Evidence map›Paper›PMID 34562505›Full record

ArticleNeurotoxicology2021

Pesticides applied to crops and amyotrophic lateral sclerosis risk in the U.S.

Angeline Andrew, Jie Zhou, Jiang Gui, Antoinette Harrison, Xun Shi, Meifang Li, Bart Guetti, Ramaa Nathan, Maeve Tischbein, Erik P Pioro and 2 more

Open access · greenAbstract read
In one paragraph

Article in Neurotoxicology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Systematic literature review of the epidemiology of glyphosate and neurological outcomes.International archives of occupational and environmental health · 2023
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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

12 authors at 5 institutions in 1 country.

Angeline AndrewDartmouth-Hitchcock Medical Center, Lebanon, NH, United States. Electronic address: Angeline.Andrew@dartmouth.edu.
Jie ZhouDartmouth College, Hanover, NH, United States.
Jiang GuiDartmouth College, Hanover, NH, United States.
Antoinette HarrisonMitsubishi Tanabe Pharma America, Inc., Jersey City, NJ, United States.
Xun ShiDartmouth College, Hanover, NH, United States.
Meifang LiDartmouth College, Hanover, NH, United States.
Bart GuettiDartmouth-Hitchcock Medical Center, Lebanon, NH, United States.
Ramaa NathanEversana, Wayne, PA, United States.
Maeve TischbeinDartmouth-Hitchcock Medical Center, Lebanon, NH, United States.
Erik P PioroCenter for ALS and Related Disorders, Cleveland Clinic, Cleveland, OH, United States.
Elijah StommelDartmouth-Hitchcock Medical Center, Lebanon, NH, United States.
Walter BradleyDepartment of Neurology, Miller School of Medicine, University of Miami, Miami, FL, United States.
Dartmouth College · USDartmouth–Hitchcock Medical Center · USCleveland Clinic · USMitsubishi Corporation (United States) · USUniversity of Miami · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Identify, Analyze, and Evaluate Potential Risk Factors for Amyotrophic Lateral Sclerosis (ALS) - 2018R01TS000288 · TS · DARTMOUTH-HITCHCOCK CLINIC · PI PIORO, ERIK PAUL, STOMMEL, ELIJAH W · 2018 to 2020
$1.5M
ATSDR CDC HHS R01 TS000288NCI NIH HHS P30 CA023108
6 · The paper itself

Abstract

backgroundEnvironmental exposures are implicated in the etiology of amyotrophic lateral sclerosis (ALS). Application of insecticides, herbicides, and fungicides with neurotoxic properties to crops is permitted in the U.S., however reporting of the quantities is government mandated.

objectiveTo identify pesticides that may be associated with ALS etiology for future study.

methodsWe geospatially estimated exposure to crop-applied pesticides as risk factors for ALS in a large de-identified medical claims database, the SYMPHONY Integrated Dataverse®. We extracted residence at diagnosis of ∼26,000 nationally distributed ALS patients, and matched non-ALS controls. We mapped county-level U.S. Geological Survey data on applications of 423 pesticides to estimate local residential exposure. We randomly broke the SYMPHONY dataset into two groups to form independent discovery and validation cohorts, then confirmed top hits using residential history information from a study of NH, VT, and OH.

resultsPesticides with the largest positive statistically significant associations in both the discovery and the validation studies and evidence of neurotoxicity in the literature were the herbicides 2,4-D (OR 1.25 95 % CI 1.17-1.34) and glyphosate (OR 1.29 95 %CI 1.19-1.39), and the insecticides carbaryl (OR 1.32 95 %CI 1.23-1.42) and chlorpyrifos (OR 1.25 95 %CI 1.17-1.33). SIGNIFICANCE: Our geospatial analysis results support potential neurotoxic pesticide exposures as risk factors for sporadic ALS. Focused studies to assess these identified potential relationships are warranted.

Indexed as

2,4-Dichlorophenoxyacetic AcidAgedAged, 80 and overAmyotrophic Lateral SclerosisCarbarylChlorpyrifosCrop ProductionEnvironmental ExposureFemaleGlycineGlyphosateHerbicidesHumansInsecticidesMaleMiddle Aged2,4-Dichlorophenoxyacetic AcidCarbarylChlorpyrifosGlycineGlyphosateHerbicidesInsecticidesPesticidesAmyotrophic lateral sclerosisCropsPesticideRisk factors

Identifiers

PMID34562505
PMCPMC10756230
OpenAlexW3200852473

What OpenQuestion holds

Textmetadata
LicenceTDM
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.