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使用手机与脑瘤风险:丹麦队列研究更新。

Use of mobile phones and risk of brain tumours: update of Danish cohort study.

机构信息

Institute of Cancer Epidemiology, Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen, Denmark.

出版信息

BMJ. 2011 Oct 19;343:d6387. doi: 10.1136/bmj.d6387.

Abstract

OBJECTIVE

To investigate the risk of tumours in the central nervous system among Danish mobile phone subscribers.

DESIGN

Nationwide cohort study.

SETTING

Denmark.

PARTICIPANTS

All Danes aged ≥ 30 and born in Denmark after 1925, subdivided into subscribers and non-subscribers of mobile phones before 1995.

MAIN OUTCOME MEASURES

Risk of tumours of the central nervous system, identified from the complete Danish Cancer Register. Sex specific incidence rate ratios estimated with log linear Poisson regression models adjusted for age, calendar period, education, and disposable income.

RESULTS

358,403 subscription holders accrued 3.8 million person years. In the follow-up period 1990-2007, there were 10,729 cases of tumours of the central nervous system. The risk of such tumours was close to unity for both men and women. When restricted to individuals with the longest mobile phone use--that is, ≥ 13 years of subscription--the incidence rate ratio was 1.03 (95% confidence interval 0.83 to 1.27) in men and 0.91 (0.41 to 2.04) in women. Among those with subscriptions of ≥ 10 years, ratios were 1.04 (0.85 to 1.26) in men and 1.04 (0.56 to 1.95) in women for glioma and 0.90 (0.57 to 1.42) in men and 0.93 (0.46 to 1.87) in women for meningioma. There was no indication of dose-response relation either by years since first subscription for a mobile phone or by anatomical location of the tumour--that is, in regions of the brain closest to where the handset is usually held to the head.

CONCLUSIONS

In this update of a large nationwide cohort study of mobile phone use, there were no increased risks of tumours of the central nervous system, providing little evidence for a causal association.

摘要

目的

研究丹麦移动电话用户中枢神经系统肿瘤的发病风险。

设计

全国性队列研究。

地点

丹麦。

对象

1925 年以后出生且年龄≥30 岁的所有丹麦人,分为 1995 年以前移动电话使用者和非使用者。

主要观察指标

中枢神经系统肿瘤的发病风险,通过完整的丹麦癌症登记处确定。使用对数线性泊松回归模型对性别特异性发病率比值进行估计,调整年龄、日历时间、教育和可支配收入。

结果

358403 名登记在册的移动电话使用者累计随访 380 万人年。在 1990 年至 2007 年的随访期间,共发生 10729 例中枢神经系统肿瘤。男性和女性的肿瘤发病风险均接近 1.0。将移动电话使用时间最长(即≥13 年)的个体限定为研究对象,男性的发病率比值为 1.03(95%置信区间 0.831.27),女性为 0.91(0.412.04)。在使用移动电话≥10 年的个体中,男性的发病率比值为 1.04(0.851.26),女性为 1.04(0.561.95),分别为神经胶质瘤和脑膜瘤。无论按首次使用移动电话后的年数,还是按肿瘤解剖位置(即手机通常靠近头部的脑区),均未发现剂量-反应关系。

结论

在这项大型全国性移动电话使用队列研究的最新更新中,没有发现中枢神经系统肿瘤风险增加的证据,提示两者之间没有因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae5d/4788302/242007d28275/frep860502.f1_default.jpg

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