RADIATION-DOSE AND LEUKEMIA RISK - GENERAL RELATIVE RISK TECHNIQUES FOR DOSE-RESPONSE MODELS IN A MATCHED CASE-CONTROL STUDY

被引:21
作者
BLETTNER, M
BOICE, JD
机构
[1] Radiation Epidemiology Branch, National Cancer Institute, NIH, Bethesda, Maryland
[2] Department of Epidemiology and Biometry, German Cancer Research Center, Heidelberg, D-6900
关键词
D O I
10.1002/sim.4780101004
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Generalized relative risk functions were used to model radiation dose-response information from a large matched case-control study of leukaemia occurring after treatment for cervical cancer. Models suggested by radiobiological theory were investigated and compared to standard analyses of categorical dose-response to the linear model. Local radiation doses to each of fourteen bone marrow compartments for each patient were incorporated into the models, and the corresponding risks were summed. Conditional maximum likelihood methods were used to estimate risk parameters. Unique features of the analysis include modelling both induction and reduction of risk as a function of radiation dose absorbed by different parts of the body within individuals. Detailed statistical aspects of these analyses are presented and discussed.
引用
收藏
页码:1511 / 1526
页数:16
相关论文
共 29 条
  • [1] Berry G., Dose response in case control studies, Journal Epidemiology Community Health, 34, pp. 217-222, (1980)
  • [2] Thomas D.C., General relative risk models for survival time and matched case‐control analysis, Biometrics, 37, pp. 673-686, (1981)
  • [3] Hutchison G.B., Leukemia in patients with cancer of the cervix uteri treated with radiation. A report covering the first 5 years of an international study, Journal of the National Cancer Institute, 40, pp. 951-982, (1968)
  • [4] Boice J.D., Hutchison G.B., Leukemia in women following radiotherapy for cervical cancer: ten‐year follow up of an international study, Journal of the National Cancer Institute, 65, pp. 115-129, (1981)
  • [5] Second Cancer in Relation to Radiation Treatment for Cervical Cancer, (1983)
  • [6] Boice J.D., Day N.E., Andersen A., Brinton L.A., Et al., Second cancers following radiation treatment for cervical cancer. An international collaboration among cancer registries, Journal of the National Cancer Institute, 74, pp. 965-975, (1985)
  • [7] National Research Council, Committee on the Biological Effects of Ionizing Radiations (BEIR V), (1990)
  • [8] Smith P.G., Leukemia and other cancers following radiation treatment of pelvic disease, Cancer, 39, pp. 1901-1905, (1977)
  • [9] Boice J.D., Blettner M., Kleinerman R., Stovall M., Et al., Radiation dose and leukemia risk in patients treated for cancer of the cervix, Journal of the National Cancer Institute, 79, pp. 1295-1311, (1987)
  • [10] Boice J.D., Engholm G., Kleinerman R., Blettner M., Et al., Radiation dose and second cancer risk in patients treated for cancer of the cervix, Radiation Research, 116, pp. 3-55, (1988)