Tomásek L, Zárská H
National Radiation Protection Institute, 100 00 Prague, Czech Republic.
Neoplasma. 2004;51(4):255-60.
First epidemiological evidence of lung cancer risk from exposure to radon was based on studies of uranium miners. The risk in other mines was reported later. The cohort study among 2466 Czech tin miners was conducted in order to estimate the size of the risk and to compare it to that in uranium mines. Based on 205 lung cancers, the estimate of excess relative risk per unit exposure in the simple linear model 0.011 is compatible with findings from two cohort studies of Czech uranium miners. This similarity holds in more complex models that include modifying effects of age and time since exposure. In addition, an alternative description of the risk in terms of lifetime risk was used. This approach provides summarized characteristics, in which modifying effects of time and age are incorporated. The attributive risk derived from the lifetime relative risk is proportional to cumulated exposure observed in both tin and uranium miners. On the other hand, the expected life shortening of 19 years among radiation induced deaths is similar in these studies.
氡暴露导致肺癌风险的首个流行病学证据基于对铀矿矿工的研究。其他矿井中的风险报告较晚。对2466名捷克锡矿矿工进行了队列研究,以估计风险大小并与铀矿中的风险进行比较。基于205例肺癌病例,简单线性模型中每单位暴露的超额相对风险估计值0.011与捷克铀矿矿工的两项队列研究结果相符。在包含年龄和暴露后时间修正效应的更复杂模型中,这种相似性依然成立。此外,还使用了根据终生风险对风险进行的另一种描述。这种方法提供了概括性特征,其中纳入了时间和年龄的修正效应。从终生相对风险得出的归因风险与锡矿和铀矿矿工中观察到的累积暴露成比例。另一方面,这些研究中辐射诱发死亡导致的预期寿命缩短19年相似。