Evidence map›Paper›PMID 42218725›Full record

ArticleJournal of cancer research and clinical oncology2026

Residential radon exposure and lung cancer histology and stage: a population-based ecological study in Central Germany.

Philipp Ernst, Tobias Rachow, Sebastian Henn, Jakob Friedrich Hammersen, Silvio Dittrich, Annika Heßmer, Alexander Hillig, Astrid Heßmer, Andreas Hochhaus

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Article in Journal of cancer research and clinical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Philipp ErnstKlinik für Innere Medizin II, Universitätsklinikum Jena, Comprehensive Cancer Center Central Germany, Campus Jena, Am Klinikum 1, 07740, Jena, Germany. philipp.ernst@med.uni-jena.de.
Tobias RachowIOGP MVZ GmbH, Gera, Germany.
Sebastian HennInstitut für Wirtschaftsgeographie, Friedrich-Schiller-Universität Jena, Jena, Germany.
Jakob Friedrich HammersenKlinik für Innere Medizin II, Universitätsklinikum Jena, Comprehensive Cancer Center Central Germany, Campus Jena, Am Klinikum 1, 07740, Jena, Germany.
Silvio DittrichWismut-Erbe-Forschung, Sächsische Akademie für Wissenschaft, Leipzig, Germany.
Annika HeßmerLandeskrebsregister Thüringen, Jena, Germany.
Alexander HilligLandeskrebsregister Thüringen, Jena, Germany.
Astrid HeßmerLandeskrebsregister Thüringen, Jena, Germany.
Andreas HochhausKlinik für Innere Medizin II, Universitätsklinikum Jena, Comprehensive Cancer Center Central Germany, Campus Jena, Am Klinikum 1, 07740, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeResidential radon exposure is recognised as one of the leading environmental risk factors for lung cancer and acts synergistically with tobacco smoking. Thuringia, Germany, exhibits high geogenic radon potential; however, population-level associations with lung cancer histology and stage at diagnosis remain insufficiently characterised.

methodsWe conducted a retrospective ecological analysis of 893 lung cancer cases (2018-2022) from the Thuringian State Cancer Registry. Cases from 96 communities were classified as high- or low-radon exposure based on geogenic radon potential and soil radon activity. Demographics, histology and stage were compared between groups.

resultsPopulation-level lung cancer incidence did not differ significantly between low- and high-radon communities, consistent with age- and sex-adjusted Poisson regression showing no association with residential radon exposure (adjusted IRR 1.05, p = 0.473). However, all cases in women younger than 50 years occurred in high-radon communities. Adenocarcinoma was nominally more frequent (56% vs. 48%, p = 0.04), and among patients with small cell lung cancer (SCLC), extensive-stage disease was more common (64% vs. 49%, p = 0.04), with combined SCLC occurring exclusively; however, these findings were not significant after correction for multiple testing.

conclusionIn this ecological analysis, residential radon exposure was not associated with annual lung cancer incidence but was linked to tumour histology and stage at diagnosis. Given the ecological design and lack of smoking and occupational exposure data, these findings are hypothesis-generating and warrant further investigation to clarify radon's role in lung cancer biology and prevention.

Indexed as

Environmental ExposureLung NeoplasmsNeoplasms, Radiation-InducedRadonAdultAgedFemaleGermanyHumansIncidenceMaleMiddle AgedNeoplasm StagingRetrospective StudiesRisk FactorsRadonEpidemiologyLung cancerRadon exposure

Identifiers

PMID42218725
PMCPMC13230297

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