Evidence map›Paper›PMID 29222678›Full record

ArticleRadiation and environmental biophysics2018

Dose-responses for mortality from cerebrovascular and heart diseases in atomic bomb survivors: 1950-2003.

Helmut Schöllnberger, Markus Eidemüller, Harry M Cullings, Cristoforo Simonetto, Frauke Neff, Jan Christian Kaiser

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Radiation and environmental biophysics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Helmut SchöllnbergerDepartment of Radiation Sciences, Institute of Radiation Protection, Helmholtz Zentrum München, Ingolstädter Landstrasse 1, 85764, Neuherberg, Germany. hschoellnberger@bfs.de.ORCID http://orcid.org/0000-0002-4398-6565
Markus EidemüllerDepartment of Radiation Sciences, Institute of Radiation Protection, Helmholtz Zentrum München, Ingolstädter Landstrasse 1, 85764, Neuherberg, Germany.ORCID http://orcid.org/0000-0003-0249-3710
Harry M CullingsDepartment of Statistics, Radiation Effects Research Foundation, Hiroshima, Japan.
Cristoforo SimonettoDepartment of Radiation Sciences, Institute of Radiation Protection, Helmholtz Zentrum München, Ingolstädter Landstrasse 1, 85764, Neuherberg, Germany.ORCID http://orcid.org/0000-0003-4816-3514
Frauke NeffInstitute of Pathology, Städtisches Klinikum München and Technical University of Munich, Munich, Germany.
Jan Christian KaiserDepartment of Radiation Sciences, Institute of Radiation Protection, Helmholtz Zentrum München, Ingolstädter Landstrasse 1, 85764, Neuherberg, Germany.ORCID http://orcid.org/0000-0003-0359-2251
Helmholtz Zentrum München · DEMünchen Klinik · DERadiation Effects Research Foundation · JP

Funding

DoReMi-Low Dose Research towards Multidisciplinary Integration 249689Seventh Framework Programme 295823
6 · The paper itself

Abstract

The scientific community faces important discussions on the validity of the linear no-threshold (LNT) model for radiation-associated cardiovascular diseases at low and moderate doses. In the present study, mortalities from cerebrovascular diseases (CeVD) and heart diseases from the latest data on atomic bomb survivors were analyzed. The analysis was performed with several radio-biologically motivated linear and nonlinear dose-response models. For each detrimental health outcome one set of models was identified that all fitted the data about equally well. This set was used for multi-model inference (MMI), a statistical method of superposing different models to allow risk estimates to be based on several plausible dose-response models rather than just relying on a single model of choice. MMI provides a more accurate determination of the dose response and a more comprehensive characterization of uncertainties. It was found that for CeVD, the dose-response curve from MMI is located below the linear no-threshold model at low and medium doses (0-1.4 Gy). At higher doses MMI predicts a higher risk compared to the LNT model. A sublinear dose-response was also found for heart diseases (0-3 Gy). The analyses provide no conclusive answer to the question whether there is a radiation risk below 0.75 Gy for CeVD and 2.6 Gy for heart diseases. MMI suggests that the dose-response curves for CeVD and heart diseases in the Lifespan Study are sublinear at low and moderate doses. This has relevance for radiotherapy treatment planning and for international radiation protection practices in general.

Indexed as

Nuclear WeaponsAdolescentAdultAgedAged, 80 and overCerebrovascular DisordersChildDose-Response Relationship, RadiationHeart DiseasesHumansMiddle AgedRadiation InjuriesSurvivorsYoung AdultAtomic bomb survivorsCardiovascular diseasesIonizing radiationLinear no-threshold modelNonlinear dose–responseRisk assessment

Identifiers

PMID29222678
PMCPMC6373359
OpenAlexW2775688828

What OpenQuestion holds

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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.