Examining temporal effects on cancer risk in the International Nuclear Workers' Study

Details

• Personal Author:
  Bertke SJ ; Cardis E ; Daniels, Robert D. ; Gillies M ; Haylock R ; Kesminiene A ; Laurier D ; Leuraud K ; Moissonnier M ; O'Hagan JA ; Richardson DB ; Schubauer-Berigan, Mary K. ; Thierry-Chef I
• Description:
  The paper continues the series of publications from the International Nuclear Workers Study cohort (INWORKS) 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. This article is protected by copyright. [Description provided by NIOSH]
• Subjects:
  Cohort Studies Epidemiology Lung Lung Diseases Mortality Neoplasms Occupational Health Respiratory System Respiratory Tract Diseases Safety
• Keywords:
  Author Keywords: Cancer Cancer Rates Cohort Studies Dose-response Ionizing Radiation Longitudinal Studies Lung Cancer Mortality Rates Mortality Studies Nuclear Radiation
• ISSN:
  0020-7136
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; Ohio ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  EID - Education and Information Division ; DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  140
• Issue:
  6
• NIOSHTIC Number:
  nn:20049070
• Citation:
  Int J Cancer 2017 Mar; 140(6):1260-1269
• Contact Point Address:
  Robert D. Daniels, National Institute for Occupational Safety and Health (NIOSH), 1150 Tusculum Ave., Mailstop C-15, Cincinnati, Ohio 45226
• Email:
  rtd2@cdc.gov
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of North Carolina, Chapel Hill
• Peer Reviewed:
  True
• Start Date:
  20110901
• Source Full Name:
  International Journal of Cancer
• End Date:
  20140630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5b5fa949328feb4ed73d0ffbdf89501b2e08fc6d95fb8e0d856ee48d63bf140c001440c3d029422c882b1d78f3fec10d0c31f300fa408abf4520728c997cc979
• Download URL:
  https://stacks.cdc.gov/view/cdc/203645/cdc_203645_DS1.pdf
• File Type:
  [PDF - 236.84 KB ]