Source:http://linkedlifedata.com/resource/pubmed/id/15688400
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2005-3-31
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pubmed:abstractText |
Occupational X-ray examination programs have been conducted in many countries to screen for occupational and nonoccupational respiratory diseases, resulting in widespread exposure to X-radiation. We conducted a multicentre case-control study of lung cancer in the Czech Republic, Hungary, Poland, Romania, Russia and Slovakia, including 2,589 cases and 2,859 controls enrolled during 1998-2002. We collected detailed information on occupational X-ray examinations, occupations and tobacco smoking. We calculated odds ratios of lung cancer via multiple logistic regression after adjustment for age, sex, center and tobacco smoking. Among controls 24.9% reported no X-ray examination, 62.9% reported 1-30 examinations and 12.2% reported more than 30 examinations. When we chose individuals with no examination as the reference group, the odds ratios of lung cancer were 1.21 (95% confidence interval [CI] 0.99-1.48), 1.33 (95% CI 1.08-1.64), 1.49 (95% CI 1.18-1.87), 1.52 (95% CI 1.17-1.99) and 2.15 (95% CI 1.50-3.08) for 1-10, 11-20, 21-30, 31-40 and more than 40 examinations, respectively (p-value of test for linear trend <0.0001). The association between X-ray examinations and lung cancer risk was strong in countries with low prevalence of exposure and absent in countries with high prevalence of exposure. Odds ratios for X-ray examinations were lower among smokers than among nonsmokers. The magnitude of the increased risk observed is higher than expected on the basis of other studies of radiation-exposed populations. Although the association we detected between X-ray examinations and lung cancer risk may reflect a carcinogenic effect of repeated exposure to low-level ionizing radiation, reporting bias and particularly uncontrolled confounding by occupational exposure to carcinogens are also likely explanations of the results.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0020-7136
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pubmed:author |
pubmed-author:BenckoVladimirV,
pubmed-author:BoffettaPaoloP,
pubmed-author:BrennanPaulP,
pubmed-author:CardisElisabethE,
pubmed-author:FabiánováEleonóraE,
pubmed-author:FevotteJoelleJ,
pubmed-author:FletcherTonyT,
pubmed-author:JanoutVladimirV,
pubmed-author:LissowskaJolantaJ,
pubmed-author:MannetjeAndrea'tA,
pubmed-author:MatesDanaD,
pubmed-author:NavratilovaMarieM,
pubmed-author:RudnaiPeterP,
pubmed-author:Szeszenia-DabrowskaNeonilaN,
pubmed-author:ZaridzeDavidD
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pubmed:copyrightInfo |
Copyright 2005 Wiley-Liss, Inc
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pubmed:issnType |
Print
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pubmed:day |
10
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pubmed:volume |
115
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
263-7
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pubmed:dateRevised |
2007-7-24
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pubmed:meshHeading |
pubmed-meshheading:15688400-Adult,
pubmed-meshheading:15688400-Aged,
pubmed-meshheading:15688400-Case-Control Studies,
pubmed-meshheading:15688400-Europe, Eastern,
pubmed-meshheading:15688400-Female,
pubmed-meshheading:15688400-Humans,
pubmed-meshheading:15688400-Lung Neoplasms,
pubmed-meshheading:15688400-Male,
pubmed-meshheading:15688400-Middle Aged,
pubmed-meshheading:15688400-Neoplasms, Radiation-Induced,
pubmed-meshheading:15688400-Occupational Diseases,
pubmed-meshheading:15688400-Occupational Exposure,
pubmed-meshheading:15688400-Occupations,
pubmed-meshheading:15688400-Risk Factors,
pubmed-meshheading:15688400-Smoking,
pubmed-meshheading:15688400-X-Rays
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pubmed:year |
2005
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pubmed:articleTitle |
Occupational X-ray examinations and lung cancer risk.
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pubmed:affiliation |
International Agency for Research on Cancer, Lyon, France. boffetta@iarc.it
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't,
Multicenter Study
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