Evidence mapPaperPMID 40794608Full record

ArticleJournal of the National Cancer Institute2025

Ambient air pollution and mortality in older patients with breast cancer.

Yaguang Wei, Edgar Castro, Kanhua Yin, Min Zhang, Hannah Thompson, Brent A Coull, Joseph A Sparano, Susan L Teitelbaum, Robert O Wright, Joel D Schwartz

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 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. Article
  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

10 authors.

Yaguang WeiDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID 0000-0002-6796-7510
Edgar CastroDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0003-4771-8813
Kanhua YinDepartment of Surgery, University of Missouri-Kansas City School of Medicine, Kansas City, MO, United States.ORCID 0000-0002-4769-3129
Min ZhangDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID 0009-0009-0663-1974
Hannah ThompsonDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID 0000-0003-3405-5184
Brent A CoullDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0002-1808-4156
Joseph A SparanoDepartment of Medicine, Division of Hematology and Medical Oncology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID 0000-0002-9031-2010
Susan L TeitelbaumDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID 0000-0002-2190-1575
Robert O WrightDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID 0000-0003-1180-6459
Joel D SchwartzDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0001-6168-378X

Funding

TOXICOLOGYP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Douglas W Dockery · 1985 to 2023
$12.4M
Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · 2025 to 2025
$9.2M
Pilot Project ProgramP30ES023515 · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · 2025 to 2025
$1.6M
NCATS NIH HHS UL1 TR004419NIEHS NIH HHS P30 ES023515NIH HHS P30ES000002NIH HHS P30ES023515NIH HHS UL1TR004419
6 · The paper itself

Abstract

backgroundAlthough emerging studies link air pollution to mortality in patients with breast cancer, large-scale evidence remains limited. We aimed to evaluate associations between chronic exposures to three key regulated air pollutants, fine particulate matter, ozone, and nitrogen dioxide, and mortality in a nationwide cohort of older patients with breast cancer.

methodsWe constructed a cohort of patients with primary diagnosis of breast cancer aged 65 years or older between 2000 and 2016 using the Surveillance, Epidemiology, and End Results-Medicare database. High-resolution ambient concentrations of annual fine particulate matter, warm-season ozone, and annual nitrogen dioxide were estimated using hybrid models and linked to patients' residential zip codes as proxy exposures. A 3-pollutant Cox model was fitted to estimate hazard ratios for mortality associated with each pollutant, adjusting for demographics, tumor characteristics, cancer treatments, comorbidities, lifestyle factors, meteorological variables, and neighborhood-level characteristics.

resultsAmong 593 333 patients with breast cancer, a 1-µg/m3 increase in annual fine particulate matter, a 1-part per billion increase in warm-season ozone, and a 1-part per billion increase in annual nitrogen dioxide were associated with hazard ratios for mortality of 1.0048 (95% CI = 1.0026 to 1.0070), 1.0021 (95% CI = 1.0013 to 1.0029), and 1.0022 (95% CI = 1.0014 to 1.0030), respectively. This finding translated to 49 annual excess deaths attributable to fine particulate matter, 21 to ozone, and 22 to nitrogen dioxide within the cohort. Effects were substantially larger at low exposure levels. Fine particulate matter and nitrogen dioxide had greater effects in younger patients, individuals who received chemotherapy or radiation, and individuals with disease diagnosed at later stages.

conclusionOur findings identified air pollution as a risk factor for mortality in older patients with breast cancer. Protective measures and air pollution control strategies may help reduce exposure and improve outcomes.

Indexed as

Air PollutantsAir PollutionBreast NeoplasmsEnvironmental ExposureAgedAged, 80 and overFemaleHumansMedicareNitrogen DioxideOzoneParticulate MatterProportional Hazards ModelsSEER ProgramUnited StatesAir PollutantsNitrogen DioxideOzoneParticulate Matterair pollutionBreast cancermortalitySEER-Medicare

Identifiers

PMID40794608
PMCPMC12597499

What Socratic holds

Textmetadata
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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.