Evidence map›Paper›PMID 29855508›Full record

ArticleScientific reports2018

Radiation Exposure and Mortality from Cardiovascular Disease and Cancer in Early NASA Astronauts.

S Robin Elgart, Mark P Little, Lori J Chappell, Cato M Milder, Mark R Shavers, Janice L Huff, Zarana S Patel

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

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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

7 authors at 5 institutions in 1 country.

S Robin ElgartUniversity of Houston, Houston, Texas, USA.
Mark P LittleRadiation Epidemiology Branch, National Cancer Institute, DHHS, NIH, Division of Cancer Epidemiology and Genetics, Bethesda, Maryland, USA.ORCID 0000-0003-0980-7567
Lori J ChappellKBRwyle, Science and Space Operations, Houston, Texas, USA.
Cato M MilderNASA Lyndon B. Johnson Space Center, Houston, Texas, USA.
Mark R ShaversKBRwyle, Science and Space Operations, Houston, Texas, USA.
Janice L HuffMEI Technologies, Houston, Texas, USA.
Zarana S PatelKBRwyle, Science and Space Operations, Houston, Texas, USA. zarana.s.patel@nasa.gov.
Wyle (United States) · USJohnson Space Center · USMEI Technologies (United States) · USUnited States Department of Health and Human Services · USUniversity of Houston · 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
6 · The paper itself

Abstract

Understanding space radiation health effects is critical due to potential increased morbidity and mortality following spaceflight. We evaluated whether there is evidence for excess cardiovascular disease or cancer mortality in early NASA astronauts and if a correlation exists between space radiation exposure and mortality. Astronauts selected from 1959-1969 were included and followed until death or February 2017, with 39 of 73 individuals still alive at that time. Calculated standardized mortality rates for tested outcomes were significantly below U.S. white male population rates, including all-cardiovascular disease (n = 7, SMR = 33; 95% CI, 14-65) and all-cancer (n = 7, SMR = 43; 95% CI, 18-83), as anticipated in a healthy worker population. Space radiation doses for cohort members ranged from 0-78 mGy. No significant associations between space radiation dose and mortality were found using logistic regression with an internal reference group, adjusting for medical radiation. Statistical power of the logistic regression was <6%, remaining <12% even when expected risk level or observed deaths were assumed to be 10 times higher than currently reported. While no excess radiation-associated cardiovascular or cancer mortality risk was observed, findings must be tempered by the statistical limitations of this cohort; notwithstanding, this small unique cohort provides a foundation for assessment of astronaut health.

Indexed as

Radiation ExposureAstronautsCardiovascular DiseasesCause of DeathHumansLogistic ModelsNeoplasmsOdds RatioRadiometryRisk FactorsSpace FlightSurvival AnalysisUnited StatesUnited States National Aeronautics and Space Administration

Identifiers

PMID29855508
PMCPMC5981602
OpenAlexW2805577719

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.