Evidence map›Paper›PMID 40956283›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2025

Arsenic in Drinking Water and Prostate Cancer: A Population-Based Case-Control Study in Northern Chile.

Molly E Schwalb, Catterina Ferreccio, Estela Blanco, Allan H Smith, Craig Steinmaus

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Molly E SchwalbOffice of Environmental Health Hazard Assessment, California Environmental Protection Agency, Oakland, California.ORCID 0000-0002-5387-847X
Catterina FerreccioEscuela de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0001-6331-5534
Estela BlancoEscuela de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0002-6232-9210
Allan H SmithArsenic Health Effects Research Program, School of Public Health, University of California, Berkeley, California.ORCID 0009-0001-2142-7308
Craig SteinmausOffice of Environmental Health Hazard Assessment, California Environmental Protection Agency, Oakland, California.ORCID 0000-0003-2697-843X

Funding

Incident cancer studies in a unique arsenic-exposed area of ChileR01ES014032 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI STEINMAUS, CRAIG M · 2007 to 2018
$3.8M
National Institutes of Health (NIH) R01 ES014032-05NIEHS NIH HHS R01 ES014032
6 · The paper itself

Abstract

backgroundEpidemiologic evidence demonstrates increased lung, bladder, and skin cancer risk among individuals exposed to arsenic in drinking water. Some studies report associations with prostate cancer, but data are limited. This study aimed to examine the association between arsenic in drinking water and prostate cancer in Northern Chile. With its wide range of exposure (<10-860 µg/L), large population, and accurate information on historic exposures, Northern Chile is the best place to investigate the human carcinogenic effects of arsenic.

methodsA case-control study conducted from 2015 to 2019 enrolled 343 prostate cancer cases and 337 age-matched controls among men ages ≥40 years. Cases were ascertained from cancer committees, hospitals, and medical facilities in the area. Controls were ascertained from the Chile Voter Registry, including >90% of adults ages >50 years. Information on lifetime arsenic exposure and potential confounders such as smoking, family history, and prostate cancer screening were collected.

resultsTwenty-three percent of participants were exposed to arsenic concentrations >800 µg/L in their lifetime (80× recommended thresholds). Cases and controls were demographically similar. After adjustment for age and smoking status, participants with the highest quartile of lifetime cumulative and average arsenic concentrations in drinking water each had 1.14 (95% confidence interval, 0.71-1.84) and 1.17 (95% confidence interval, 0.73-1.89) times the odds of prostate cancer compared with participants with the lowest quartile of exposure, respectively.

conclusionsArsenic exposure in drinking water, even at high levels, was not associated with increased risk of prostate cancer. IMPACT: Our findings suggest that arsenic is not a risk factor for prostate cancer.

Indexed as

ArsenicDrinking WaterEnvironmental ExposureProstatic NeoplasmsWater Pollutants, ChemicalAdultAgedCase-Control StudiesChileHumansMaleMiddle AgedRisk FactorsArsenicDrinking WaterWater Pollutants, Chemical

Identifiers

PMID40956283
PMCPMC12536798

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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.