Evidence map›Paper›PMID 37819879›Full record

ArticleInternational journal of radiation biology2024

Third mortality follow-up of the Mallinckrodt uranium processing workers, 1942-2019.

Cato M Milder, Sara C Howard, Elizabeth D Ellis, Ashley P Golden, Sarah S Cohen, Michael T Mumma, Richard W Leggett, Benjamin French, Lydia B Zablotska, John D Boice

Open access · greenAbstract read
In one paragraph

Article in International journal of radiation biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-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, 12 citations in OpenAlex.

  1. Radium - from discovery to the present day - narrative review.Clinical and experimental medicine · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Distribution of plutonium and radium in the human heart.Journal of radiological protection : official journal of the Society for Radiological Protection · 2024
    Article
  7. 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

10 authors at 8 institutions in 1 country.

Cato M MilderDivision of Epidemiology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-9400-2095
Sara C HowardORISE Health Studies Program, Oak Ridge Associated Universities, Oak Ridge, TN, USA.ORCID 0000-0002-9290-4319
Elizabeth D EllisORISE Health Studies Program, Oak Ridge Associated Universities, Oak Ridge, TN, USA.ORCID 0000-0003-2871-1587
Ashley P GoldenORISE Health Studies Program, Oak Ridge Associated Universities, Oak Ridge, TN, USA.ORCID 0000-0002-9430-7702
Sarah S CohenEpidStrategies, A Division of ToxStrategies, Inc., Katy, TX, USA.ORCID 0000-0003-0421-1983
Michael T MummaInternational Epidemiology Institute, Rockville, MD, USA.ORCID 0000-0001-7506-8710
Richard W LeggettOak Ridge National Laboratory, Oak Ridge, TN, USA.ORCID 0000-0001-8999-3085
Benjamin FrenchDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0001-9265-5378
Lydia B ZablotskaDepartment of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco, CA, USA.ORCID 0000-0002-0778-1108
John D BoiceDivision of Epidemiology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-8755-1299
Oak Ridge Associated Universities · USBioStrategies (United States) · USInternational Epidemiology Institute · USNational Cancer Institute · USNational Council on Radiation Protection and Measurements · USOak Ridge National Laboratory · USUniversity of California, San Francisco · USVanderbilt University Medical Center · US

Funding

US and Canadian uranium processing cohorts: exposure, risk and relevanceR21OH011452 · OH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ZABLOTSKA, LYDIA B · 2018 to 2019
$367k
ACL HHS R21OH011452Intramural NIH HHS Z99 CA999999NIOSH CDC HHS R21 OH011452U.S. Department of Energy DE-AU0000042 AND DE-AU0000046U.S. Department of Energy DE-SC0014664U.S. Environmental Protection Agency NO. 1824 S581-A1
6 · The paper itself

Abstract

introductionMallinckrodt Chemical Works was a uranium processing facility during the Manhattan Project from 1942 to 1966. Thousands of workers were exposed to low-dose-rates of ionizing radiation from external and internal sources. This third follow-up of 2514 White male employees updates cancer and noncancer mortality potentially associated with radiation and silica dust. MATERIALS AND

methodsIndividual, annualized organ doses were estimated from film badge records (

resultsVital status was confirmed for 99.4% of workers (84.0% deceased). For a dose weighting factor of 1 for intakes of uranium, radium, and radon decay products, the mean and median lung doses were 65.6 and 29.9 mGy, respectively. SMRs indicated a difference in health outcomes between salaried and hourly workers, and more brain cancer deaths than expected [SMR: 1.79; 95% confidence interval (CI): 1.14, 2.70]. No association was seen between radiation and lung cancer [hazard ratio (HR) at 100 mGy: 0.93; 95%CI: 0.78, 1.11]. The relationship between radiation and kidney cancer observed in the previous follow-up was maintained (HR at 100 mGy: 2.07; 95%CI: 1.12, 3.79). Cardiovascular disease (CVD) also increased significantly with heart dose (HR at 100 mGy: 1.11; 95%CI: 1.02, 1.21). Exposures to dust ≥23.6 mg/m

conclusionsThis third follow-up of Mallinckrodt uranium processors reinforced the results of the previous studies. There was an excess of brain cancers compared with the US population, although no radiation dose-response was detected. The association between radiation and kidney cancer remained, though potentially due to few cases at higher doses. The association between levels of silica dust ≥23.6 mg/m

Indexed as

Cardiovascular DiseasesKidney NeoplasmsLung NeoplasmsNeoplasms, Radiation-InducedOccupational DiseasesOccupational ExposureRadiumRadonUraniumCohort StudiesDustFollow-Up StudiesHumansMaleSilicon DioxideDustRadiumRadonSilicon DioxideUraniumepidemiologyoccupational exposuresRadiationuraniumuranium processing workers

Identifiers

PMID37819879
PMCPMC10843089
OpenAlexW4387527235

What OpenQuestion holds

Textmetadata
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.