Evidence map›Paper›PMID 33448434›Full record

ArticleAmerican journal of industrial medicine2020

Radon and cancer mortality among underground uranium miners in the Příbram region of the Czech Republic.

Kaitlin Kelly-Reif, Dale P Sandler, David Shore, Mary K Schubauer-Berigan, Melissa A Troester, Leena Nylander-French, David B Richardson

Open access · greenAbstract read
In one paragraph

Article in American journal of industrial medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. US drinking water quality: exposure risk profiles for seven legacy and emerging contaminants.Journal of exposure science & environmental epidemiology · 2024
    Review
  5. Review
  6. Article
  7. Article
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 3 institutions in 2 countries.

Kaitlin Kelly-ReifGillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-6020-2646
Dale P SandlerNational Institute of Environmental Health Sciences, Research Triangle, North Carolina.
David ShoreNational Institute of Environmental Health Sciences, Research Triangle, North Carolina.
Mary K Schubauer-BeriganMonographs Section, International Agency for Research on Cancer, Lyon, France.
Melissa A TroesterGillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, North Carolina.
Leena Nylander-FrenchGillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, North Carolina.
David B RichardsonGillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0001-8550-0212
University of North Carolina at Chapel Hill · USTriangle · USCentre international de recherche sur le cancer · FR

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Occupational Safety and Health and Education Research CenterT42OH008673 · OH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NYLANDER-FRENCH, LEENA A · 2005 to 2025
$27.3M
CANCER RISK IN CZECH URANIUM MINERSZ01ES049029 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 1997 to 2008
$32k
ACL HHS T42OH008673Intramural NIH HHS Z01 ES049029NIEHS NIH HHS P30 ES010126NIEHS NIH HHS Z01-ES049029NIOSH CDC HHS T42 OH008673NIOSH CDC HHS T42-OH008673World Health Organization 001
6 · The paper itself

Abstract

backgroundThis study aims to estimate the association between radon and site-specific cancer mortality among a large contemporary cohort of male uranium miners.

methodsAnnual occupational radon exposure was estimated based on a worker's duration of underground mining in a year and estimates of potential alpha energy of radon progeny in their location of work. Cancer mortality over the period 1977-1992 was ascertained for a cohort of 16 434 male underground uranium miners employed in the Czech Republic between 1946 and 1992. Poisson regression was used to estimate relationships between cumulative radiation exposure (in working level months [WLM]) and site-specific cancer mortality.

resultsRadon is positively associated with lung cancer mortality (excess relative rate [ERR] per 100 WLM = 0.2; 95% confidence interval [CI]: 0.10, 0.37). The best fit of the dose-response relationship between radon and lung cancer mortality was linear and estimates of radon-lung cancer associations varied by windows of time-since-exposure. Positive associations between radon and several types of cancer other than lung cancer were identified, notably chronic lymphocytic leukemia (CLL) (ERR/100 WLM = 0.24; 95% CI: [not determined [ND], 5.10]) and extrathoracic cancer (ERR/100 WLM = 0.12; 95% CI: [ND, 0.69]). We observed no associations between radon and stomach cancer, nor between radon and several hematopoietic cancer subtypes.

conclusionsThis study confirms the established radon-lung cancer association and suggests that radon may also be associated with other types of cancer mortality. Further investigations of extrathoracic and CLL cancer, with the aim of obtaining more precise estimates, are warranted to understand associations between radon and cancers other than lung.

Indexed as

MiningUraniumCzech RepublicHumansLeukemia, Lymphocytic, Chronic, B-CellLung NeoplasmsMaleNeoplasms, Radiation-InducedOccupational DiseasesOccupational ExposurePoisson DistributionRadonRadonUraniumcancerlung cancerradonuranium mining

Identifiers

PMID33448434
PMCPMC8256848
OpenAlexW3048334760

What OpenQuestion holds

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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.