Evidence map›Paper›PMID 42016703›Full record

ArticleFrontiers in oncology2026

Combined occupational exposure to carcinogenic metals/metalloids and risk of lung cancer.

Paolo Boffetta, David Zaridze, Beata Świątkowska, Tamás Pándics, Jolanta Lissowska, Eleonóra Fabiánová, John K Field, Dana Mates, Miriam Schejbalová, Lenka Foretova and 3 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2026. 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. Article
  2. Review
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

13 authors.

Paolo BoffettaStony Brook Cancer Center, Stony Brook University, Stony Brook, NY, United States.
David ZaridzeDepartment of Cancer Epidemiology and Prevention, N.N. Blokhin National Research Centre of oncology, Moscow, Russia.
Beata ŚwiątkowskaDepartment of Environmental Epidemiology, The Nofer Institute of Occupational Medicine, Lodz, Poland.
Tamás PándicsNational Center for Public Health and Pharmacy, Budapest, Hungary.
Jolanta LissowskaEpidemiology Unit, Department of Cancer Epidemiology and Prevention, M. Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Eleonóra FabiánováRegional Authority of Public Health, Banská Bystrica, Slovakia.
John K FieldRoy Castle Lung Cancer Research Programme, Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, United Kingdom.
Dana MatesNational Institute of Public Health, Bucharest, Romania.
Miriam SchejbalováFirst Faculty of Medicine, Charles University, Prague, Czechia.
Lenka ForetovaMasaryk Memorial Cancer Institute, Brno, Czechia.
Vladimir JanoutFaculty of Health Sciences, Palacky University, Olomouc, Czechia.
Chengfeng YangStony Brook Cancer Center, Stony Brook University, Stony Brook, NY, United States.
Monireh Sadat SeyyedsalehiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Exposure to arsenic, cadmium, chromium (VI) and nickel increases the risk of lung cancer; whereas humans are exposed to mixtures, epidemiology studies refer to individual metals/metalloids. Methods: We analysed the data of a case-control study of lung cancer conducted in seven European countries and comprising 2861 cases and 2936 controls, with detailed assessment of occupational exposure to arsenic, cadmium, chromium (VI) and nickel, to estimate the odds ratio (OR) of lung cancer for combined exposure to these metals/metalloids, after adjustment for potential confounders. Results: Odds ratios for combined exposure to arsenic and cadmium and to arsenic and chromium (VI) were higher than those for individual metals (in order of 1.2-1.4 for single metals and above 2.0 for combined exposure), although formal tests of interaction on additive and multiplicative scales were imprecise and compatible with no interaction. Estimates for combined exposure to chromium (VI) and nickel were lower than expected under additive or multiplicative models, but confidence intervals for the interaction metrics included the null. Results for co-exposure to three or four metals/metalloids were based on small numbers of exposed subjects. Discussion: Findings provide limited evidence of statistical interactions between occupational exposure to these metals in relation to lung cancer risk.

Indexed as

arseniccadmiumchromium (VI)co-exposureinteractionlung cancernickel

Identifiers

PMID42016703
PMCPMC13093972

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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.