Fulltext

Childhood cancer and nuclear power plants in Switzerland: a census-based cohort study

Spycher, Ben D. ; Feller, Martin ; Zwahlen, Marcel ; Röösli, Martin ; von der Weid, Nicolas X. ; Hengartner, Heinz ; Egger, Matthias ; Kuehni, Claudia E.

In: International Journal of Epidemiology, 2011, vol. 40, no. 5, p. 1247-1260

Ajouter à la liste personnelle
    Titre
    • Childhood cancer and nuclear power plants in Switzerland: a census-based cohort study
    Auteur
    • Spycher, Ben D.. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    • Feller, Martin. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    • Zwahlen, Marcel. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    • Röösli, Martin. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    • von der Weid, Nicolas X.. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    • Hengartner, Heinz. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    • Egger, Matthias. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    • Kuehni, Claudia E.. Division of International and Environmental Health, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland, 2School of Social and Community Medicine, University of Bristol, Bristol, UK, 3Swiss Tropical and Public Health Institute, Basel, Switzerland, 4University of Basel, Switzerland, 5Paediatric Haematology-Oncology Unit, Centre Hospitalier Universitaire Vaudois, Service de Pédiatrie, Lausanne-CHUV, Switzerland and 6Ostschweizer Kinderspital, St Gallen, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Journal of Epidemiology, 2011, vol. 40, no. 5, p. 1247-1260. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:296448
    Summary
    Background Previous studies on childhood cancer and nuclear power plants (NPPs) produced conflicting results. We used a cohort approach to examine whether residence near NPPs was associated with leukaemia or any childhood cancer in Switzerland. Methods We computed person-years at risk for children aged 0-15 years born in Switzerland from 1985 to 2009, based on the Swiss censuses 1990 and 2000 and identified cancer cases from the Swiss Childhood Cancer Registry. We geo-coded place of residence at birth and calculated incidence rate ratios (IRRs) with 95% confidence intervals (CIs) comparing the risk of cancer in children born <5 km, 5-10 km and 10-15 km from the nearest NPP with children born >15 km away, using Poisson regression models. Results We included 2925 children diagnosed with cancer during 21 117 524 person-years of follow-up; 953 (32.6%) had leukaemia. Eight and 12 children diagnosed with leukaemia at ages 0-4 and 0-15 years, and 18 and 31 children diagnosed with any cancer were born <5 km from a NPP. Compared with children born >15 km away, the IRRs (95% CI) for leukaemia in 0-4 and 0-15 year olds were 1.20 (0.60-2.41) and 1.05 (0.60-1.86), respectively. For any cancer, corresponding IRRs were 0.97 (0.61-1.54) and 0.89 (0.63-1.27). There was no evidence of a dose-response relationship with distance (P > 0.30). Results were similar for residence at diagnosis and at birth, and when adjusted for potential confounders. Results from sensitivity analyses were consistent with main results. Conclusions This nationwide cohort study found little evidence of an association between residence near NPPs and the risk of leukaemia or any childhood cancer