Examining temporal effects on cancer risk in the international nuclear workers’ study

Autor: Daniels, R.D., Bertke, S.J., Richardson, D.B., Cardis, E., Gillies, M., O'Hagan, J.A., Haylock, R., Laurier, D., Leuraud, K., Moissonnier, M., Thierry-Chef, I., Kesminiene, A., Schubauer-Berigan, M.K.
Přispěvatelé: University of North Carolina [Chapel Hill] (UNC), University of North Carolina System (UNC), Public Health England - Centre for Radiation, Chemical and Environmental Hazards (PHE-CRCE), Institut de Radioprotection et de Sûreté Nucléaire (IRSN/PRP-HOM/SRBE), Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Section of Environment and Radiation, International Agency for Research on Cancer, Institut de Radioprotection et de SÛreté Nucléaire, IRSNArevaPublic Health England, PHEAtomic Energy Commission of Syria, AECSInstitut de Radioprotection et de SÛreté Nucléaire, IRSNMinistry of Health, Labour and Welfare, MHLWNational Institute for Occupational Safety and Health, NIOSHU.S. Department of Health and Human Services, HHS R03.OH-010056
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: International Journal of Cancer
International Journal of Cancer, Wiley, 2017, 140 (6), pp.1260-1269. ⟨10.1002/ijc.30544⟩
ISSN: 0020-7136
1097-0215
DOI: 10.1002/ijc.30544⟩
Popis: International audience; The paper continues the series of publications from the International Nuclear Workers Study cohort that comprises 308,297 workers from France, the United Kingdom and the United States, providing 8.2 million person-years of observation from a combined follow-up period (at earliest 1944 to at latest 2005). These workers’ external radiation exposures were primarily to photons, resulting in an estimated average career absorbed dose to the colon of 17.4 milligray. The association between cumulative ionizing radiation dose and cancer mortality was evaluated in general relative risk models that describe modification of the excess relative risk (ERR) per gray (Gy) by time since exposure and age at exposure. Methods analogous to a nested-case control study using conditional logistic regression of sampled risks sets were used. Outcomes included all solid cancers, lung cancer, leukemias excluding chronic lymphocytic, acute myeloid leukemia, chronic myeloid leukemia, multiple myeloma, Hodgkin lymphoma and non-Hodgkin lymphoma. Significant risk heterogeneity was evident in chronic myeloid leukemia with time since exposure, where we observed increased ERR per Gy estimates shortly after exposure (2–10 year) and again later (20–30 years). We observed delayed effects for acute myeloid leukemia although estimates were not statistically significant. Solid cancer excess risk was restricted to exposure at age 35+ years and also diminished for exposure 30 years prior to attained age. Persistent or late effects suggest additional follow-up may inform on lifetime risks. However, cautious interpretation of results is needed due to analytical limitations and a lack of confirmatory results from other studies. © 2016 UICC
Databáze: OpenAIRE
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