J 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

Štítky

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.