhen Liu, Jun Zhu

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Environmental health and preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 4 institutions in 1 country.

Nannan ZhangNational Center for Birth Defect Monitoring, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, and State Key Laboratory of Biotherapy, Sichuan University, Sec. 3 No.17, South Ren Min Road, Chengdu, 610041, Sichuan, People's Republic of China.
Shuihua YangDepartment of Ultrasound, Maternal and Child Healthcare Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, People's Republic of China.
Jiaxiang YangDepartment of Ultrasound, Sichuan Maternal and Child Healthcare Hospital, Chengdu, 610041, Sichuan, People's Republic of China.
Ying DengNational Center for Birth Defect Monitoring, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, and State Key Laboratory of Biotherapy, Sichuan University, Sec. 3 No.17, South Ren Min Road, Chengdu, 610041, Sichuan, People's Republic of China.
Shengli LiNational Center for Birth Defect Monitoring, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, and State Key Laboratory of Biotherapy, Sichuan University, Sec. 3 No.17, South Ren Min Road, Chengdu, 610041, Sichuan, People's Republic of China.
Nana LiNational Center for Birth Defect Monitoring, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, and State Key Laboratory of Biotherapy, Sichuan University, Sec. 3 No.17, South Ren Min Road, Chengdu, 610041, Sichuan, People's Republic of China.
Xinlin ChenDepartment of Ultrasound, Hubei Maternal and Child Healthcare Hospital, Wuhan, Hubei, People's Republic of China.
Ping YuNational Center for Birth Defect Monitoring, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, and State Key Laboratory of Biotherapy, Sichuan University, Sec. 3 No.17, South Ren Min Road, Chengdu, 610041, Sichuan, People's Republic of China.
Zhen LiuNational Center for Birth Defect Monitoring, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, and State Key Laboratory of Biotherapy, Sichuan University, Sec. 3 No.17, South Ren Min Road, Chengdu, 610041, Sichuan, People's Republic of China. liuzhen5_1@163.com.
Jun ZhuNational Center for Birth Defect Monitoring, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, and State Key Laboratory of Biotherapy, Sichuan University, Sec. 3 No.17, South Ren Min Road, Chengdu, 610041, Sichuan, People's Republic of China. zhujun028@163.com.
State Key Laboratory of BiotherapySichuan University · CNHubei Provincial Women and Children's Hospital · CNMaternal and Child Health Hospital of Sichuan Province · CN

Funding

Key Research and Development Program of Sichuan Province 2020YFS0071National Key Research and Development Program of China 2016YFC1000102National Natural Science Foundation of China 81573165National Natural Science Foundation of China 81970738Special Foundation for State Basic Research Program of China 2014FY110700
6 · The paper itself

Abstract

backgroundMany studies have investigated heavy metal exposure could increase the occurrence of congenital heart defects (CHDs). However, there are limited data regarding the relationship between cobalt exposure and CHD occurrence in offspring. The aim of this study was to analyze the association between cobalt exposure in mothers and the risk of CHDs in offspring. MATERIALS AND

methodsIn order to explore the association between cobalt exposure and occurrence of congenital heart defect (CHD), a case-control study with 490 controls and 399 cases with CHDs in China were developed. The concentrations of cobalt in hair of pregnant woman and fetal placental tissue were measured and processed by a logistic regression analysis to explore the relationship between cobalt exposure and risk of CHDs.

resultsThe median concentration of hair cobalt in the control and case group was 0.023 ng/mg and 0.033 ng/mg (aOR, 1.837; 95% CI, 1.468-2.299; P < 0.001), respectively. And the median (5-95% range) fetal placental cobalt concentrations were 19.350 ng/g and 42.500 ng/g (aOR, 2.924; 95% CI, 2.211-3.868; P < 0.001) in the control and case groups, respectively. Significant differences in the middle level of cobalt in hair were found in the different CHD subtypes, including septal defects, conotruncal defects, right ventricular outflow tract obstruction, and left ventricular outflow tract obstruction (P < 0.001). Dramatically, different cobalt concentrations in fetal placental tissue were found in all subtypes of cases with CHDs (P < 0.01).

conclusionsThe finding suggested that the occurrence of CHDs may be associated with cobalt exposure.

Indexed as

AdolescentAdultCase-Control StudiesChinaCobaltFemaleHairHeart Defects, CongenitalHumansMaternal ExposurePlacentaPregnancyPrenatal Exposure Delayed EffectsRisk FactorsYoung AdultCobaltCobaltCongenital heart defectHair biomarkerMetal exposurePlacenta tissue

Identifiers

PMID32770943
PMCPMC7415180
OpenAlexW3048284324

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.