Evidence map›Paper›PMID 38889166›Full record

ArticleEnvironmental health perspectives2024

Association of Domestic Water Hardness with All-Cause and Cause-Specific Cancers: Evidence from 447,996 UK Biobank Participants.

Hongxi Yang, Qi Wang, Shuquan Zhang, Jingyu Zhang, Yuan Zhang, Jiangtao Feng

Abstract read
In one paragraph

Article in Environmental health perspectives, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Associations Between Domestic Water Hardness, Genetic Risk and Severe MASLD: A Large-Scale Cohort Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  8. Domestic water hardness, genetic risk, and distinct phenotypes of cardiovascular disease.Environmental health : a global access science source · 2025
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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

6 authors.

Hongxi YangDepartment of Bioinformatics, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China.
Qi WangDepartment of Orthopedics, Tianjin NanKai Hospital, Tianjin Medical University, Tianjin, China.
Shuquan ZhangDepartment of Orthopedics, Tianjin NanKai Hospital, Tianjin Medical University, Tianjin, China.
Jingyu ZhangDepartment of Bone and Soft Tissue Oncology, Tianjin Hospital, Tianjin University, Tianjin, China.
Yuan ZhangRaymond G. Perelman Center for Cellular and Molecular Therapeutics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jiangtao FengDepartment of Orthopedics, Tianjin NanKai Hospital, Tianjin Medical University, Tianjin, China.ORCID 0000-0002-6053-3437

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulating evidence suggests that domestic water hardness is linked to health outcomes, but its association to all-cause and cause-specific cancers warrants investigation.

objectiveThe aim of this study was to investigate the association of domestic hard water with all-cause and cause-specific cancers.

methodsIn the prospective cohort study, a total of 447,996 participants from UK Biobank who were free of cancer at baseline were included and followed up for 16 y. All-cause and 22 common cause-specific cancer diagnoses were ascertained using hospital inpatient records and self-reported data until 30 November 2022. Domestic water hardness, measured by

resultsOver a median follow-up of 13.6 y (range: 12.7-14.4 y), 58,028 all-cause cancer events were documented. A U-shaped relationship between domestic water hardness and all-cause cancers was observed ( DISCUSSION: Our findings suggest that domestic water hardness was associated with all-cause and multiple cause-specific cancers. Findings from the UK Biobank support a potentially beneficial association between hard water and the incidence of all-cause cancer. However, very hard water may increase the risk of all-cause cancer. https://doi.org/10.1289/EHP13606.

Indexed as

NeoplasmsAdultAgedBiological Specimen BanksEnvironmental ExposureFemaleHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesUK BiobankUnited KingdomWater Supply

Identifiers

PMID38889166
PMCPMC11218704

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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.