Evidence map›Paper›PMID 33228703›Full record

ArticleEnvironmental health : a global access science source2020

Mortality in Yusho patients exposed to polychlorinated biphenyls and polychlorinated dibenzofurans: a 50-year retrospective cohort study.

Daisuke Onozuka, Yuko Nakamura, Gaku Tsuji, Masutaka Furue

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2020. 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. Review
  2. Mortality of individuals in a long-term cohort exposed to polybrominated biphenyls (PBBs).Environmental health : a global access science source · 2025
    Article
  3. Exposure to environmental chemicals and cancer risk: epidemiological evidence from Japanese studies.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2023
    Review
  4. Review
  5. Article
  6. 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

4 authors.

Daisuke OnozukaDepartment of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center Research Institute, 6-1 Kishibeshin-machi, Suita, Osaka, 564-8565, Japan. onozukad@ncvc.go.jp.ORCID 0000-0001-9596-9188
Yuko NakamuraResearch and Clinical Center for Yusho and Dioxin, Kyushu University Hospital, Fukuoka, Japan.
Gaku TsujiResearch and Clinical Center for Yusho and Dioxin, Kyushu University Hospital, Fukuoka, Japan.
Masutaka FurueResearch and Clinical Center for Yusho and Dioxin, Kyushu University Hospital, Fukuoka, Japan.

Funding

Ministry of Health, Labour and Welfare H30-Shokuhin-Shitei-005
6 · The paper itself

Abstract

backgroundIn 1968, the Yusho incident resulted in accidental exposure to polychlorinated biphenyls (PCBs), polychlorinated dibenzofurans (PCDFs), and related compounds in Japan. This study updated the risk of mortality in Yusho patients.

methodsWe obtained updated cohort data for all Yusho patients for the period 1968-2017. We calculated standardized mortality ratios (SMRs) for all-cause and cause-specific mortality over a 50-year follow-up period compared with the general population in Japan.

resultsA total of 1664 Yusho patients with 63,566 person-years of follow up were included in the analysis. Among males, excess mortality was observed for all cancers (SMR: 1.22, 95% confidence interval [CI]: 1.02 to 1.45) and lung cancer (SMR: 1.59, 95% CI: 1.12 to 2.19). Among females, increased mortality was observed for liver cancer (SMR: 2.05, 95% CI: 1.02 to 3.67). No significant increase was seen in non-cancer-related mortality compared with the general population.

conclusionsCarcinogenic risk in humans after exposure to PCBs and PCDFs remains higher among Yusho patients. Our findings suggest the importance of care engagement and optimum management to deal with the burden of Yusho disease.

Indexed as

AdultAgedAged, 80 and overChemical Hazard ReleaseDibenzofurans, PolychlorinatedDietary ExposureEnvironmental PollutantsFemaleFood ContaminationHumansJapanMaleMiddle AgedNeoplasmsPolychlorinated BiphenylsPorphyriasDibenzofurans, PolychlorinatedEnvironmental PollutantsPolychlorinated BiphenylsCancerCohort studyPolychlorinated biphenylsPolychlorinated dibenzofuransYusho

Identifiers

PMID33228703
PMCPMC7685647

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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.