Evidence map›Paper›PMID 38504322›Full record

ArticleEnvironmental health : a global access science source2024

Organochlorine pesticides and risk of papillary thyroid cancer in U.S. military personnel: a nested case-control study.

Jennifer A Rusiecki, Jordan McAdam, Hristina Denic-Roberts, Andreas Sjodin, Mark Davis, Richard Jones, Thanh D Hoang, Mary H Ward, Shuangge Ma, Yawei Zhang

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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

10 authors at 7 institutions in 2 countries.

Jennifer A RusieckiDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Room E-2009, Bethesda, MD, 20814, USA. jennifer.rusiecki@usuhs.edu.
Jordan McAdamMurtha Cancer Center Research Program, 4494 North Palmer Road, Bethesda, MD, USA.
Hristina Denic-RobertsDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Room E-2009, Bethesda, MD, 20814, USA.
Andreas SjodinDivision of Laboratory Sciences, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Mark DavisDivision of Laboratory Sciences, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Richard JonesDivision of Laboratory Sciences, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Thanh D HoangDivision of Endocrinology, Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Mary H WardDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA.
Shuangge MaDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
Yawei ZhangDepartment of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, USA.
Centers for Disease Control and Prevention · USUniformed Services University of the Health Sciences · USChinese Academy of Medical Sciences & Peking Union Medical College · CNHenry M. Jackson Foundation · USNational Cancer Institute · USOak Ridge Associated Universities · USYale University · US

Funding

Cancer Risk and Environmental ExposuresZIACP010125 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI PURDUE, MARK · 2009 to 2025
$41.3M
PHAHs and Thyroid Cancer Risk in DoDSR CohortR01ES020361 · NIEHS · YALE UNIVERSITY · PI RUSIECKI, JENNIFER ANN, ZHANG, YAWEI · 2012 to 2016
$3.3M
NIEHS NIH HHS R01 ES020361NIH HHS R01ES020361
6 · The paper itself

Abstract

backgroundThe effects of organochlorine pesticide (OCP) exposure on the development of human papillary thyroid cancer (PTC) are not well understood. A nested case-control study was conducted with data from the U.S. Department of Defense Serum Repository (DoDSR) cohort between 2000 and 2013 to assess associations of individual OCPs serum concentrations with PTC risk.

methodsThis study included 742 histologically confirmed PTC cases (341 females, 401 males) and 742 individually-matched controls with pre-diagnostic serum samples selected from the DoDSR. Associations between categories of lipid-corrected serum concentrations of seven OCPs and PTC risk were evaluated for classical PTC and follicular PTC using conditional logistic regression, adjusted for body mass index category and military branch to compute odds ratios (OR) and 95% confidence intervals (CIs). Effect modification by sex, birth cohort, and race was examined.

resultsThere was no evidence of associations between most of the OCPs and PTC, overall or stratified by histological subtype. Overall, there was no evidence of an association between hexachlorobenzene (HCB) and PTC, but stratified by histological subtype HCB was associated with significantly increased risk of classical PTC (third tertile above the limit of detection (LOD) vs. <LOD, OR = 1.61, 95% CI, 1.09, 2.38; p for trend = 0.05) and significantly decreased risk of follicular variant PTC (third tertile above the limit of detection (LOD) vs. <LOD, OR = 0.38, 95% CI, 0.16, 0.91; p for trend = 0.04). Further stratified by sex, risk of classical PTC was higher for females (third tertile above LOD vs. <LOD, OR = 2.23, 95% CI: 1.23, 4.06; p-trend = 0.02) than for males (OR = 1.22, 95%CI: 0.72-2.08; p-trend = 0.56), though the test for interaction by sex was not statistically significant (p-interaction = 0.30). Similarly, β-hexachlorocyclohexane (β-HCCH) was associated with a higher risk for classical PTC for women with concentrations ≥LOD versus <LOD (OR = 1.76, 95% CI: 1.07, 2.89), while the effects were null for men. There were no consistent trends when stratified by race or birth year. 

conclusionsThe U.S. Environmental Protection Agency has classified HCB and other OCPs we studied here as probable human carcinogens. Our findings of increased risks for classical PTC associated with increased concentrations of HCB and β-HCCH, which were stronger among females, should be replicated in future studies of other populations.

Indexed as

HexachlorocyclohexaneHydrocarbons, ChlorinatedMilitary PersonnelPesticidesThyroid NeoplasmsCase-Control StudiesFemaleHexachlorobenzeneHumansMaleThyroid Cancer, Papillarybeta-hexachlorocyclohexaneHexachlorobenzeneHexachlorocyclohexaneHydrocarbons, ChlorinatedPesticidesHexachlorobenzeneHexachlorocyclohexaneOrganochlorine pesticidesPapillary thyroid cancer

Identifiers

PMID38504322
PMCPMC10949709
OpenAlexW4392963555

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.