title: Lung cancer risk among German male uranium miners: a cohort study, 1946-1998.
abstract: From 1946 to 1990 extensive uranium mining was conducted in the southern parts of the former German Democratic Republic. The overall workforce included several 100,000 individuals. A cohort of 59,001 former male employees of the Wismut Company was established, forming a large retrospective uranium miners' cohort for the time period 1946-1998. Mean duration of follow-up was 30.5 years with a total of 1 801,630 person-years. Loss to follow-up was low at 5.3%. Of the workers, 16,598 (28.1%) died during the study period. Based on 2388 lung cancer deaths, the radon-related lung cancer risk is evaluated. The excess relative risk (ERR) per working level month (WLM) was estimated as 0.21% (95% CI: 0.18-0.24). It was dependent on time since exposure and on attained age. The highest ERR/WLM was observed 15-24 years after exposure and in the youngest age group (<55 years of age). While a strong inverse exposure-rate effect was detected for high exposures, no significant association was detected at exposures below 100 WLM. Excess relative risk /WLM was not modified by duration of exposure. The results would indicate the need to re-estimate the effects of risk modifying factors in current risk models as duration of exposure did not modify the ERR/WLM and there was only a modest decline of ERR/WLM with increasing time since exposure.
authors.affiliation: Federal Office for Radiation Protection, Department 'Radiation Protection and Health', Ingolstaedter Landstr. 1, 85764 Oberschleissheim, Germany. bgrosche@bfs.de
authors.forename: B
authors.initials: B
authors.lastname: Grosche
authors.forename: M
authors.initials: M
authors.lastname: Kreuzer
authors.forename: M
authors.initials: M
authors.lastname: Kreisheimer
authors.forename: M
authors.initials: M
authors.lastname: Schnelzer
authors.forename: A
authors.initials: A
authors.lastname: Tschense
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D015331:Cohort Studies; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008175:Lung Neoplasms / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D008906:Mining; D009381:Neoplasms, Radiation-Induced / Q000453:epidemiology / Q000209:etiology; D009784:Occupational Diseases / Q000453:epidemiology / Q000209:etiology; D016273:Occupational Exposure / Q000009:adverse effects* / Q000706:statistics & numerical data; D012307:Risk Factors; D016019:Survival Analysis; D013997:Time Factors; D014501:Uranium
chemical_list: D014501:Uranium