Evidence map›Paper›PMID 18513393›Full record

ArticleEnvironmental health : a global access science source2008

Exposure from the Chernobyl accident had adverse effects on erythrocytes, leukocytes, and, platelets in children in the Narodichesky region, Ukraine: a 6-year follow-up study.

Eugenia Stepanova, Wilfried Karmaus, Marina Naboka, Vitaliy Vdovenko, Tim Mousseau, Viacheslav M Shestopalov, John Vena, Erik Svendsen, Dwight Underhill, Harris Pastides

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. The impact of disasters on populations with health and health care disparities.Disaster medicine and public health preparedness · 2010
    Pooled it
  2. Trial
  3. Radiation-Induced Childhood Thyroid Cancer after the Fukushima Daiichi Nuclear Power Plant Accident.International journal of environmental research and public health · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Quantifying annual internal effectiveJournal of exposure science & environmental epidemiology · 2016
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Current status of biodosimetry based on standard cytogenetic methods.Radiation and environmental biophysics · 2010
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Eugenia StepanovaScientific Center for Radiation Medicine, Academy of Medical Sciences of Ukraine, Kyiv, Ukraine. profstepanova@i.ua
Wilfried Karmaus
Marina Naboka
Vitaliy Vdovenko
Tim Mousseau
Viacheslav M Shestopalov
John Vena
Erik Svendsen
Dwight Underhill
Harris Pastides
University of South Carolina · USNational Academy of Medical Sciences of Ukraine · UANational Academy of Sciences of Ukraine · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter the Chernobyl nuclear accident on April 26, 1986, all children in the contaminated territory of the Narodichesky region, Zhitomir Oblast, Ukraine, were obliged to participate in a yearly medical examination. We present the results from these examinations for the years 1993 to 1998. Since the hematopoietic system is an important target, we investigated the association between residential soil density of 137Caesium (137Cs) and hemoglobin concentration, and erythrocyte, platelet, and leukocyte counts in 1,251 children, using 4,989 repeated measurements taken from 1993 to 1998.

methodsSoil contamination measurements from 38 settlements were used as exposures. Blood counts were conducted using the same auto-analyzer in all investigations for all years. We used linear mixed models to compensate for the repeated measurements of each child over the six year period. We estimated the adjusted means for all markers, controlling for potential confounders.

resultsData show a statistically significant reduction in red and white blood cell counts, platelet counts and hemoglobin with increasing residential 137Cs soil contamination. Over the six-year observation period, hematologic markers did improve. In children with the higher exposure who were born before the accident, this improvement was more pronounced for platelet counts, and less for red blood cells and hemoglobin. There was no exposurextime interaction for white blood cell counts and not in 702 children who were born after the accident. The initial exposure gradient persisted in this sub-sample of children.

conclusionThe study is the first longitudinal analysis from a large cohort of children after the Chernobyl accident. The findings suggest persistent adverse hematological effects associated with residential 137Cs exposure.

Indexed as

Chernobyl Nuclear AccidentAdolescentBlood PlateletsChildChild, PreschoolEnvironmental ExposureErythrocytesFemaleFollow-Up StudiesHumansInfantInfant, NewbornLeukocytesMaleSoil Pollutants, RadioactiveUkraineSoil Pollutants, Radioactive

Identifiers

PMID18513393
PMCPMC2459146
OpenAlexW2061993942

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.