Evidence map›Paper›PMID 40844994›Full record

ArticlePloS one2025

The association between cadmium exposure and lung cancer risk: A protocol for systematic review and meta-analysis.

Lin Chen, Min Zhou, Dingliang Lv, Shuiwei Qiu

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

4 authors.

Lin ChenCardiothoracic surgery, the Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Min ZhouCardiothoracic surgery, the Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Dingliang LvCardiothoracic surgery, the Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Shuiwei QiuCardiothoracic surgery, the Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.ORCID https://orcid.org/0000-0003-3504-345X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCadmium (Cd), a toxic heavy metal, is classified as a human carcinogen by the International Agency for Research on Cancer (IARC). Epidemiological studies suggested a potential link between cadmium exposure and lung cancer risk, but evidence has remained inconsistent, particularly regarding differences between occupational and general populations. This protocol will outline a systematic review and meta-analysis to quantify the association between cadmium exposure (via blood, urine, hair, or environmental samples) and lung cancer risk.

methodsThis study protocol will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) guidelines. A comprehensive search of PubMed, Embase, Web of Science, Medline, and Cochrane databases will identify observational studies published from inception to December 2024. Two reviewers will independently screen studies, extract data, and assess the quality of included using the Newcastle-Ottawa Scale (NOS). We will harmonize data to calculate pooled relative risks (RRs) with 95% confidence intervals (CIs). Random-effects model is anticipated for high-heterogeneous results, while fixed-effects model will be adopted for low- heterogeneous results. Sub-group analyses (e.g., population type (general/occupational), geographic region, year of publication), sensitivity analyses, and assessments of publication bias (Egger's test, funnel plots) will be conducted to ensure the robustness and reliability of the findings. The analyses will be conducted via RevMan 5.3 and STATA 15 software. DISCUSSION: This protocol will guide the standard process of the systematic review, providing synthesized evidence on the short-, and long-term effect of cadmium on lung risk in general and occupational populations.

conclusionThis systematic review and meta-analysis will provide synthesized evidence regarding cadmium exposure with lung cancer risk in both occupational and general populations. The evidence obtained in this study can inform the public and the policy-making bodies. REGISTER ON PROSPERO: CRD42024527248.

Indexed as

CadmiumEnvironmental ExposureLung NeoplasmsHumansMeta-Analysis as TopicOccupational ExposureRisk FactorsSystematic Reviews as TopicCadmium

Identifiers

PMID40844994
PMCPMC12373195

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Registered trials

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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.