Table 6.
Endpoint | Excess relative risk (ERR) / Gy (95% CI) | p-value | Residual heterogeneity p-value | I2 (%) |
---|---|---|---|---|
| ||||
Analysis using lower dose risk estimatesb Postnatal exposure |
||||
Leukaemia | 5.20 (− 1.13,11.53)c | 0.108c | 0.027c | 44.13c |
Lymphoma (including CLL) | 1.21 (−11.96,14.38) | 0.857 | 0.899 | 0.00 |
Brain/CNS | 6.81 (0.58,13.04) | 0.032 | <0.001 | 78.57 |
Lung | 2.23 (−5.55,10.02) | 0.574 | 0.069 | 69.87 |
Thyroid (including nodules) | 0.00 (−0.07,0.08)c | 0.928c | <0.001c | 65.64c |
All solid except brain/CNS, lung, thyroid | 0.00 (−0.41,0.42) | 0.983 | 0.189 | 0.00 |
All six endpoints onlyd | 0.23 (0.07,0.39)c | 0.006c | <0.001c | 72.61c |
All endpointsd | 0.26 (0.10,0.43)c | 0.001c | <0.001c | 73.90c |
In utero exposure | ||||
Leukaemia | − 2.70 (−11.07,5.67) | 0.527 | 0.966 | 0.00 |
Lymphoma (including CLL) | 229.10 (−200.94,659.14) | 0.296 | 1.000 | 0.00 |
Brain/CNS | 70.00 (−229.00,369.00) | 0.646 | 1.000 | 0.00 |
Lung | −1.40 (−3.82,1.03) | 0.258 | 1.000 | 0.00 |
Thyroid (including nodules) | 2.55 (0.20,4.90) | 0.033 | 0.937 | 0.00 |
All solid except brain/CNS, lung, thyroid | −1.09 (−2.75,0.56) | 0.196 | 0.754 | 9.23 |
All six endpoints onlyd | −0.26 (−1.92,1.39) | 0.757 | 0.478 | 29.53 |
All endpointsd | 0.96 (− 1.12,3.04)c | 0.365c | 0.004c | 58.84c |
Analysis using higher dose risk estimates e | ||||
Postnatal exposure | ||||
Leukaemia | 5.20 (− 1.13,11.53)c | 0.108c | 0.027c | 44.13c |
Lymphoma (including CLL) | 1.21 (−11.96,14.38) | 0.857 | 0.899 | 0.00 |
Brain/CNS | 6.87 (1.02,12.72) | 0.021 | <0.001 | 85.15 |
Lung | 0.41 (−0.23,1.06) | 0.209 | 0.483 | 0.00 |
Thyroid (including nodules) | 0.01 (−0.08,0.09)c | 0.874c | <0.001c | 73.37c |
All solid except brain/CNS, lung, thyroid | 0.77 (−0.61,2.14) | 0.274 | 0.007 | 83.57 |
All six endpoints onlyd | 0.28 (0.12,0.44)c | <0.001c | <0.001c | 74.85c |
All endpointsd | 0.41 (0.24,0.58)c | <0.001c | <0.001c | 80.79c |
In utero exposure | ||||
Leukaemia | − 2.70 (−11.07,5.67) | 0.527 | 0.966 | 0.00 |
Lymphoma (including CLL) | 229.10 (−200.94,659.14) | 0.296 | 1.000 | 0.00 |
Brain/CNS | 70.00 (−229.00,369.00) | 0.646 | 1.000 | 0.00 |
Lung | −1.40 (−3.82,1.03) | 0.258 | 1.000 | 0.00 |
Thyroid (including nodules) | 1.54 (−0.15,3.22) | 0.074 | 0.890 | 0.00 |
All solid except brain/CNS, lung, thyroid | −1.09 (−2.75,0.56) | 0.196 | 0.754 | 9.23 |
All six endpoints onlyd | −0.38 (−1.87,1.10) | 0.613 | 0.550 | 26.44 |
All endpointsd | 0.70 (− 1.17,2.57)c | 0.463c | 0.006c | 56.70c |
using binomial odds model to refit thyroid nodule data < 0.799 Gy of Hatch et al (Hatch et al. 2019) and leukaemia data of Stevens et al (Stevens et al. 1990), and inverse-variance weighted linear model to refit thyroid cancer data < 0.284 Gy of Kopecky et al (Kopecky et al. 2006)
using refitted thyroid nodule data < 0.799 Gy of Hatch et al (Hatch et al. 2019), thyroid cancer data < 0.284 Gy of Kopecky et al (Kopecky et al. 2006), Cardis et al (Cardis et al. 2005) thyroid cancer data using a linear model restricted to < 1 Gy, Lubin et al (Lubin et al. 2017) data restricted to < 0.1 Gy, Preston et al (Preston et al. 2007) brain/CNS and breast cancer data restricted to < 0.1 Gy, Cahoon et al (Cahoon et al. 2017b) lung cancer data restricted to < 0.1 Gy.
indications of non-convergence for REML model so that 1-step random effects model of DerSimonian and Laird (DerSimonian and Laird 1986) was employed instead.
for “all endpoints” all endpoints were considered, whereas for “all six endpoints” the endpoint considered within a particular study had to lie within one of the six specified endpoints shown.
using full range thyroid nodule data of Hatch et al (Hatch et al. 2019), thyroid cancer data of Kopecky et al (Kopecky et al. 2006), Cardis et al (Cardis et al. 2005) thyroid cancer data using a linear model restricted to < 2 Gy, Lubin et al (Lubin et al. 2017) data restricted to < 0.2 Gy, Preston et al (Preston et al. 2007) brain/CNS and breast cancer data restricted to < 1 Gy, Cahoon et al (Cahoon et al. 2017b) lung cancer data restricted to < 1 Gy.