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Childhood cancer in the offspring born in 1921–1984 to US radiologic technologists

机译:美国放射技术专家于1921年至1984年出生的后代患上儿童期癌症

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摘要

We examined the risk of childhood cancer (<20 years) among 105 950 offspring born in 1921–1984 to US radiologic technologist (USRT) cohort members. Parental occupational in utero and preconception ionising radiation (IR) testis or ovary doses were estimated from work history data, badge dose data, and literature doses (the latter doses before 1960). Female and male RTs reported a total of 111 and 34 haematopoietic malignancies and 115 and 34 solid tumours, respectively, in their offspring. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using Cox proportional hazards regression. Leukaemia (n=63) and solid tumours (n=115) in offspring were not associated with maternal in utero or preconception radiation exposure. Risks for lymphoma (n=44) in those with estimated doses of <0.2, 0.2–1.0, and >1.0 mGy vs no exposure were non-significantly elevated with HRs of 2.3, 1.8, and 2.7. Paternal preconception exposure to estimated cumulative doses above the 95th percentile (⩾82 mGy, n=6 cases) was associated with a non-significant risk of childhood cancer of 1.8 (95% CI 0.7–4.6). In conclusion, we found no convincing evidence of an increased risk of childhood cancer in the offspring of RTs in association with parental occupational radiation exposure.
机译:我们检查了1921年至1984年出生于美国放射技术专家(USRT)队列成员的105至950个后代中儿童期癌症的风险(<20岁)。根据工作史数据,徽章剂量数据和文献剂量(后者在1960年之前的剂量)估算出宫内和孕前电离辐射(IR)睾丸或卵巢的父母职业剂量。雌性和雄性RTs在其后代中分别报告总共111和34个造血系统恶性肿瘤和115和34个实体瘤。使用Cox比例风险回归计算危害比(HRs)和95%置信区间(CIs)。后代中的白血病(n = 63)和实体瘤(n = 115)与孕妇子宫内或孕前辐射暴露无关。估计剂量分别为<0.2、0.2–1.0和>1.0μmGy的人群(无接触)的淋巴瘤风险(n = 44)与HRs分别为2.3、1.8和2.7的情况无明显升高。父亲受孕前的估计累积剂量高于第95个百分位数(ile82⩾mGy,n = 6例),与儿童期癌症的非显着风险为1.8(95%CI 0.7-4.6)有关。总之,我们没有令人信服的证据表明,与父母的职业性辐射暴露相关的放疗后代中儿童期癌症风险增加。

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