Evidence map›Paper›PMID 32843177›Full record

ArticleRespiratory medicine

Association of low FVC spirometric pattern with WTC occupational exposures.

Rafael E de la Hoz, Moshe Shapiro, Anna Nolan, Juan C Celedón, Jaime Szeinuk, Roberto G Lucchini

Registry-linked trialAbstract read
In one paragraph

Article in Respiratory medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03295279 (Pulmonary Diseases in WTC Workers), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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.

NCT03295279 enrolling by invitationnot on this map

Pulmonary Diseases in WTC Workers: Symptoms, Function, and Chest CT Correlates

TypeobservationalSponsorIcahn School of Medicine at Mount SinaiRan2012 to 2027Enrolled2,122ConditionsChronic Airway Disease, Interstitial Lung Disease, Lung Cancer
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Asthma-COPD overlap in World Trade Center Health Registry enrollees, 2015-2016.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021
    Article
  11. 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

6 authors.

Rafael E de la HozDepartment of Environmental Medicine and Public Health, and Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: Rafael.delaHoz@mssm.edu.
Moshe ShapiroDepartment of Environmental Medicine and Public Health, and Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: Moshe.Shapiro@mssm.edu.
Anna NolanDepartment of Medicine, New York University School of Medicine, New York, NY, USA. Electronic address: Anna.Nolan@med.nyu.edu.
Juan C CeledónDivision of Pediatric Pulmonology, Allergy and Immunology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: Juan.Celedon@chp.edu.
Jaime SzeinukDepartment of Occupational Medicine, Epidemiology, and Prevention, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA. Electronic address: JSzeinuk@northwell.edu.
Roberto G LucchiniDepartment of Environmental Medicine and Public Health, and Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: Roberto.Lucchini@mssm.edu.

Funding

Pulmonary Diseases in WTC Workers: Symptoms, Function, and Chest CT CorrelatesU01OH010401 · OH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI DE LA HOZ, RAFAEL E. · 2012 to 2025
$7.3M
Metabolomics of World Trade Center-Lung Injury: Biomarker Validation, Longitudinal Assessment and Dietary InterventionU01OH011300 · OH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI NOLAN, ANNA · 2017 to 2025
$4.8M
RAGE Mediates LPA Induced Pulmonary InflammationR01HL119326 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI NOLAN, ANNA · 2015 to 2019
$2.1M
Chronic Obstructive Pulmonary Disease in WTC Workers - Diagnoses and TransitionsU01OH011697 · OH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI DE LA HOZ, RAFAEL E. · 2018 to 2025
$1.9M
NHLBI NIH HHS R01 HL119326NIOSH CDC HHS U01 OH010401NIOSH CDC HHS U01 OH011300NIOSH CDC HHS U01 OH011697
6 · The paper itself

Abstract

backgroundA reduced forced vital capacity without obstruction (low FVC) is the predominant spirometric abnormality reported in workers and volunteers exposed to dust, gases, and fumes at the World Trade Center (WTC) disaster site in 2001-2002. While low FVC has been associated with obesity and metabolic syndrome, its association with WTC occupational exposures has not been demonstrated. We estimated the prevalence of this abnormality and examined its association with WTC exposure level.

methodsLongitudinal study of the relation between arrival at the WTC site within 48 h and FVC below the lower limit of normal (FVC < LLN, with normal FEV

resultsThe prevalence of low FVC increased from 17.0% (95% CI 15.4%, 18.5%) in June 2003, to 26.4% (95% CI 24.8%, 28.1%) in June 2018, and exceeded at both times that of obstruction. The rate of FVC decline was -43.7 ml/year during the study period. In a multivariable analysis adjusting for obesity, metabolic syndrome indicators, and other factors, early arrival at the WTC disaster site was significantly associated with low FVC, but only among men (OR

conclusionsAmong WTC workers, the prevalence of low FVC increased over a 16-year period. Early arrival to the WTC disaster site was significantly associated with low FVC in males.

Indexed as

Disaster VictimsSeptember 11 Terrorist AttacksVital CapacityAdultDustFemaleGasesHumansLongitudinal StudiesLungMaleMetabolic SyndromeMiddle AgedObesityOccupational DiseasesOccupational ExposureDustGases2001Longitudinal changes in lung functionOccupational lung diseaseSmoke inhalation injurySpirometryWorld Trade Center attack

Identifiers

PMID32843177
PMCPMC7605357

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Registered trials

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.