Cohort studyindependent cross-checkabstract checked I-GRN-118 standard review

Rice was not clearly linked to cancer in US women

Association between rice consumption and risk of cancer incidence in the California Teachers Study.

Overview

Sanchez TR et al.. Cancer Causes Control 2020 · PMID 32974796 · DOI 10.1007/s10552-020-01350-9

Rice intake was not associated with most arsenic-related cancers; breast cancer showed a borderline 7% higher risk.

Does the study support the specific claim? Partly · Methodological quality: moderate

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Test rice and cancer.

How was the study done?

Cohort study.

How many people, animals or samples were studied?

Large cohort of women.

What was actually found?

Mostly no association.

How large was the observed effect?

HR 0.87-1.11.

What do the results mean in everyday life?

Low intakes did not show clear harm.

What are the study's limitations?

Low intake, no biomarker.

What does it say about Elawady's specific claim?

Partly supports low concern at normal intake.

Do the results apply to Germany and Europe?

Moderate.

What can explicitly not be concluded from this study?

Cannot reassure about high intakes or infants.

Scientific in-depth review

1. Full reference

Authors
Sanchez TR et al.
Journal
Cancer Causes Control
Year
2020
Identifier
PMID 32974796 DOI 10.1007/s10552-020-01350-9 · PMC7572641
Verification
verified – PubMed efetch 2026-10-26; Crossref works API 2026-10-26
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

NIH (NCI, NIEHS) grants

2. Research question

Is rice consumption associated with incidence of arsenic-related cancers?

3. Study design and population

Study design
Cohort study – Prospective cohort (California Teachers Study)
Population

Women in the California Teachers Study

Country

USA

Period

not stated in abstract

Sample size

not stated in abstract (cases: 7351 breast, 1100 lung, 411 pancreatic, 344 bladder, 238 kidney)

Inclusion and exclusion criteria

Cohort participants

4. Methods and endpoints

Exposure / intervention

Rice intake quartiles (<9.6 to >=42.8 g/day)

Comparator

Lowest quartile

Endpoints

Incident bladder, breast, kidney, lung, pancreatic cancer

Statistical methods

Cox models

5. Actual results

Results

Highest vs lowest quartile HR: breast 1.07 (1.00-1.15), lung 0.87 (0.72-1.04), pancreatic 0.95 (0.66-1.37), bladder 1.11 (0.81-1.52), kidney 1.07 (0.72-1.59).

Absolute risks

not reported

Authors' conclusion

Rice was not associated with kidney, lung or pancreatic cancer; possibly a small excess for breast and a non-significant excess for bladder cancer; studies in high-intake populations needed.

6. Strengths

  • Large, prospective

7. Weaknesses

  • Low rice intake
  • No arsenic biomarker
  • Women only

8. Risk of bias

Orienting tool
ROBINS-E
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

FFQ; residual confounding.

9. Assessment of the statistical interpretation

Mostly null; low intakes limit power to detect arsenic effects.

10. Relevance to the specific claim

Partial support: no clear cancer signal from rice at low US intakes.

11. Independent contrary findings

Low intakes; I-GRN-06 risk assessment.

12. Transferability to Germany and Europe

Moderate.

13. Overall methodological judgement

Weak null evidence.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitymoderate
Risk of biassome concerns
Precision of resultsmoderate
Directnessindirect
Reproducibilitynot replicated
Consistency with the overall evidencemixed
Regional transferabilitymoderate
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

High-intake populations with biomarkers.

15. Linked fact checks