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氡暴露与中枢神经系统肿瘤

Radon exposure and tumors of the central nervous system.

作者信息

Ruano-Ravina Alberto, Dacosta-Urbieta Ana, Barros-Dios Juan Miguel, Kelsey Karl T

机构信息

Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain.

Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain.

出版信息

Gac Sanit. 2018 Nov-Dec;32(6):567-575. doi: 10.1016/j.gaceta.2017.01.002. Epub 2017 Mar 18.

Abstract

OBJECTIVE

To review the published evidence of links between radon exposure and central nervous system tumors through a systematic review of the scientific literature.

METHODS

We performed a thorough bibliographic search in Medline (PubMed) and EMBASE. We combined MeSH (Medical Subject Heading) terms and free text. We developed a purpose-designed scale to assess the quality of the included manuscripts.

RESULTS

We have included 18 studies, 8 performed on miners, 3 on the general population and 7 on children, and the results have been structured using this classification. The results are inconclusive. An association between radon exposure and central nervous system tumors has been observed in some studies on miners, but not in others. The results observed in the general adult population and in children are also mixed, with some research evincing a statistically significant association and others showing no effect.

CONCLUSIONS

We cannot conclude that there is a relationship between radon exposure and central nervous system tumors. The available studies are extremely heterogeneous in terms of design and populations studied. Further research is needed in this topic, particularly in the general population residing in areas with high levels of radon.

摘要

目的

通过对科学文献的系统综述,回顾已发表的关于氡暴露与中枢神经系统肿瘤之间联系的证据。

方法

我们在医学文献数据库(PubMed)和荷兰医学文摘数据库(EMBASE)中进行了全面的文献检索。我们结合了医学主题词(MeSH)术语和自由文本。我们开发了一个专门设计的量表来评估纳入手稿的质量。

结果

我们纳入了18项研究,其中8项针对矿工,3项针对普通人群,7项针对儿童,并使用该分类对结果进行了整理。结果尚无定论。在一些针对矿工的研究中观察到了氡暴露与中枢神经系统肿瘤之间的关联,但在其他研究中未观察到。在普通成年人群和儿童中观察到的结果也不一致,一些研究显示出统计学上的显著关联,而另一些研究则显示没有影响。

结论

我们不能得出氡暴露与中枢神经系统肿瘤之间存在关系的结论。现有研究在设计和研究人群方面极其异质。在这个主题上需要进一步的研究,特别是在氡含量高的地区居住的普通人群中。

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