Lympho-hematopoietic malignancies risk after exposure to low dose ionizing radiation during cardiac catheterization in childhood.


Journal

European journal of epidemiology
ISSN: 1573-7284
Titre abrégé: Eur J Epidemiol
Pays: Netherlands
ID NLM: 8508062

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 03 10 2022
accepted: 16 04 2023
medline: 19 6 2023
pubmed: 16 5 2023
entrez: 16 5 2023
Statut: ppublish

Résumé

Pediatric patients with congenital heart disease (CHD) often undergo low dose ionizing radiation (LDIR) from cardiac catheterization (CC) for the diagnosis and/or treatment of their disease. Although radiation doses from a single CC are usually low, less is known about the long-term radiation associated cancer risks. We aimed to assess the risk of lympho-hematopoietic malignancies in pediatric CHD patients diagnosed or treated with CC. A French cohort of 17,104 children free of cancer who had undergone a first CC from 01/01/2000 to 31/12/2013, before the age of 16 was set up. The follow-up started at the date of the first recorded CC until the exit date, i.e., the date of death, the date of first cancer diagnosis, the date of the 18th birthday, or the 31/12/2015, whichever occurred first. Poisson regression was used to estimate the LDIR associated cancer risk. The median follow-up was 5.9 years, with 110,335 person-years. There were 22,227 CC procedures, yielding an individual active bone marrow (ABM) mean cumulative dose of 3.0 milligray (mGy). Thirty-eight incident lympho-hematopoietic malignancies were observed. When adjusting for attained age, gender and predisposing factors to cancer status, no increased risk was observed for lympho-hematopoietic malignancies RR

Identifiants

pubmed: 37191831
doi: 10.1007/s10654-023-01010-7
pii: 10.1007/s10654-023-01010-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

821-834

Subventions

Organisme : Ligue Contre le Cancer
ID : GB/MA/CD/BC 11264
Organisme : Institut National Du Cancer
ID : CFB/SZ-07/06-020
Organisme : HORIZON EUROPE Framework Programme
ID : Harmonic grant number 801229

Informations de copyright

© 2023. Springer Nature B.V.

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Auteurs

Kossi D Abalo (KD)

Institute for Radiological Protection and Nuclear Safety (IRSN), PSE-SANTE/SESANE/Laboratory of Epidemiology, BP 17, Fontenay-aux-Roses, 92262, France.

Sophie Malekzadeh-Milani (S)

M3C-Necker, Hôpital universitaire Necker-Enfants malades, Université de Paris Cité, Paris, France.

Sébastien Hascoët (S)

Cardiology department, Hôpital Marie Lannelongue, Le Plessis Robinson, France.

Serge Dreuil (S)

Institute for Radiological Protection and Nuclear Safety, (IRSN), PSE-SANTE/SER/UEM, BP 17, Fontenay-aux-Roses, 92262, France.

Tiphaine Feuillet (T)

AMAREXIA, 11 rue Claude Chahu, Paris, 75116, France.

Cecilia Damon (C)

Institute for Radiological Protection and Nuclear Safety, (IRSN), DTR/D3NSI/SVDDA/CVD, BP 17, Fontenay-aux-Roses, 92262, France.

Hélène Bouvaist (H)

Cardiopédiatrie, hôpital couple enfant, CHU Grenoble Alpes, Grenoble cedex 9, 38043, France.

Ivan Bouzguenda (I)

Pediatric and congenital cardiology, Interventional cardiology, INTERCARD Clinique La Louvière, Lille, France.

Sarah Cohen (S)

Cardiology department, Hôpital Marie Lannelongue, Le Plessis Robinson, France.

Claire Dauphin (C)

Cardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Sylvie Di Filippo (S)

Paediatric and Congential Cardiology Department, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, Lyon, France.

Stéphanie Douchin (S)

Cardiopédiatrie, hôpital couple enfant, CHU Grenoble Alpes, Grenoble cedex 9, 38043, France.

François Godart (F)

Service de Cardiologie Infantile et Congénitale, Institut Coeur Poumon, Lille Cedex, 59037, France.

Patrice Guérin (P)

CHU Nantes, INSERM, Nantes Université, Clinique Cardiologique et des Maladies Vasculaires, Institut du Thorax, Nantes, 1413, CIC, France.

Pauline Helms (P)

Unit of Cardiopediatrics, University Hospital of Strasbourg, Strasbourg, France.

Clément Karsenty (C)

Pediatric and Congenital Cardiology, Institut des Maladies Métaboliques et Cardiovasculaires, Children's Hospital, INSERM U1048, Université de Toulouse, Toulouse, I2MC, France.

Bruno Lefort (B)

Institut des Cardiopathies Congénitales, CHRU Tours, 49 boulevard Béranger, Tours, 37000, France.

Pierre Mauran (P)

Unité de cardiologie pédiatrique et congénitale, American Memorial Hospital, CHU de Reims, 47 rue Cognacq-Jay, Reims Cedex, 51092, France.

Caroline Ovaert (C)

Cardiologie pédiatrique et congénitale, AP-HM et INSERM 1251, Aix-Marseille Université, Timone enfants, Marseille, France.

Jean-François Piéchaud (JF)

Institut Hospitalier Jacques-Cartier, Massy, 91300, France.

Jean-Benoît Thambo (JB)

Department of Pediatric and Adult Congenital Cardiology, Bordeaux University Hospital (CHU), Pessac, 33600, France.

Choonsik Lee (C)

Radiation Epidemiology Branch, National Cancer Institute, Bethesda, MD, USA.

Mark P Little (MP)

Radiation Epidemiology Branch, National Cancer Institute, Bethesda, MD, USA.

Damien Bonnet (D)

M3C-Necker, Hôpital universitaire Necker-Enfants malades, Université de Paris Cité, Paris, France.

Marie-Odile Bernier (MO)

Institute for Radiological Protection and Nuclear Safety (IRSN), PSE-SANTE/SESANE/Laboratory of Epidemiology, BP 17, Fontenay-aux-Roses, 92262, France.

Estelle Rage (E)

Institute for Radiological Protection and Nuclear Safety (IRSN), PSE-SANTE/SESANE/Laboratory of Epidemiology, BP 17, Fontenay-aux-Roses, 92262, France. estelle.rage@irsn.fr.

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