Evidence map›Paper›PMID 32657348›Full record

SynthesisJournal of the National Cancer Institute. Monographs2020

Epidemiological Studies of Low-Dose Ionizing Radiation and Cancer: Rationale and Framework for the Monograph and Overview of Eligible Studies.

Amy Berrington de Gonzalez, Robert D Daniels, Elisabeth Cardis, Harry M Cullings, Ethel Gilbert, Michael Hauptmann, Gerald Kendall, Dominique Laurier, Martha S Linet, Mark P Little and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the National Cancer Institute. Monographs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Radiation-Related Thyroid Cancer.Endocrine reviews · 2024
    Review
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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

16 authors.

Amy Berrington de GonzalezDivision of Cancer Epidemiology & Genetics, Radiation Epidemiology Branch, Bethesda, MD, USA.
Robert D DanielsNational Institute for Occupational Safety and Health, Cincinnati, OH, USA.
Elisabeth CardisBarcelona Institute for Global Health (ISGlobal), Barcelona, Catalonia, Spain.
Harry M CullingsRadiation Effects Research Foundation, Hiroshima, Japan.
Ethel GilbertDivision of Cancer Epidemiology & Genetics, Radiation Epidemiology Branch, Bethesda, MD, USA.
Michael HauptmannDepartment of Epidemiology and Biostatistics, Netherlands Cancer Institute, Amsterdam, the Netherlands.
Gerald KendallCancer Epidemiology Unit, NDPH, Oxford, UK.
Dominique LaurierIRSN, Paris, France.
Martha S LinetDivision of Cancer Epidemiology & Genetics, Radiation Epidemiology Branch, Bethesda, MD, USA.
Mark P LittleDivision of Cancer Epidemiology & Genetics, Radiation Epidemiology Branch, Bethesda, MD, USA.
Jay H LubinDivision of Cancer Epidemiology & Genetics, Radiation Epidemiology Branch, Bethesda, MD, USA.
Dale L PrestonHirosoft International, Seattle.
David B RichardsonUniversity of North Carolina, Chapel Hill, NC, USA.
Daniel StramUniversity of Southern California, Los Angeles, CA.
Isabelle Thierry-ChefBarcelona Institute for Global Health (ISGlobal), Barcelona, Catalonia, Spain.
Mary K Schubauer-BeriganInternational Agency for Research on Cancer, Lyon, France.

Funding

Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

Whether low-dose ionizing radiation can cause cancer is a critical and long-debated question in radiation protection. Since the Biological Effects of Ionizing Radiation report by the National Academies in 2006, new publications from large, well-powered epidemiological studies of low doses have reported positive dose-response relationships. It has been suggested, however, that biases could explain these findings. We conducted a systematic review of epidemiological studies with mean doses less than 100 mGy published 2006-2017. We required individualized doses and dose-response estimates with confidence intervals. We identified 26 eligible studies (eight environmental, four medical, and 14 occupational), including 91 000 solid cancers and 13 000 leukemias. Mean doses ranged from 0.1 to 82 mGy. The excess relative risk at 100 mGy was positive for 16 of 22 solid cancer studies and 17 of 20 leukemia studies. The aim of this monograph was to systematically review the potential biases in these studies (including dose uncertainty, confounding, and outcome misclassification) and to assess whether the subset of minimally biased studies provides evidence for cancer risks from low-dose radiation. Here, we describe the framework for the systematic bias review and provide an overview of the eligible studies.

Indexed as

Radiation, IonizingRadiation ProtectionEpidemiologic StudiesHumansNeoplasms, Radiation-InducedRisk

Identifiers

PMID32657348
PMCPMC7610154

What OpenQuestion holds

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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.