Mobile phone use and risk of brain tumours: a systematic review of association between study quality, source of funding, and research outcomes

2017 · Mixed · High evidence

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MixedHigh evidencePaper 1308

This systematic review included 22 case-control studies and a meta-analysis of 14 case-control studies reported little to no overall increase in brain tumour risk (OR 1.03, 95% CI 0.92–1.14). For long-term mobile phone use (≥10 years or >1640 h), the meta-ana…

Study snapshot

Publicationmanual · 2017
Study typesystematic_review
Reported directionMixed
Evidence ratingHigh

Abstract

Mobile phone use and risk of brain tumours: a systematic review of association between study quality, source of funding, and research outcomes Prasad M, Kathuria P, Nair P, Kumar A, Prasad K. Mobile phone use and risk of brain tumours: a systematic review of association between study quality, source of funding, and research outcomes. Neurol Sci. 2017 Feb 17. doi: 10.1007/s10072-017-2850-8. Abstract Mobile phones emit electromagnetic radiations that are classified as possibly carcinogenic to humans. Evidence for increased risk for brain tumours accumulated in parallel by epidemiologic investigations remains controversial. This paper aims to investigate whether methodological quality of studies and source of funding can explain the variation in results. PubMed and Cochrane CENTRAL searches were conducted from 1966 to December 2016, which was supplemented with relevant articles identified in the references. Twenty-two case control studies were included for systematic review. Meta-analysis of 14 case-control studies showed practically no increase in risk of brain tumour [OR 1.03 (95% CI 0.92-1.14)]. However, for mobile phone use of 10 years or longer (or >1640 h), the overall result of the meta-analysis showed a significant 1.33 times increase in risk. The summary estimate of government funded as well as phone industry funded studies showed 1.07 times increase in odds which was not significant, while mixed funded studies did not show any increase in risk of brain tumour. Metaregression analysis indicated that the association was significantly associated with methodological study quality (p < 0.019, 95% CI 0.009-0.09). Relationship between source of funding and log OR for each study was not statistically significant (p < 0.32, 95% CI 0.036-0.010). We found evidence linking mobile phone use and risk of brain tumours especially in long-term users (≥10 years). Studies with higher quality showed a trend towards high risk of brain tumour, while lower quality showed a trend towards lower risk/protection. ncbi.nlm.nih.gov

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AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typesystematic_review
Effect directionmixed
PopulationHumans (case-control studies of mobile phone users and brain tumour risk)
Sample sizeNot supplied
ExposureRF · Overall use; long-term use ≥10 years (or >1640 h)
Evidence strengthHighConfidence: 78% · Peer reviewed: yes

Main findings

This systematic review included 22 case-control studies and a meta-analysis of 14 case-control studies reported little to no overall increase in brain tumour risk (OR 1.03, 95% CI 0.92–1.14). For long-term mobile phone use (≥10 years or >1640 h), the meta-analysis reported an increased risk (1.33 times). Metaregression suggested the association varied with methodological study quality, while the relationship with funding source was not statistically significant.

Outcomes measured

  • Brain tumours

Limitations

  • Included evidence was limited to case-control studies
  • Evidence described as controversial in the abstract
  • Variation in results associated with methodological study quality
View raw extracted JSON
{
  "publication_year": null,
  "study_type": "systematic_review",
  "exposure": {
    "band": "RF",
    "source": "mobile phone",
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": "Overall use; long-term use ≥10 years (or >1640 h)"
  },
  "population": "Humans (case-control studies of mobile phone users and brain tumour risk)",
  "sample_size": null,
  "outcomes": [
    "Brain tumours"
  ],
  "main_findings": "This systematic review included 22 case-control studies and a meta-analysis of 14 case-control studies reported little to no overall increase in brain tumour risk (OR 1.03, 95% CI 0.92–1.14). For long-term mobile phone use (≥10 years or >1640 h), the meta-analysis reported an increased risk (1.33 times). Metaregression suggested the association varied with methodological study quality, while the relationship with funding source was not statistically significant.",
  "effect_direction": "mixed",
  "limitations": [
    "Included evidence was limited to case-control studies",
    "Evidence described as controversial in the abstract",
    "Variation in results associated with methodological study quality"
  ],
  "evidence_strength": "high",
  "confidence": 0.78,
  "peer_reviewed_likely": "yes",
  "stance": "concern",
  "stance_confidence": 0.7,
  "summary": "This systematic review assessed whether study quality and funding source explain variation in reported associations between mobile phone use and brain tumour risk. Across 14 case-control studies in meta-analysis, overall risk was near null, but long-term use (≥10 years or >1640 h) was associated with increased risk. Metaregression indicated study quality was significantly related to the observed association, while funding source was not.",
  "key_points": [
    "The review searched PubMed and Cochrane CENTRAL from 1966 to December 2016 and supplemented via reference lists.",
    "Twenty-two case-control studies were included in the systematic review, with 14 included in meta-analysis.",
    "Overall meta-analysis results suggested little to no increase in brain tumour risk with mobile phone use.",
    "Long-term mobile phone use (≥10 years or >1640 h) was associated with a reported increase in risk in meta-analysis.",
    "Metaregression reported a significant association between methodological study quality and the observed effect estimates.",
    "The abstract reports no statistically significant relationship between funding source and study effect estimates.",
    "The authors conclude evidence links mobile phone use and brain tumour risk especially among long-term users."
  ],
  "categories": [
    "RF Exposure",
    "Cell Phones",
    "Cancer",
    "Epidemiology",
    "Systematic Reviews & Meta-analyses"
  ],
  "tags": [
    "Mobile Phones",
    "Radiofrequency Radiation",
    "Brain Tumours",
    "Cancer Risk",
    "Case-Control Studies",
    "Meta-Analysis",
    "Systematic Review",
    "Long-Term Use",
    "Study Quality",
    "Funding Source"
  ],
  "keywords": [
    "mobile phone",
    "brain tumours",
    "systematic review",
    "meta-analysis",
    "case-control",
    "methodological quality",
    "funding source",
    "long-term use"
  ],
  "suggested_hubs": [
    {
      "slug": "cell-phones",
      "weight": 0.95,
      "reason": "Focuses on mobile phone use and brain tumour risk in human case-control studies."
    }
  ],
  "social": {
    "tweet": "Systematic review (22 case-control studies; meta-analysis of 14) found near-null overall brain tumour risk with mobile phone use, but reported increased risk for long-term use (≥10 years or >1640 h). Study quality was associated with effect estimates; funding source was not.",
    "facebook": "A systematic review of case-control studies reported little to no overall increase in brain tumour risk with mobile phone use, but an increased risk estimate among long-term users (≥10 years or >1640 h). The authors also report that methodological study quality was linked to the observed associations, while funding source was not.",
    "linkedin": "This systematic review of 22 case-control studies (meta-analysis of 14) reported a near-null overall association between mobile phone use and brain tumour risk, but an increased risk estimate among long-term users (≥10 years or >1640 h). Metaregression suggested study quality influenced reported outcomes, whereas funding source was not significantly associated with effect estimates."
  }
}
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AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.1007/s10072-017-2850-8
PubMed: Not supplied

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