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工人研究及其解读。

Worker studies and their interpretation.

作者信息

Richardson David B, Laurier Dominique, Haylock Richard, Kelly-Reif Kaitlin, Bertke Stephen, Daniels Robert D, Thierry-Chef Isabelle, Kesminiene Ausrele, Schubauer-Berigan Mary K

机构信息

Department of Environmental and Occupational Health, Program in Public Health, University of California, Irvine, CA 92697, United States of America.

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-SANTE, F-92260 Fontenay-aux-Roses, France.

出版信息

J Radiol Prot. 2025 Jul 14;45(3). doi: 10.1088/1361-6498/ade68e.

Abstract

A recent commentary on epidemiological studies of nuclear workers notes that these studies can provide radiation risk estimates that complement those derived from the study of Japanese atomic bomb survivors. The author asserts that the results from some nuclear worker studies are difficult to interpret due to the fact that ERR/Gy estimates vary across subcohorts, and subcohort-specific estimates are not always equal to estimates obtained in the overall study population. We discuss settings in which it is reasonable to expect that an estimate of association in a subcohort should be similar to an estimate obtained in the full cohort and settings in which a subcohort analysis may differ from the estimate obtained in a full cohort analysis. Focusing on the INWORKS study, we describe some of the steps taken to understand variation in estimates of ERR/Gy between subgroups and upon restrictions, as well as interpretation of estimates of external dose-mortality associations in the total study population.

摘要

最近一篇关于核工业工人流行病学研究的评论指出,这些研究能够提供辐射风险估计值,对源自日本原子弹幸存者研究的估计值起到补充作用。作者断言,由于不同亚队列的每戈瑞有效风险率(ERR/Gy)估计值存在差异,且特定亚队列的估计值并不总是等同于在整个研究人群中获得的估计值,因此一些核工业工人研究的结果难以解读。我们讨论了在哪些情况下可以合理预期亚队列中的关联估计值应与整个队列中的估计值相似,以及在哪些情况下亚队列分析可能与整个队列分析中获得的估计值有所不同。以INWORKS研究为例,我们描述了为理解亚组之间以及限制条件下ERR/Gy估计值的变化所采取的一些步骤,以及对整个研究人群中外照射剂量与死亡率关联估计值的解读。

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