Evidence mapPaperPMID 31377785Full record

ArticleInternational journal of epidemiology2020

Ischaemic heart disease and stroke mortality by specific coal type among non-smoking women with substantial indoor air pollution exposure in China.

Bryan A Bassig, H Dean Hosgood, Xiao-Ou Shu, Roel Vermeulen, Bingshu E Chen, Hormuzd A Katki, Wei Jie Seow, Wei Hu, Lützen Portengen, Bu-Tian Ji and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in International journal of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

23 authors at 11 institutions in 5 countries.

Bryan A BassigDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
H Dean HosgoodDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
Xiao-Ou ShuDivision of Epidemiology, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Roel VermeulenInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Bingshu E ChenDepartment of Public Health Sciences, Queen's University, Kingston, ON, Canada.
Hormuzd A KatkiDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Wei Jie SeowSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Wei HuDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Lützen PortengenInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Bu-Tian JiDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Jason Y Y WongDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Bofu NingXuanwei Center for Disease Control and Prevention, Xuanwei, Qujing, Yunnan, China.
George S DownwardInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Jihua LiQujing Center for Diseases Control and Prevention, Sanjiangdadao, Qujing, Yunnan, China.
Kaiyun YangThird Affiliated Hospital of Kunming Medical University (Yunnan Tumor Hospital), Kunming, China.
Gong YangDivision of Epidemiology, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Yu-Tang GaoDepartment of Epidemiology, Shanghai Cancer Institute, Shanghai Jiaotong University, Shanghai, China.
Yong-Bing XiangState Key Laboratory of Oncogene and Related Genes & Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Teja NagaradonaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Wei ZhengDivision of Epidemiology, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Debra T SilvermanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Yunchao HuangThird Affiliated Hospital of Kunming Medical University (Yunnan Tumor Hospital), Kunming, China.
Qing LanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
National Cancer Institute · USUtrecht University · NLVanderbilt University · USKunming Medical University · CNAlbert Einstein College of Medicine · USNational University of Singapore · SGQueen's University · CAQujing Normal University · CNShanghai Cancer Institute · CNShanghai Jiao Tong University · CNYunnan Center for Disease Control And Prevention · CN

Funding

NCI NIH HHS UM1 CA182910
6 · The paper itself

Abstract

backgroundLifetime use of bituminous ('smoky') coal is associated with nearly a 100-fold higher risk of lung cancer mortality compared with anthracite ('smokeless') coal use in rural Xuanwei, China, among women. Risk of mortality from ischaemic heart disease (IHD) and stroke for these coal types has not been evaluated.

methodsA cohort of 16 323 non-smoking women in Xuanwei, who were lifetime users of either smoky or smokeless coal, were followed up from 1976 to 2011. We estimated hazard ratios (HRs) and 95% confidence intervals (CI) to evaluate lifetime use of coal types and stoves in the home in relation to risk of IHD and stroke mortality.

resultsAmong lifetime users of smokeless coal, higher average exposure intensity (≥4 tons/year vs <2.5 tons/year, HR = 7.9, 95% CI = 3.5-17.8; Ptrend =<0.0001) and cumulative exposure (>64 ton-years vs ≤28 ton-years, HR = 6.5, 95% CI = 1.5-28.3; Ptrend =0.003) during follow-up and over their lifetime was associated with increased IHD mortality, and ventilated stove use dramatically reduced this risk (HR = 0.2, 95% CI 0.1-0.5). Higher cumulative exposure to smoky coal during follow-up showed positive associations with IHD mortality, but the evidence for other metrics was less consistent compared with associations with smokeless coal use.

conclusionsHigher use of smokeless coal, which is burned throughout China and is generally regarded to be a cleaner fuel type, is associated with IHD mortality. Use of cleaner fuels or stove interventions may be effective in reducing the increasing burden of IHD in developing regions that currently rely on smokeless coal for cooking and heating.

Indexed as

CookingAdultAir Pollution, IndoorChinaCoalFemaleHeatingHumansMiddle AgedMyocardial IschemiaProportional Hazards ModelsRural PopulationStrokeCoalcardiovascular diseaseChinese cohortcoalindoor air pollutionSolid fuelsstove improvement

Identifiers

PMID31377785
PMCPMC7124484
OpenAlexW2965156161

What Socratic holds

Textmetadata
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 Socratic graph.