Lung cancer mortality attributable to residential radon: a systematic scoping review

被引:14
作者
Martin-Gisbert, Lucia [1 ,2 ,3 ]
Ruano-Ravina, Alberto [1 ,2 ,3 ,4 ]
Varela-Lema, Leonor [1 ,2 ,4 ]
Penabad, Marina [1 ]
Giraldo-Osorio, Alexandra [1 ,5 ,6 ]
Candal-Pedreira, Cristina [1 ,2 ]
Rey-Brandariz, Julia [1 ]
Mourino, Nerea [1 ]
Perez-Rios, Monica [1 ,2 ,4 ]
机构
[1] Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Santiago De Compostela, Spain
[2] Hlth Res Inst Santiago de Compostela, Santiago De Compostela, Spain
[3] Univ Santiago de Compostela, Cross Disciplinary Res Environm Technol CRETUS, Santiago De Compostela, Spain
[4] Consortium Biomed Res Epidemiol & Publ Hlth CIBER, Santiago De Compostela, Spain
[5] Univ Caldas, Dept Salud Publ, Grp Invest Promoc Salud & Prevenc Enfermedad GIPS, Manizales 170002, Colombia
[6] Scholarship Holder Fdn Carolina C2021, Madrid 28071, Spain
关键词
Mortality burden; Naturally occurring radiation; Indoor air; Residential exposure; INDOOR RADON; RISK-ASSESSMENT; EXPOSURE; POPULATION; BURDEN; CANADA; NETHERLANDS; MODELS; SWEDEN; IMPACT;
D O I
10.1038/s41370-022-00506-w
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
After smoking, residential radon is the second risk factor of lung cancer in general population and the first in never-smokers. Previous studies have analyzed radon attributable lung cancer mortality for some countries. We aim to identify, summarize, and critically analyze the available data regarding the mortality burden of lung cancer due to radon, performing a quality assessment of the papers included, and comparing the results from different countries. We performed a systematic scoping review using the main biomedical databases. We included original studies with attributable mortality data related to radon exposure. We selected studies according to specific inclusion and exclusion criteria. PRISMA 2020 methodology and PRISMA Extension for Scoping Reviews requirements were followed. Data were abstracted using a standardized data sheet and a tailored scale was used to assess quality. We selected 24 studies describing radon attributable mortality derived from 14 different countries. Overall, 13 studies used risk models based on cohorts of miners, 8 used risks from residential radon case-control studies and 3 used both risk model options. Radon geometric mean concentration ranged from 11 to 83 Becquerels per cubic meter (Bq/m(3)) and the population attributable fraction (PAF) ranged from 0.2 to 26%. Studies performed in radon prone areas obtained the highest attributable mortality. High-quality publications reported PAF ranging from 3 to 12% for residential risk sources and from 7 to 25% for miner risk sources. Radon PAF for lung cancer mortality varies widely between studies. A large part of the variation is due to differences in the risk source used and the conceptual description of radon exposure assumed. A common methodology should be described and used from now on to improve the communication of these results.
引用
收藏
页码:368 / 376
页数:9
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