Evidence map›Paper›PMID 40983508›Full record

ArticleOccupational and environmental medicine2025

Protracted exposure to low-dose ionising radiation and cancer incidence among Canadian nuclear power plant workers.

Patrick Hinton, Laura Andrea Rodriguez-Villamizar, Philippe Prince, Tim Prendergast, Minh T Do, Paul A Demers, Cheryl E Peters, Lydia B Zablotska, Paul J Villeneuve

Abstract read
In one paragraph

Article in Occupational and environmental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

9 authors.

Patrick HintonDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0009-0006-8296-4680
Laura Andrea Rodriguez-VillamizarDepartment of Neuroscience, Carleton University, Ottawa, Ontario, Canada.ORCID 0000-0002-5551-2586
Philippe PrinceRadiation Protection Bureau, Health Canada, Ottawa, Ontario, Canada.
Tim PrendergastRadiation Protection Bureau, Health Canada, Ottawa, Ontario, Canada.
Minh T DoDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Paul A DemersOccupational Cancer Research Centre, Ontario Health, Toronto, Ontario, Canada.
Cheryl E PetersPrevention and Health Promotion, BC Centre for Disease Control, Vancouver, British Columbia, Canada.ORCID 0000-0003-1202-5689
Lydia B ZablotskaEpidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.
Paul J VilleneuveDepartment of Neuroscience, Carleton University, Ottawa, Ontario, Canada Paul.Villeneuve@carleton.ca.ORCID 0000-0001-7786-7997

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIonising radiation is a human carcinogen; however, there are uncertainties about the shape of the exposure-response function at low doses. We evaluated the relationship between radiation dose and cancer incidence in a cohort of Canadian nuclear power plant workers (NPPWs) with protracted exposures to low-dose ionising radiation.

methodsThe cohort included 75 350 workers employed at one of five Canadian nuclear power plants any time between 1945 and 2010. Exposure to cumulative whole-body effective dose was determined through personal monitoring. A total of 4370 incident cancers were identified through record linkage of these workers to national cancer registries (1969-2010). Vital status was determined through linkages to national mortality and tax databases. Standardised incidence ratios (SIRs) were calculated to compare cancer incidence rates of the cohort with the Canadian general population. Poisson regression was used to characterise dose-response relationships via categorical and linear excess relative risk (ERR) models.

resultsSignificantly elevated SIRs were found for solid cancers (combined), melanoma, colon and prostate cancer, while a reduced SIR was found for lung cancer. Positive, but not statistically significant excess risks were found for melanoma (ERR/100 mSv=0.32; 95% CI: -0.23 to 0.87) and prostate cancer (ERR/100 mSv=0.12; 95% CI: -0.05 to 0.29). An inverse association was found for lung cancer (ERR/100 mSv=-0.18; 95% CI: -0.01 to -0.36).

conclusionsOur findings suggest that Canadian NPPWs have increased risks of prostate cancer and melanoma from low-dose ionising radiation exposure. Estimates should be cautiously interpreted due to the inability to adjust for demographic and lifestyle factors.

Indexed as

Neoplasms, Radiation-InducedNuclear Power PlantsOccupational DiseasesOccupational ExposureRadiation ExposureRadiation, IonizingAdultAgedCanadaCohort StudiesDose-Response Relationship, RadiationFemaleHumansIncidenceLung NeoplasmsMaleOccupational HealthRadiation, IonizingWorkers

Identifiers

PMID40983508
PMCPMC12573341

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LicenceCC BY-NC
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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.