Literature DB >> 15613366

Radon in homes and risk of lung cancer: collaborative analysis of individual data from 13 European case-control studies.

S Darby1, D Hill, A Auvinen, J M Barros-Dios, H Baysson, F Bochicchio, H Deo, R Falk, F Forastiere, M Hakama, I Heid, L Kreienbrock, M Kreuzer, F Lagarde, I Mäkeläinen, C Muirhead, W Oberaigner, G Pershagen, A Ruano-Ravina, E Ruosteenoja, A Schaffrath Rosario, M Tirmarche, L Tomásek, E Whitley, H-E Wichmann, R Doll.   

Abstract

OBJECTIVE: To determine the risk of lung cancer associated with exposure at home to the radioactive disintegration products of naturally occurring radon gas.
DESIGN: Collaborative analysis of individual data from 13 case-control studies of residential radon and lung cancer.
SETTING: Nine European countries.
SUBJECTS: 7148 cases of lung cancer and 14,208 controls. MAIN OUTCOME MEASURES: Relative risks of lung cancer and radon gas concentrations in homes inhabited during the previous 5-34 years measured in becquerels (radon disintegrations per second) per cubic metre (Bq/m3) of household air.
RESULTS: The mean measured radon concentration in homes of people in the control group was 97 Bq/m3, with 11% measuring > 200 and 4% measuring > 400 Bq/m3. For cases of lung cancer the mean concentration was 104 Bq/m3. The risk of lung cancer increased by 8.4% (95% confidence interval 3.0% to 15.8%) per 100 Bq/m3 increase in measured radon (P = 0.0007). This corresponds to an increase of 16% (5% to 31%) per 100 Bq/m3 increase in usual radon--that is, after correction for the dilution caused by random uncertainties in measuring radon concentrations. The dose-response relation seemed to be linear with no threshold and remained significant (P = 0.04) in analyses limited to individuals from homes with measured radon < 200 Bq/m3. The proportionate excess risk did not differ significantly with study, age, sex, or smoking. In the absence of other causes of death, the absolute risks of lung cancer by age 75 years at usual radon concentrations of 0, 100, and 400 Bq/m3 would be about 0.4%, 0.5%, and 0.7%, respectively, for lifelong non-smokers, and about 25 times greater (10%, 12%, and 16%) for cigarette smokers.
CONCLUSIONS: Collectively, though not separately, these studies show appreciable hazards from residential radon, particularly for smokers and recent ex-smokers, and indicate that it is responsible for about 2% of all deaths from cancer in Europe.

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Year:  2004        PMID: 15613366      PMCID: PMC546066          DOI: 10.1136/bmj.38308.477650.63

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  20 in total

1.  Residential radon and lung cancer among never-smokers in Sweden.

Authors:  F Lagarde; G Axelsson; L Damber; H Mellander; F Nyberg; G Pershagen
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2.  Exposure to residential radon and lung cancer in Spain: a population-based case-control study.

Authors:  Juan Miguel Barros-Dios; María Amparo Barreiro; Alberto Ruano-Ravina; Adolfo Figueiras
Journal:  Am J Epidemiol       Date:  2002-09-15       Impact factor: 4.897

3.  Indoor radon and lung cancer in France.

Authors:  Hélène Baysson; Margot Tirmarche; Georges Tymen; Sylvie Gouva; Denis Caillaud; Jean-Claude Artus; Alain Vergnenegre; Françoise Ducloy; Dominique Laurier
Journal:  Epidemiology       Date:  2004-11       Impact factor: 4.822

4.  Smoking as a confounder in ecologic correlations of cancer mortality rates with average county radon levels.

Authors:  J S Puskin
Journal:  Health Phys       Date:  2003-04       Impact factor: 1.316

5.  Risk of lung cancer and residential radon in China: pooled results of two studies.

Authors:  Jay H Lubin; Zuo Yuan Wang; John D Boice; Zhao Yi Xu; William J Blot; Long De Wang; Ruth A Kleinerman
Journal:  Int J Cancer       Date:  2004-03       Impact factor: 7.396

6.  Residential radon exposure and lung cancer in Swedish women.

Authors:  G Pershagen; Z H Liang; Z Hrubec; C Svensson; J D Boice
Journal:  Health Phys       Date:  1992-08       Impact factor: 1.316

7.  Mortality from tobacco in developed countries: indirect estimation from national vital statistics.

Authors:  R Peto; A D Lopez; J Boreham; M Thun; C Heath
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8.  Meta-analysis of residential exposure to radon gas and lung cancer.

Authors:  Maria Pavia; Aida Bianco; Claudia Pileggi; Italo F Angelillo
Journal:  Bull World Health Organ       Date:  2003-11-25       Impact factor: 9.408

9.  Residential radon exposure and lung cancer in Sweden.

Authors:  G Pershagen; G Akerblom; O Axelson; B Clavensjö; L Damber; G Desai; A Enflo; F Lagarde; H Mellander; M Svartengren
Journal:  N Engl J Med       Date:  1994-01-20       Impact factor: 91.245

Review 10.  Ionizing radiation, part 2: some internally deposited radionuclides. Views and expert opinions of an IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Lyon, 14-21 June 2000.

Authors: 
Journal:  IARC Monogr Eval Carcinog Risks Hum       Date:  2001
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Journal:  Dtsch Arztebl Int       Date:  2010-03-19       Impact factor: 5.594

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Authors:  Paula M Lantz; David Mendez; Martin A Philbert
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