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切尔诺贝利事故清理工作人员中的多发性骨髓瘤——分析研究的现状与前景

Multiple myeloma among Chornobyl accident clean-up workers - state and perspectives of analytical study.

作者信息

Bazyka D A, Gudzenko N A, Dyagil I S, Babkina N G, Chumak V V, Bakhanova E V, Paramonov V V, Romanenko A Y

出版信息

Probl Radiac Med Radiobiol. 2013(18):169-72.

Abstract

UNLABELLED

The objective of the study was to analyze the Multiple Myeloma (MM) incidence in clean-up workers preparing the information background for consequent analytical study with a dose-dependent risk estimates.

MATERIALS AND METHODS

The Cohort Database was linked to the Ukrainian National Cancer Registry to identify the MM cases in a cohort of 152 520 male clean-up workers.

RESULTS

The 64 MM cases were identified in the studied Cohort for the 1987-2012 period. Fifty-eight of them were included to the preliminary incidence analysis accounting for the 10-years lag-period. According to the preliminary data analysis the MM incidence rate in studied clean-up workers Cohort did not exceed the corresponding rate in general population of Ukraine along the 21 years after the catastrophe.

CONCLUSIONS

Standardized incidence ratio for the 2008-2012 period, that is 22-26 years after the accident, demonstrated the significant excess of MM incidence among male clean-up workers in comparison with general population of Ukraine of corresponding age and gender (SIR 1.61, 95% CI 1.01;2.21).

摘要

未标注

本研究的目的是分析清理工作人员中多发性骨髓瘤(MM)的发病率,为后续剂量依赖性风险估计的分析研究准备信息背景。

材料与方法

将队列数据库与乌克兰国家癌症登记处相链接,以确定152520名男性清理工作人员队列中的MM病例。

结果

在1987 - 2012年期间的研究队列中确定了64例MM病例。其中58例纳入初步发病率分析,并考虑了10年的滞后期。根据初步数据分析,在灾难发生后的21年里,研究的清理工作人员队列中的MM发病率未超过乌克兰普通人群的相应发病率。

结论

2008 - 2012年期间(即事故发生后的22 - 26年)的标准化发病率显示,与相应年龄和性别的乌克兰普通人群相比,男性清理工作人员中的MM发病率显著过高(标准化发病率比为1.61,95%可信区间为1.01;2.21)。

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