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Neuro-Oncology
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Long-term exposure to ambient air pollution and incidence of brain tumor: the European Study of Cohorts for Air Pollution Effects (ESCAPE)

Authors: Zorana Jovanovic Andersen; Marie Pedersen; Gudrun Weinmayr; Massimo Stafoggia; Claudia Galassi; Jeanette Therming Jørgensen; Johan Nilsson Sommar; +38 Authors

Long-term exposure to ambient air pollution and incidence of brain tumor: the European Study of Cohorts for Air Pollution Effects (ESCAPE)

Abstract

Background. Epidemiological evidence on the association between ambient air pollution and brain tumor risk is sparse and inconsistent. Methods. In 12 cohorts from 6 European countries, individual estimates of annual mean air pollution levels at the baseline residence were estimated by standardized land-use regression models developed within the ESCAPE and TRANSPHORM projects: Particulate matter (PM) ≥2.5,≥10, and 2.5-10 FÊm in diameter (PM2.5, PM10, and PMcoarse), PM2.5 absorbance, nitrogen oxides (NO2 and NOx) and elemental composition of PM. We estimated cohort-specific associations of air pollutant concentrations and traffic intensity with total, malignant, and nonmalignant brain tumor, in separate Cox regression models, adjusting for risk factors, and pooled cohort-specific estimates using random-effects meta-analyses. Results. Of 282 194 subjects from 12 cohorts, 466 developed malignant brain tumors during 12 years of follow-up. Six of the cohorts also had data on nonmalignant brain tumor, where among 106 786 subjects, 366 developed brain tumor: 176 nonmalignant and 190 malignant. We found a positive, statistically nonsignificant association between malignant brain tumor and PM2.5 absorbance (hazard ratio and 95% CI: 1.67; 0.89.3.14 per 10.5/m3), and weak positive or null associations with the other pollutants. Hazard ratio for PM2.5 absorbance (1.01; 0.38.2.71 per 10-5/m3) and all other pollutants were lower for nonmalignant than for malignant brain tumors. Conclusion. We found suggestive evidence of an association between long-term exposure to PM2.5 absorbance indicating traffic-related air pollution and malignant brain tumors, and no association with overall or nonmalignant brain tumors. © 2018 The Author(s). Chemicals/CAS: nitric oxide, 10102-43-9; nitrogen dioxide, 10102-44-0

Countries
Netherlands, Switzerland, Netherlands, Netherlands, United Kingdom, Sweden, Norway, Netherlands, Netherlands, Italy, Italy, Denmark
Subjects by Vocabulary

Microsoft Academic Graph classification: Oncology chemistry.chemical_compound Air pollutant concentrations Incidence (epidemiology) Hazard ratio Environmental exposure medicine.medical_specialty Brain tumor Environmental health Internal medicine medicine Nitrogen dioxide Pollutant Proportional hazards model business.industry medicine.disease chemistry business

Keywords

Male, Cancer Research, Epidemiology, 2016 Urban Mobility & Environment, air pollution, Cohort Studies, Risk Factors, traffic, Brain Neoplasms, Incidence, air pollution; brain cancer; brain tumor; traffic; Adult; Air Pollution; Brain Neoplasms; Cohort Studies; Environmental Exposure; Europe; Female; Follow-Up Studies; Humans; Incidence; Male; Middle Aged; Particulate Matter; Prognosis; Risk Factors, Middle Aged, Prognosis, Europe, Oncology, Female, Environment & Sustainability, brain tumor, Adult, Urbanisation, Environment, air pollution; brain cancer; brain tumor; traffic; epidemiology, Arbetsmedicin och miljömedicin, Journal Article, Humans, Oncology & Carcinogenesis, brain cancer, Occupational Health and Environmental Health, Environmental Exposure, SUMS - Sustainable Urban Mobility and Safety, Particulate Matter, ELSS - Earth, Life and Social Sciences, Neurology (clinical), 1109 Neurosciences, 1112 Oncology And Carcinogenesis, Follow-Up Studies

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7.Raaschou-Nielsen O, Andersen ZJ, Beelen R Air pollution and lung cancer incidence in 17 European cohorts: prospective analyses from the European Study of Cohorts for Air Pollution Effects (ESCAPE). Lancet Oncol. 2013;14(9):813–822.23849838 [OpenAIRE] [PubMed]

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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