Evidence map›Paper›PMID 37846562›Full record

ArticleStroke2023

Smoking Modifies the Association Between Radon Exposure and Incident Ischemic Stroke: The REGARDS Study.

Yijia Zhang, Qi Yan, Meghan Angley, Liping Lu, Eliza C Miller, Suzanne E Judd, R William Field, Ka Kahe

Open access · greenAbstract read
In one paragraph

Article in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Assessing historical residential radon exposure using a glass-based surface trap method in low radon level areas: a pilot study.Journal of radiological protection : official journal of the Society for Radiological Protection · 2026
    Article
  5. Article
  6. Review
  7. Observational
  8. 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

8 authors at 3 institutions in 1 country.

Yijia ZhangDepartment of Obstetrics and Gynecology (Y.Z., Q.Y., M.A., L.L., R.W.F., K.K.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.ORCID 0000-0002-6638-2641
Qi YanDepartment of Obstetrics and Gynecology (Y.Z., Q.Y., M.A., L.L., R.W.F., K.K.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.ORCID 0000-0002-5236-9673
Meghan AngleyDepartment of Obstetrics and Gynecology (Y.Z., Q.Y., M.A., L.L., R.W.F., K.K.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.
Liping LuDepartment of Obstetrics and Gynecology (Y.Z., Q.Y., M.A., L.L., R.W.F., K.K.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.ORCID 0000-0002-5110-1923
Eliza C MillerDepartment of Neurology, Division of Stroke and Cerebrovascular Disease (E.C.M.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.ORCID 0000-0002-7108-8906
Suzanne E JuddDepartment of Biostatistics, University of Alabama at Birmingham (S.E.J.).ORCID 0000-0001-7594-6587
R William FieldDepartment of Obstetrics and Gynecology (Y.Z., Q.Y., M.A., L.L., R.W.F., K.K.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.
Ka KaheDepartment of Obstetrics and Gynecology (Y.Z., Q.Y., M.A., L.L., R.W.F., K.K.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.ORCID 0000-0001-5078-2010
Columbia University · USUniversity of Alabama at Birmingham · USUniversity of Iowa · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Residential Radon Exposure and Stroke Risk: the REGARDS StudyR01NS122449 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KAHE, KA, SMITH, BRIAN JOSEPH · 2021 to 2025
$3.1M
Radon exposure in relation to the risk of cognitive impairment and mitochondrial functionRF1AG077255 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KAHE, KA · 2023 to 2023
$2.4M
NIA NIH HHS RF1 AG077255NINDS NIH HHS R01 NS122449NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

backgroundExposure to radon has been linked to lung cancer and other lung diseases. Although biologically plausible, research of residential radon exposure in relation to stroke risk is scarce.

methodsStudy participants were from the REGARDS (Reasons for Geographic and Racial Differences in Stroke) cohort (n=30 239), which consisted of male and female non-Hispanic Black and White adults aged 45 and older. After excluding participants with baseline stroke and transient ischemic attack, and missing information on exposure and outcome of interest, the final sample size was 26 950. The primary outcome was time to the first ischemic stroke through September 30, 2020. County-level radon measures from Lawrence Berkeley National Laboratory were linked to each participant based on their geocoded residential history. We used Cox proportional hazards regression models with a time-dependent exposure to estimate hazard ratios and 95% CIs for the association.

resultsAfter controlling for potential confounding factors including demographic, lifestyle, clinical variables, and PM

conclusionsFindings from this study suggest that the association between residential radon exposure and incidence of ischemic stroke varies by smoking status and may be prominent in never-smokers. Further studies incorporating indoor-radon measures are needed to confirm these findings.

Indexed as

Ischemic StrokeRadonStrokeAdultFemaleHumansMaleRisk FactorsSmokingRadonepidemiologyischemic strokeradonsmoking

Identifiers

PMID37846562
PMCPMC10615728
OpenAlexW4387692603

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.