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Glass-based radon-exposure assessment and lung cancer risk.
Lagarde, Frédéric; Falk, Rolf; Almrén, Katinka; Nyberg, Fredrik; Svensson, Helena; Pershagen, Göran.
Afiliación
  • Lagarde F; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. frederic.lagarde@imm.ki.se
J Expo Anal Environ Epidemiol ; 12(5): 344-54, 2002 Sep.
Article en En | MEDLINE | ID: mdl-12198583
Lung cancer risk estimation in relation to residential radon exposure remains uncertain, partly as a result of imprecision in air-based retrospective radon-exposure assessment in epidemiological studies. A recently developed methodology provides estimates for past radon concentrations and involves measurement of the surface activity of a glass object that has been in a subject's dwellings through the period for exposure assessment. Such glass measurements were performed for 110 lung cancer subjects, diagnosed 1985 to 1995, and for 231 control subjects, recruited in a case-control study of residential radon and lung cancer among never-smokers in Sweden. The relative risks (with 95% confidence intervals) of lung cancer in relation to categories of surface-based average domestic radon concentration during three decades, delimited by cutpoints at 50, 80, and 140 Bq m(-3), were 1.60 (0.8 to 3.4), 1.96 (0.9 to 4.2), and 2.20 (0.9 to 5.6), respectively, with average radon concentrations below 50 Bq m(-3) used as reference category, and with adjustment for other risk factors. These relative risks, and the excess relative risk (ERR) of 75% (-4% to 430%) per 100 Bq m(-3) obtained when using a continuous variable for surface-based average radon concentration estimates, were about twice the size of the corresponding relative risks obtained among these subjects when using air-based average radon concentration estimates. This suggests that surface-based estimates may provide a more relevant exposure proxy than air-based estimates for relating past radon exposure to lung cancer risk.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinógenos Ambientales / Monitoreo del Ambiente / Radón / Exposición a Riesgos Ambientales / Vidrio / Neoplasias Pulmonares Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Expo Anal Environ Epidemiol Asunto de la revista: EPIDEMIOLOGIA / SAUDE AMBIENTAL Año: 2002 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinógenos Ambientales / Monitoreo del Ambiente / Radón / Exposición a Riesgos Ambientales / Vidrio / Neoplasias Pulmonares Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Expo Anal Environ Epidemiol Asunto de la revista: EPIDEMIOLOGIA / SAUDE AMBIENTAL Año: 2002 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido