Evidence map›Paper›PMID 37537100›Full record

SynthesisZeitschrift fur medizinische Physik2024

Moon, Mars and Minds: Evaluating Parkinson's disease mortality among U.S. radiation workers and veterans in the million person study of low-dose effects.

Lawrence T Dauer, Linda Walsh, Michael T Mumma, Sarah S Cohen, Ashley P Golden, Sara C Howard, Grace E Roemer, John D Boice

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Zeitschrift fur medizinische Physik, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Occupational Hazards in Cardiac Catheterization Laboratories: Radiation and Beyond-ANMCO Position Paper Update 2026.European heart journal supplements : journal of the European Society of Cardiology · 2026
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  14. Radiotherapy for non-cancer diseases: benefits and long-term risks.International journal of radiation biology · 2024
    Review
  15. Review
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 5 institutions in 2 countries.

Lawrence T DauerDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. Electronic address: dauerl@mskcc.org.
Linda WalshDepartment of Physics, University of Zürich, Zürich, Switzerland.
Michael T MummaVanderbilt University Medical Center's International Epidemiology Field Station, Rockville, MD, USA.
Sarah S CohenDLH Corporation, Durham, NC, USA.
Ashley P GoldenORISE Health Studies Program, Oak Ridge Associated Universities, Oak Ridge, TN, USA.
Sara C HowardORISE Health Studies Program, Oak Ridge Associated Universities, Oak Ridge, TN, USA.
Grace E RoemerDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
John D BoiceNational Council on Radiation Protection and Measurements, Bethesda, MD, USA; Vanderbilt University School of Medicine, Nashville, TN, USA.
Memorial Sloan Kettering Cancer Center · USOak Ridge Associated Universities · USUniversity of Zurich · CHVanderbilt University · USVanderbilt University Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
RADIATION PROTECTION GUIDANCE FROM NCRP UE1EH000989 · EH · NATIONAL COUNCIL ON RAD PROT & MEASUREMS · PI BOICE, JOHN JR. · 2011 to 2015
$1.5M
READY GEORGIA: A STATEWIDE CAMPAIGN TO MOTIVATE GEORGIANS TO TAKE ACTION TO PREPARE FOR A DISASTERUE2EH001315 · EH · GEORGIA EMERGENCY MANAGEMENT AGENCY · PI HOWDEN, CATHERINE · 2015 to 2015
$145k
NCEH CDC HHS UE1 EH000989NCEH CDC HHS UE2 EH001315NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundRadiation is one of the most important stressors related to missions in space beyond Earth's orbit. Epidemiologic studies of exposed workers have reported elevated rates of Parkinson's disease. The importance of cognitive dysfunction related to low-dose rate radiation in humans is not defined. A meta-analysis was conducted of six cohorts in the Million Person Study (MPS) of low-dose health effects to learn whether there is consistent evidence that Parkinson's disease is associated with radiation dose to brain. MATERIALS AND

methodsThe MPS evaluates all causes of death among U.S. radiation workers and veterans, including Parkinson's disease. Systematic and consistent methods are applied to study all categories of workers including medical radiation workers, industrial radiographers, nuclear power plant workers, atomic veterans, and Manhattan Projects workers at the Los Alamos National Laboratory and at Rocky Flats. Consistent methods for all cohorts are used to estimate organ-specific doses and to obtain vital status and cause of death.

resultsThe meta-analysis include 6 cohorts within the MPS, consisting of 517,608 workers and 17,219,001 person-years of observation. The mean dose to brain ranged from 6.9 to 47.6 mGy and the maximum dose from 0.76 to 2.7 Gy. Five of the 6 cohorts revealed positive associations with Parkinson's disease. The overall summary estimate from the meta-analysis was statistically significant based on 1573 deaths due to Parkinson's disease. The summary excess relative risk at 100 mGy was 0.17 (95% CI: 0.05; 0.29).

conclusionsParkinson's disease was positively associated with radiation in the MPS cohorts indicating the need for careful evaluation as to causality in other studies, delineation of possible mechanisms, and assessing possible implications for space travel as well as radiation protection guidance for terrestrial workers.

Indexed as

Occupational ExposureParkinson DiseaseRadiation ProtectionVeteransHumansMoonMillion Person StudyParkinson’s diseaseRadiation epidemiology

Identifiers

PMID37537100
PMCPMC10919963
OpenAlexW4385450298

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.