Table 1.
Country | Author | Study Design | Mean Follow-Up | Sample Size | Exposure | Radon Exposure Measurements | Risk Estimate (95% CI) |
---|---|---|---|---|---|---|---|
Switzerland | Vienneau (2017)23 | Cohort | 7.8 years | 5.2 million subjects; 1,900 MM cases | Per 100 Bq/m3 | Address-level exposure estimated by national exposure prediction model | HR:1.16 (1.04, 1.29) |
Denmark | Bräuner (2015)22 | Cohort | 13.6 years | 51,445 subjects; 3,889 cases (3,243 BCC, 317 SCC, 329 MM) | Per 100 Bq/m3 | Address-level exposure estimated by validated regression model | BCC IRR:1.14 (1.03, 1.27) SCC IRR:0.90 (0.70, 1.37) MM IRR:1.08 (0.77, 1.50) |
Spain | Barbosa-Lorenzo (2016)20 | Cohort | 30.2 years | 1933 subjects; 25 skin, except melanoma, cancer cases | ≥50 Bq/m3 | Bedroom-level exposure from Galicia Radon Map* | HR:1.5 (0.6, 3.8) |
United States | Turner (2012)19 | Cohort | 20.4 years | 811,961 subjects; 2,098 cases (1,247 MM, 538 connective tissue malignant neoplasm, 313 other skin malignant neoplasm) (all mortality) | Per 100 Bq/m3 radon | County-level exposure estimated by empirical study model | MM HR:1.08 (0.88, 1.33) Connective Tissue Malignant Neoplasm Mortality HR:1.10 (0.80, 1.51) Other Skin Malignant Neoplasm Mortality HR:0.70 (0.42, 1.19) |
United Kingdom | Wheeler (2012)21 | Ecological Surveillance | Period: 2000-2004 (cancer incidence); 1980-2000 (radon) | 18,306 cases | ≥230 Bq/m3 radon vs 0-39 Bq/m3 | Postcode sector-level exposure obtained from National Radiologic Protection Board** | BCC RR:0.81 (0.66, 1.00) SCC RR:1.76 (1.46, 2.11) MM RR: 0.85 (0.65, 1.11) |
CI, confidence interval; MM, malignant melanoma; HZ, hazard ratio; BCC, basal cell carcinoma; SCC, squamous cell carcinoma; IRR, incidence rate ratio; RR, relative risk, *Galician Radon Map measurements obtained from radon detectors placed in study participants’ bedrooms for a minimum of three months, **National Radiologic Protection Board radon atlas measurements were obtained through radon detectors placed in surveyed households