Evidence map›Paper›PMID 37847981›Full record

ArticleEnvironment international2023

Long-term association of air pollution and incidence of lung cancer among older Americans: A national study in the Medicare cohort.

Cristina Su Liu, Yaguang Wei, Mahdieh Danesh Yazdi, Xinye Qiu, Edgar Castro, Qiao Zhu, Longxiang Li, Petros Koutrakis, Christine C Ekenga, Liuhua Shi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Environment international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.5field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Impact of Pollution on Cancer: A Systematic Review and Meta-Analysis with Focus on Air Pollution.International journal of environmental research and public health · 2026
    Pooled it
  2. Review
  3. Long-term exposure to PMThe Lancet. Planetary health · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Long-term exposure to ambient NOFrontiers in public health · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. 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

11 authors at 2 institutions in 1 country.

Cristina Su LiuDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA.
Yaguang WeiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA. Electronic address: weiyg@hsph.harvard.edu.
Mahdieh Danesh YazdiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA; Program in Public Health, Department of Family, Population and Preventive Medicine, Stony Brook University, 101 Nicolls Road Health Sciences Center, Stony Brook, NY 11794, USA.
Xinye QiuDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA.
Edgar CastroDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA.
Qiao ZhuGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd. NE, Atlanta, GA 30322, USA.
Longxiang LiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA.
Petros KoutrakisDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA.
Christine C EkengaGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd. NE, Atlanta, GA 30322, USA.
Liuhua ShiGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd. NE, Atlanta, GA 30322, USA.
Joel D SchwartzDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA.
Harvard University · USEmory University · US

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Air Pollution and Alzheimer's Disease and Related Dementias: A National StudyR01AG074357 · NIA · EMORY UNIVERSITY · PI STEENLAND, NELSON K · 2021 to 2025
$3.4M
Identifying low dose measurement error corrected effects of multiple pollutants using causal modelingR01ES032418 · NIEHS · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI SCHWARTZ, JOEL D · 2021 to 2024
$1.7M
Climate Penalty: Climate-driven Increases in Ozone and PM2.5 Levels and MortalityR21ES032606 · NIEHS · EMORY UNIVERSITY · PI CHANG, HOWARD H · 2021 to 2022
$456k
NIA NIH HHS R01 AG074357NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30 ES019776NIEHS NIH HHS R01 ES032418NIEHS NIH HHS R21 ES032606
6 · The paper itself

Abstract

backgroundDespite strong evidence of the association of fine particulate matter (PM

objectivesWe investigated long-term effects of PM

methodsWe conducted a cohort study with Medicare beneficiaries (aged ≥ 65 years) continuously enrolled in the fee-for-service program in the contiguous US from 2001 to 2016. Air pollution exposure was averaged across three years and assigned based on ZIP code of residence. We fitted Cox proportional hazards models to estimate the hazard ratio (HR) for lung cancer incidence, adjusted for individual- and neighborhood-level confounders. As a sensitivity analysis, we evaluated the causal relationships using inverse probability weights. We further assessed effect modifications by individual- and neighborhood-level covariates.

resultsWe identified 166,860 lung cancer cases of 12,429,951 studied beneficiaries. In the multi-pollutant model, PM DISCUSSION: Long-term PM

Indexed as

Air PollutantsAir PollutionEnvironmental PollutantsLung NeoplasmsAgedCohort StudiesEnvironmental ExposureHumansIncidenceMaleMedicareNitrogen DioxideParticulate MatterUnited StatesAir PollutantsEnvironmental PollutantsNitrogen DioxideParticulate MatterAir pollutionIncidenceLung cancerMedicare

Identifiers

PMID37847981
PMCPMC10691920
OpenAlexW4387641511

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.