Evidence map›Paper›PMID 34227050›Full record

SynthesisJournal of assisted reproduction and genetics2021

Unravelling the link between phthalate exposure and endometriosis in humans: a systematic review and meta-analysis of the literature.

Alessandro Conforti, Luigi Carbone, Vittorio Simeon, Paolo Chiodini, Vincenzo Marrone, Francesca Bagnulo, Federica Cariati, Ida Strina, Carlo Alviggi

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of assisted reproduction and genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 19 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Alessandro ConfortiDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Via Sergio Pansini no. 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0002-5676-0055
Luigi CarboneDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Via Sergio Pansini no. 5, 80131, Naples, Italy. drcarboneluigi@gmail.com.ORCID http://orcid.org/0000-0002-2127-1876
Vittorio SimeonMedical Statistic Unit, Luigi Vanvitelli University, Naples, Italy.
Paolo ChiodiniMedical Statistic Unit, Luigi Vanvitelli University, Naples, Italy.
Vincenzo MarroneDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Via Sergio Pansini no. 5, 80131, Naples, Italy.
Francesca BagnuloDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Via Sergio Pansini no. 5, 80131, Naples, Italy.
Federica CariatiDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Via Sergio Pansini no. 5, 80131, Naples, Italy.
Ida StrinaDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Via Sergio Pansini no. 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0001-9484-6725
Carlo AlviggiDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Via Sergio Pansini no. 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0001-9116-020X
Federico II University Hospital · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndometriosis is a chronic debilitating inflammatory pathology which interests females in their reproductive age. Its pathogenesis has not yet been clearly defined. Recent evidence linked chemical agents as endocrine-disrupting chemicals to endometriosis. Phthalates are a widely used class of such compounds. This study aimed to summarize the current literature evaluating the link between exposure to phthalates and occurrence of endometriosis.

methodsA systematic review of literature and meta-analysis has been carried out following PRISMA guidelines to assess such link. Fourteen studies have been included in the review. Risk of bias has been assessed through the Newcastle Ottawa Scale.

resultsWe observed association between endometriosis and increased urinary levels of MBP/MnBP, MEOHP, and MEHHP, but not for others. Blood-derived analysis showed statistically significant link between endometriosis and BBP, DEHP, DnBP, and MEHP.

conclusionGiven the wide heterogeneity of included studies, results should be taken with caution. Further studies with more rigorous methodology are encouraged to unravel the true link between this class of toxic compounds and manifestation of endometriosis.

Indexed as

EndometriosisEnvironmental ExposureEnvironmental PollutantsFemaleHumansPhthalic AcidsEnvironmental Pollutantsphthalic acidPhthalic AcidsEndocrine disruptor chemicalsEndometriosisEnvironmental diseasePhthalate estersPhthalatesUrine analysis

Identifiers

PMID34227050
PMCPMC8581146
OpenAlexW3181300108

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.