2020
Occupational exposure to ionizing radiation and risk of lymphoma subtypes: results of the Epilymph European case-control study
SATTA, Giannin, Matte LOI, Nickolau BECKER, Yoland BENAVENTE, Sanjos Silvi DE SANJOSE et. al.Základní údaje
Originální název
Occupational exposure to ionizing radiation and risk of lymphoma subtypes: results of the Epilymph European case-control study
Autoři
SATTA, Giannin, Matte LOI, Nickolau BECKER, Yoland BENAVENTE, Sanjos Silvi DE SANJOSE, Lenka FORETOVÁ (203 Česká republika, domácí), Anthon STAINER, Mar MAYNADIE, Alexandr NIETERS, Federic MELONI, Ilari PILIA, Marcell CAMPAGNA, Marc PAU, Lydia B ZABLOTSKA a Pierluigi COCCO (garant)
Vydání
Environmental health, LONDON, BMC, 2020, 1476-069X
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 5.984
Kód RIV
RIV/00216224:14110/20:00124640
Organizační jednotka
Lékařská fakulta
UT WoS
000529993200001
Klíčová slova anglicky
Ionizing radiation; Lymphoma; Diffuse large B cell lymphoma; Occupational exposure
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 20. 5. 2022 09:59, Mgr. Tereza Miškechová
Anotace
V originále
Background Evidence linking risk of lymphoma and B-cell lymphoma subtypes to ionizing radiation is inconclusive, particularly at low exposure levels. Methods We investigated risk of lymphoma (all subtypes), B-cell lymphomas, and its major subtypes, associated with low-level occupational exposure to ionizing radiation, in 2346 lymphoma cases and 2463 controls, who participated in the multicenter EpiLymph case-control study. We developed a job-exposure matrix to estimate exposure to ionizing radiation, distinguishing between internal and external radiation, and we applied it to the lifetime occupational history of study subjects, We calculated the Odds Ratio (OR) and its 95% confidence interval (95% CI) for lymphoma (all subtypes combined), B-cell lymphoma, and its major subtypes using unconditional, polytomous logistic regression adjusting for age, gender, and education. Results We did not observe an association between exposure metrics of external and internal radiation and risk of lymphoma (all subtypes), nor with B-cell lymphoma, or its major subtypes, at the levels regularly experienced in occupational settings. An elevated risk of diffuse large B cell lymphoma was observed among the most likely exposed study subjects with relatively higher exposure intensity, which would be worth further investigation. Conclusions Further investigation is warranted on risk of B cell lymphoma subtypes associated with low-level occupational exposure to external ionizing radiation, and to clarify whether lymphoma should be included among the cancer outcomes related to ionizing radiation.