Evidence map›Paper›PMID 23683549›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2013

Site-specific cancer risk in the Baltic cohort of Chernobyl cleanup workers, 1986-2007.

Kaja Rahu, Timo Hakulinen, Giedre Smailyte, Aivars Stengrevics, Anssi Auvinen, Peter D Inskip, John D Boice, Mati Rahu

Abstract read
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Somatic health effects of Chernobyl: 30 years on.European journal of epidemiology · 2017
    Pooled it
  3. Article
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  5. Review
  6. Article
  7. Association between the increase in incidence of papillary thyroid carcinoma in Crete and exposure to radioactive agents.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2018
    Article
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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

8 authors at 6 institutions in 4 countries.

Kaja RahuDepartment of Epidemiology and Biostatistics, National Institute for Health Development, Tallinn, Estonia. kaja.rahu@tai.ee
Timo Hakulinen
Giedre Smailyte
Aivars Stengrevics
Anssi Auvinen
Peter D Inskip
John D Boice
Mati Rahu
National Institute for Health Development · EEDivision of Cancer Epidemiology and GeneticsFinnish Cancer Registry · FINational Cancer Institute · LTTampere University · FIVanderbilt University · US

Funding

Studies of Populations Exposed to Occupational Sources of RadiationZIACP010133 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI KITAHARA, CARI · 2009 to 2025
$34.2M
SECOND CANCER FOLLOWING TREATMENT FOR UTERINE CORPUS CAN01CP085638 · CP · FINNISH CANCER REGISTRY · PI TEKKEL, MARE M · 1989 to 1997
–
NCI NIH HHS N01 CP085638NCI NIH HHS N01-CP-85638-03
6 · The paper itself

Abstract

objectiveTo assess site-specific cancer risk in the Baltic cohort of Chernobyl cleanup workers, 1986-2007.

methodsThe Baltic cohort includes 17,040 men from Estonia, Latvia and Lithuania who participated in the environmental cleanup after the accident at the Chernobyl Nuclear Power Station in 1986-1991 and who were followed up for cancer incidence until the end of 2007. Cancer cases diagnosed in the cohort and in the male population of each country were identified from the respective national cancer registers. The proportional incidence ratio (PIR) with 95% confidence interval (CI) was used to estimate the site-specific cancer risk in the cohort. For comparison and as it was possible, the site-specific standardised incidence ratio (SIR) was calculated for the Estonian sub-cohort, which was not feasible for the other countries.

resultsOverall, 756 cancer cases were reported during 1986-2007. A higher proportion of thyroid cancers in relation to the male population was found (PIR=2.76; 95%CI 1.63-4.36), especially among those who started their mission shortly after the accident, in April-May 1986 (PIR=6.38; 95%CI 2.34-13.89). Also, an excess of oesophageal cancers was noted (PIR=1.52; 95% CI 1.06-2.11). No increased PIRs for leukaemia or radiation-related cancer sites combined were observed. PIRs and SIRs for the Estonian sub-cohort demonstrated the same site-specific cancer risk pattern.

conclusionConsistent evidence of an increase in radiation-related cancers in the Baltic cohort was not observed with the possible exception of thyroid cancer, where conclusions are hampered by known medical examination including thyroid screening among cleanup workers.

Indexed as

Chernobyl Nuclear AccidentNuclear Power PlantsRadiation DosageAdultBaltic StatesEsophageal NeoplasmsHumansIncidenceLeukemiaMaleMiddle AgedNeoplasms, Radiation-InducedOccupational DiseasesOccupational ExposureRadiation MonitoringRegistriesChernobyl nuclear accidentEstoniaIncidenceLatviaLithuaniaNeoplasmsRadiation effects

Identifiers

PMID23683549
PMCPMC3739289
OpenAlexW2037125099

What OpenQuestion holds

Textmetadata
LicenceTDM
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.