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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2003-1-22
pubmed:abstractText
Aspects of radiation-induced lung cancer were evaluated in an international study of Hodgkin's disease. The study population consisted of 227 patients with lung cancer and 455 matched controls. Unique features included dose determinations to the specific location in the lung where each cancer developed and quantitative data on both chemotherapy and tobacco use obtained from medical records. The estimated excess relative risk (ERR) per Gy was 0.15 (95% CI: 0.06-0.39), and there was little evidence of departure from linearity even though lung doses for the majority of Hodgkin's disease patients treated with radiotherapy exceeded 30 Gy. The interaction of radiation and chemotherapy that included alkylating agents was almost exactly additive, and a multiplicative relationship could be rejected (P = 0.017). Conversely, the interaction of radiation and smoking was consistent with a multiplicative relationship, but not with an additive relationship (P < 0.001). The ERR/Gy for males was about four times that for females, although the difference was not statistically significant. There was little evidence of modification of the ERR/Gy by time since exposure (after a 5-year minimum latent period), age at exposure, or attained age. Because of the very high radiation doses received by Hodgkin's disease patients and the immunodeficiency inherent to this lymphoma and that associated with chemotherapy, generalizing these findings to other populations receiving considerably lower doses of radiation should be done cautiously.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0033-7587
pubmed:author
pubmed:issnType
Print
pubmed:volume
159
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
161-73
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:12537521-Adult, pubmed-meshheading:12537521-Aged, pubmed-meshheading:12537521-Antineoplastic Agents, Alkylating, pubmed-meshheading:12537521-Case-Control Studies, pubmed-meshheading:12537521-Dose-Response Relationship, Radiation, pubmed-meshheading:12537521-Environmental Exposure, pubmed-meshheading:12537521-Female, pubmed-meshheading:12537521-Hodgkin Disease, pubmed-meshheading:12537521-Humans, pubmed-meshheading:12537521-Lung Neoplasms, pubmed-meshheading:12537521-Male, pubmed-meshheading:12537521-Middle Aged, pubmed-meshheading:12537521-Neoplasms, Radiation-Induced, pubmed-meshheading:12537521-Radiometry, pubmed-meshheading:12537521-Risk Factors, pubmed-meshheading:12537521-Sex Characteristics, pubmed-meshheading:12537521-Smoking, pubmed-meshheading:12537521-Time Factors
pubmed:year
2003
pubmed:articleTitle
Lung cancer after treatment for Hodgkin's disease: focus on radiation effects.
pubmed:affiliation
Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda Maryland 20852-7238, USA. gilberte@mail.nih.gov
pubmed:publicationType
Journal Article