Evidence map›Paper›PMID 33960746›Full record

ArticleCancer reports (Hoboken, N.J.)2021

Sunlight exposure in infancy decreases risk of sporadic retinoblastoma, extent of intraocular disease.

Manuela Orjuela-Grimm, Silvia Bhatt Carreño, Xinhua Liu, Ambar Ruiz, Paola Medina, Marco A Ramirez Ortiz, Josefina Romero Rendon, Norma Citlali Lara Molina, Hector Pinilla, Daniela Hinojosa and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Vitamin D and Ocular Diseases: A Systematic Review.International journal of molecular sciences · 2022
    Pooled it
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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

15 authors at 4 institutions in 2 countries.

Manuela Orjuela-GrimmMailman School of Public Health, Department of Epidemiology, Columbia University Medical Center, New York, New York, USA.ORCID 0000-0002-7385-7561
Silvia Bhatt CarreñoMailman School of Public Health, Department of Epidemiology, Columbia University Medical Center, New York, New York, USA.
Xinhua LiuMailman School of Public Health, Department of Biostatistics, Columbia University Medical Center, New York, New York, USA.
Ambar RuizMailman School of Public Health, Department of Epidemiology, Columbia University Medical Center, New York, New York, USA.
Paola MedinaMailman School of Public Health, Department of Epidemiology, Columbia University Medical Center, New York, New York, USA.
Marco A Ramirez OrtizDepartment of Ophthalmology, Hospital Infantil de Mexico, Federico Gomez, Mexico City, Mexico.ORCID 0000-0002-2994-502X
Josefina Romero RendonCentro Medico Nacional Siglo XXI, Instituto Mexicano de Seguro Social, Hospital de Pediatria, Mexico City, Mexico.
Norma Citlali Lara MolinaDepartment of Ophthalmology, Hospital Infantil de Mexico, Federico Gomez, Mexico City, Mexico.
Hector PinillaMailman School of Public Health, Department of Epidemiology, Columbia University Medical Center, New York, New York, USA.
Daniela HinojosaMailman School of Public Health, Department of Epidemiology, Columbia University Medical Center, New York, New York, USA.
Laura RodriguezMailman School of Public Health, Department of Epidemiology, Columbia University Medical Center, New York, New York, USA.
Anita O' ConnorMailman School of Public Health, Department of Environmental Health Science, Columbia University Medical Center, New York, New York, USA.
Fabiola Mejia RodriguezCentro de Investigacion de Nutricion y Salud, Instituto Nacional de Salud Publica, Cuernavaca, Mexico.
M Veronica Ponce CastañedaCentro Medico Nacional Siglo XXI, Instituto Mexicano de Seguro Social, Hospital de Pediatria, Mexico City, Mexico.
Lourdes Cabrera-MuñozDepartment of Pathology, Hospital Infantil de Mexico, Federico Gomez, Mexico City, Mexico.
Columbia University Irving Medical Center · USHospital Infantil de México Federico Gómez · MXCentro Medico Nacional Siglo XXI · MXInstituto Nacional de Salud Pública · MX

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
The Columbia Center for Children's Environmental HealthP01ES009600 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ANDREWS, HOWARD F. · 1999 to 2014
$11.2M
Folate Deficiency, Metabolism &Sporadic RetinoblastomaR01CA098180 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORJUELA, MANUELA A · 2003 to 2006
$2.0M
Methylation and mutations in RB1 and variants of synthetic folic acid metabolismR01CA192662 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORJUELA, MANUELA A · 2015 to 2018
$1.5M
Unmetabolized folic acid and retinoblastoma.R21CA167833 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORJUELA, MANUELA A · 2013 to 2014
$391k
NCI NIH HHS R01 CA098180NCI NIH HHS R01 CA192662NCI NIH HHS R21 CA167833NIEHS NIH HHS P01 ES009600NIEHS NIH HHS P30 ES009089
6 · The paper itself

Abstract

backgroundPrior ecologic studies suggest that UV exposure through sunlight to the retina might contribute to increased retinoblastoma incidence.

aimsOur study objectives were (1) to examine the relationship between exposure to sunlight during postnatal retinal development (prior to diagnosis of sporadic disease) and the risk of retinoblastoma, and (2) to examine the relationship between sun exposure during postnatal retinal development, and the extent of disease among children with unilateral and bilateral retinoblastoma. METHODS AND

resultsWe interviewed 511 mothers in the EpiRbMx case-control study about their child's exposure to sunlight during postnatal retinal cell division by examining three time periods prior to Rtb diagnosis coinciding with developmental stages in which outdoor activities vary. Weekly sun exposure was compared by age period, between unilateral (n = 259), bilateral (n = 120), and control (n = 132) children, accounting for two factors affecting UV exposure: residential elevation and reported use of coverings to shield eyes. For cases, association between sunlight exposure and clinical stage was examined by laterality at each age period. After adjusting for maternal education and elevation, sun exposure was lower in cases than controls in all three age periods especially during the first 6 months, and in children 12-23 months whose mothers did not cover their eyes when outdoors. In children diagnosed after 12 months of age, sun exposure during the second year of life (age 12-23 months) appeared inversely correlated (r = -0.25) with more advanced intraocular disease in bilateral Rtb children after adjusting for maternal education, residential elevation, and age of diagnosis (p < .09) consistent with effects of Vitamin D exposure on intraocular spread in earlier transgenic murine models of retinoblastoma, and suggesting potential chemopreventive strategies.

conclusionSun exposure in early childhood is protective for retinoblastoma and may decrease degree of intraocular spread in children with bilateral Rtb.

Indexed as

SunlightAdultCase-Control StudiesEye DiseasesFemaleFollow-Up StudiesHumansInfantMaleMothersPrognosisRetinal NeoplasmsRetinoblastomaRisk FactorsYoung Adultelevationepidemiologyintraocular diseaseprotectiveretinoblastomasun exposure

Identifiers

PMID33960746
PMCPMC8714544
OpenAlexW3159117973

What Socratic holds

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LicenceCC BY
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.