Watson J E, Wood J L, Tankersley W G, West C M
School of Public Health, University of North Carolina, Chapel Hill 27599-7400.
Health Phys. 1994 Oct;67(4):402-5. doi: 10.1097/00004032-199410000-00012.
Dosimetry data are required for many epidemiologic studies of radiation workers. For several reasons, these data may not be available for some workers for some periods of time. An estimate of a worker's dose for such a time period can be made using data from nearby time periods for the worker or using data obtained for other workers during the same time period. This paper reports the results of an evaluation of a procedure for estimating external doses for workers included in retrospective epidemiologic studies. This evaluation was conducted using data for workers who had recorded doses for each year in a 5-y period. The dose for the middle year of the 5-y period was treated as unavailable and the dose was estimated several ways. These estimates were compared with the recorded dose. It was observed that averaging a worker's dose data for the years preceding and following a year for which data hypothetically were not available most often yielded the best estimate of the dose. At one facility studied, the use of nearby data for the same worker was a more reliable estimate for a dose than was the department or facility median or mean dose. However, at another facility, use of the department median or mean dose produced a more accurate estimate than did nearby data for the worker. These results indicate that a single procedure for estimating doses is not best for all facilities, and it is recommended that a test of the type reported in this paper be performed before a decision is made on how to estimate doses. The use of department medians or means to estimate doses consistently produced better estimates than were obtained using facility medians or means.
许多针对辐射工作人员的流行病学研究都需要剂量测定数据。由于多种原因,在某些时间段内,部分工作人员可能无法获取这些数据。可以利用同一工作人员临近时间段的数据,或同一时期其他工作人员的数据,来估算该工作人员在这段时间内的剂量。本文报告了一项评估程序的结果,该程序用于估算回顾性流行病学研究中工作人员的外照射剂量。评估使用了在5年期间每年都记录了剂量的工作人员的数据。将5年期间中间年份的剂量视为无法获取,并通过多种方式进行估算。将这些估算值与记录的剂量进行比较。结果发现,对假设数据不可用年份前后的年份的工作人员剂量数据求平均值,通常能得到最佳的剂量估算值。在所研究的一个机构中,对于剂量估算而言,使用同一工作人员的临近数据比部门或机构的中位数或平均剂量更为可靠。然而,在另一个机构中,使用部门中位数或平均剂量比使用该工作人员的临近数据能得出更准确的估算值。这些结果表明,单一的剂量估算程序并非对所有机构都是最佳的,建议在决定如何估算剂量之前,先进行本文所报告类型的测试。使用部门中位数或平均值来估算剂量,始终比使用机构中位数或平均值能得出更好的估算结果。