Evidence map›Paper›PMID 38904132›Full record

ArticleBMJ open2024

Central nervous system tumours and occupational ionising radiation exposure: a nested case-control study among the ORICAMs cohort of healthcare workers in France.

Julie Lopes, Clémence Baudin, Frédéric Rousseau, Hervé Roy, Philippe Lestaevel, Sylvaine Caër-Lorho, Lynda Bensefa-Colas, Klervi Leuraud, Marie-Odile Bernier

Erratum issuedAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Julie LopesPSE-SANTE/SESANE/LEPID, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France.ORCID 0000-0003-2903-4127
Clémence BaudinPSE-SANTE/SESANE/LEPID, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France clemence.baudin@irsn.fr.
Frédéric RousseauPSE-SANTE/SER/BASEP, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France.
Hervé RoyPSE-SANTE/SER/BASEP, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France.
Philippe LestaevelPSE-SANTE/SER/BASEP, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France.
Sylvaine Caër-LorhoPSE-SANTE/SESANE/LEPID, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France.
Lynda Bensefa-ColasHopital Hotel-Dieu de Paris, Paris, Île-de-France, France.
Klervi LeuraudPSE-SANTE/SESANE/LEPID, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France.
Marie-Odile BernierPSE-SANTE/SESANE/LEPID, Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, Île-de-France, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed at investigating the relationship between occupational exposure to external ionising radiation and central nervous system (CNS) tumours mortality in healthcare workers working in France. DESIGN AND

settingThe Occupational Radiation-Induced Cancer in Medical staff (ORICAMs) nested case-control study was conducted based on the dosimetric records of the national register of occupational dosimetry (Système d'information de la surveillance de l'exposition aux rayonnements ionisants). PARTICIPANTS AND

methods33 CNS tumour deaths occurred between 2002 and 2012 among the ORICAMs cohort composed of 164 015 healthcare workers. Each case was matched to five controls alive at the time of the corresponding case's death, based on sex, year of birth, date of enrolment in the cohort and duration of follow-up. All participants were badge monitored for external radiation exposure, expressed in H

resultsCases were exposed to a mean cumulative career radiation dose of 5.8±13.7 (max: 54.3) millisievert (mSv) compared with 4.1±15.2 (142.2) mSv for controls. No statistically significant association was found between CNS tumour mortality and cumulative whole-body career dose (OR=1.00, 95% CI 0.98 to 1.03), duration of exposure (OR=1.03; 95% CI 0.95 to 1.12) or age at first exposure (OR=0.98; 95% CI 0.91 to 1.06).

conclusionWe found no evidence of an association between external radiation exposure and CNS tumour risk in healthcare workers. Limitations of the study include low statistical power and short duration of follow-up.

Indexed as

Central Nervous System NeoplasmsHealth PersonnelNeoplasms, Radiation-InducedOccupational ExposureRadiation, IonizingAdultCase-Control StudiesDose-Response Relationship, RadiationFemaleFranceHumansLogistic ModelsMaleMiddle AgedOccupational DiseasesRadiation Exposureepidemiologymortalityneurological oncologyoccupational & industrial medicine

Identifiers

PMID38904132
PMCPMC11191795

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Registered trials

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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.