Evidence map›Paper›PMID 23651658›Full record

ArticleEnvironmental health perspectives2013

Measures of thyroid function among Belarusian children and adolescents exposed to iodine-131 from the accident at the Chernobyl nuclear plant.

Evgenia Ostroumova, Alexander Rozhko, Maureen Hatch, Kyoji Furukawa, Olga Polyanskaya, Robert J McConnell, Eldar Nadyrov, Sergey Petrenko, George Romanov, Vasilina Yauseyenka and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Somatic health effects of Chernobyl: 30 years on.European journal of epidemiology · 2017
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Hypothyroidism after radiation exposure: brief narrative review.Journal of neural transmission (Vienna, Austria : 1996) · 2020
    Review
  8. Belarusian in utero cohort: A new opportunity to evaluate the health effects of prenatal and early-life exposure to ionising radiation.Journal of radiological protection : official journal of the Society for Radiological Protection · 2020
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Review
  17. Article
  18. Radiation-related thyroid autoimmunity and dysfunction.Journal of radiation research · 2018
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 3 countries.

Evgenia OstroumovaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland 20892-9778, USA. ostroume@mail.nih.gov
Alexander Rozhko
Maureen Hatch
Kyoji Furukawa
Olga Polyanskaya
Robert J McConnell
Eldar Nadyrov
Sergey Petrenko
George Romanov
Vasilina Yauseyenka
Vladimir Drozdovitch
Viktor Minenko
Alexander Prokopovich
Irina Savasteeva
Lydia B Zablotska
Kiyohiko Mabuchi
Alina V Brenner
Republican Research Center for Radiation Medicine and Human Ecology · BYNational Institutes of Health · USBelarusian Medical Academy of Post-Graduate Education · BYColumbia University · USInternational Sakharov Environmental Institute · BYRadiation Effects Research Foundation · JPUniversity of California, San Francisco · US

Funding

Studies of Populations Exposed to Environmental Sources of RadiationZIACP010132 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI CAHOON, ELIZABETH · 2009 to 2025
$35.2M
Intramural NIH HHS
6 · The paper itself

Abstract

backgroundThyroid dysfunction after exposure to low or moderate doses of radioactive iodine-131 (131I) at a young age is a public health concern. However, quantitative data are sparse concerning 131I-related risk of these common diseases.

objectiveOur goal was to assess the prevalence of thyroid dysfunction in association with 131I exposure during childhood (≤ 18 years) due to fallout from the Chernobyl accident.

methodsWe conducted a cross-sectional analysis of hypothyroidism, hyperthyroidism, autoimmune thyroiditis (AIT), serum concentrations of thyroid-stimulating hormone (TSH), and autoantibodies to thyroperoxidase (ATPO) in relation to measurement-based 131I dose estimates in a Belarusian cohort of 10,827 individuals screened for various thyroid diseases.

resultsMean age at exposure (± SD) was 8.2 ± 5.0 years. Mean (median) estimated 131I thyroid dose was 0.54 (0.23) Gy (range, 0.001-26.6 Gy). We found significant positive associations of 131I dose with hypothyroidism (mainly subclinical and antibody-negative) and serum TSH concentration. The excess odds ratio per 1 Gy for hypothyroidism was 0.34 (95% CI: 0.15, 0.62) and varied significantly by age at exposure and at examination, presence of goiter, and urban/rural residency. We found no evidence of positive associations with antibody-positive hypothyroidism, hyperthyroidism, AIT, or elevated ATPO.

conclusionsThe association between 131I dose and hypothyroidism in the Belarusian cohort is consistent with that previously reported for a Ukrainian cohort and strengthens evidence of the effect of environmental 131I exposure during childhood on hypothyroidism, but not other thyroid outcomes.

Indexed as

AdolescentChernobyl Nuclear AccidentChildChild, PreschoolChi-Square DistributionCohort StudiesCross-Sectional StudiesDose-Response Relationship, RadiationFemaleHumansIodineIodine RadioisotopesLikelihood FunctionsMaleOdds RatioPrevalenceIodineIodine Radioisotopes

Identifiers

PMID23651658
PMCPMC3701991
OpenAlexW2144717450

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

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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.