Evidence map›Paper›PMID 34120777›Full record

SynthesisGaceta sanitaria

Fiber burden and asbestos-related diseases: an umbrella review.

José María Ramada Rodilla, Beatriz Calvo Cerrada, Consol Serra Pujadas, George L Delclos, Fernando G Benavides

Abstract readSystematic Review
In one paragraph

Synthesis in Gaceta sanitaria. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

  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

5 authors.

José María Ramada RodillaInstitut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; Servei de Salut Laboral, Parc de Salut Mar, Barcelona, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Center for Research in Occupational Health (CISAL-UPF), Barcelona, Spain. Electronic address: jramada@parcdesalutmar.cat.
Beatriz Calvo CerradaServei de Salut Laboral, Parc de Salut Mar, Barcelona, Spain.
Consol Serra PujadasInstitut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; Servei de Salut Laboral, Parc de Salut Mar, Barcelona, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Center for Research in Occupational Health (CISAL-UPF), Barcelona, Spain.
George L DelclosCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Center for Research in Occupational Health (CISAL-UPF), Barcelona, Spain; Southwest Center for Occupational and Environmental Health, The University of Texas Health Science at Houston School of Public Health, Houston, Texas, USA.
Fernando G BenavidesInstitut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Center for Research in Occupational Health (CISAL-UPF), Barcelona, Spain.

Funding

Southwest Center for Occupational and Environmental HealthT42OH008421 · OH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FELKNOR, SARAH A. · 2005 to 2024
$24.1M
Translational Research Support CoreP30ES030285 · NIEHS · BAYLOR COLLEGE OF MEDICINE · PI Cheryl L. Walker · 2019 to 2026
$14.7M
NIEHS NIH HHS P30 ES030285NIOSH CDC HHS T42 OH008421
6 · The paper itself

Abstract

objectiveWhat are the levels of asbestos exposure that cause each type of health effect? The objective of this study was to review the available scientific evidence on exposure levels for asbestos and their relationship to health effects.

methodAn umbrella review of English-language reviews and meta-analyses, from 1980 to March 2021 was conducted. We included reviews involving quantified asbestos exposures and health outcomes. The review has been adapted to the indications of the PRISMA declaration. Methodological quality of the selected studies was assessed using the AMSTAR instrument.

resultsWe retrieved 196 references. After applying the search strategy and quality analysis, 10 reviews were selected for in-depth analysis. For lung cancer, the highest risk was observed with exposure to amphiboles. Longer, thinner fibers had the greatest capacity to cause lung cancer, especially those > 10 μm in length. For mesothelioma, longer and thinner fibers were also more pathogenic; amphiboles ≥ 5 μm are especially associated with increased mesothelioma risk. No studies observed an increased risk for lung cancer or mesothelioma at asbestos exposure levels <0.1 f/ml. No reviews provided information on exposure concentrations for pulmonary fibrosis. Currently, there is limited evidence in humans to establish the causal relationship between gastrointestinal cancer and asbestos exposure.

conclusionsBanning all asbestos exposure remains the best measure to preventing its negative health effects. The highest quality reviews and meta-analyses support that there is little risk of lung cancer or mesothelioma at daily exposure levels below 0.1 f/ml.

Indexed as

AsbestosLung NeoplasmsMesotheliomaOccupational ExposureAsbestos, AmphiboleHumansRisk AssessmentAsbestosAsbestos, AmphiboleAsbestoAsbestosAsesoramiento de exposiciónCáncer de laringeCáncer de ovarioCáncer de pulmónCáncer gastrointestinalExposure assessmentFibras inorgánicasFibrosis pulmonarGastrointestinal cancerInorganic fibersLaryngeal cancerLung cancerMesoteliomaMesotheliomaOvarian cancerPulmonary fibrosis

Identifiers

PMID34120777
PMCPMC8882348

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.