Evidence map›Paper›PMID 36563983›Full record

SynthesisEnvironmental research2023

Cadmium exposure and risk of breast cancer: A meta-analysis.

V A Florez-Garcia, E C Guevara-Romero, M M Hawkins, L E Bautista, T E Jenson, J Yu, A E Kalkbrenner

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Environmental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Endocrine Disruptors and Gynecological Malignancies.Diagnostics (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. FIGO committee opinion: Environmental drivers of gynecologic and reproductive health.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Mechanisms of Heavy Metal Cadmium (Cd)-Induced Malignancy.Biological trace element research · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

7 authors at 3 institutions in 2 countries.

V A Florez-GarciaJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, 5321, USA; Department of Public Health. Universidad Del Norte, Barranquilla. Colombia. Electronic address: vaflorez@uwm.edu.
E C Guevara-RomeroJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, 5321, USA.
M M HawkinsJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, 5321, USA; Public Health. Carroll University College of Health Sciences. 100 N East Ave, Waukesha, WI, 53186, USA.
L E BautistaDepartment of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, 610 Walnut Street, WARF 703, Madison, WI, 53726-2397, USA.
T E JensonJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, 5321, USA.
J YuJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, 5321, USA.
A E KalkbrennerJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, 5321, USA.
University of Wisconsin–Milwaukee · USCarroll University · USUniversidad del Norte · CO

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
J. NRSA Training CoreTL1TR001437 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI THOMAS, DANNY GEORGE · 2015 to 2024
$3.7M
NCATS NIH HHS TL1 TR001437NCATS NIH HHS UL1 TR001436
6 · The paper itself

Abstract

backgroundCadmium is a heavy metal with carcinogenic properties, highly prevalent in industrialized areas worldwide. Prior reviews evaluating whether cadmium influences breast cancer have been inconclusive and not reflected several recent studies.

objectiveTo evaluate the association between cadmium exposure and female breast cancer incidence, with an emphasis on separately estimating dietary vs. airborne vs. biomarker measures of cadmium and studies published until October 2022.

methodsWe evaluated risk of bias using set criteria and excluded one study judged to have high risk based on self-report of breast cancer and insufficient adjustment. We conducted a random effects meta-analysis of epidemiological studies, including subgroups by exposure route and by menopausal status.

resultsA total of 17 studies were eligible for our meta-analysis. Only 2 studies addressed airborne cadmium directly. Breast cancer risk was elevated in women exposed to higher levels of cadmium across all studies - pooled odds ratio: 1.13 (95% confidence interval: 1.00, 1.28), with notable heterogeneity between studies (I

conclusionFindings from our meta-analysis suggest that exposure to higher cadmium increases the risk of breast cancer in women, but with remaining questions about whether non-dietary exposure may be more risky or whether residual confounding by constituents of tobacco smoke may be at play.

Indexed as

Breast NeoplasmsMetals, HeavyBreastCadmiumFemaleHumansRiskCadmiumMetals, HeavyBreast cancerCadmiumEnvironmental exposureEpidemiologyHeavy metals

Identifiers

PMID36563983
PMCPMC9957608
OpenAlexW4313420287

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.