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Schneeberg Study Criticisms
Karl,
You are correct, in all fairness, I shouldn't criticize the study without
providing some details. I had several problems with the study, but I will
list just three at this time.
In your study, the number of cases was extreley small. In fact on your one
grapgh, that Fritz is so exicted about, showing exposure and lung cancer out
of 6 of your exposure categories, 4 categories had 6 or less cases. I think
you really need a larger sample size before making the announcement that you
are finding a threshold.
My second problem is that it looks like you went back to the 1950s to
collect your cases. Were your controls also chosen from that time period?
If someone died from lung cancer in the 1950s, when did you take the radon
measurements in the home? Weren't you really interested in what the radon
levels were before 1955, say 1930 - 1955?
It looks like you used death certificates to find your lung cancer cases. I
can imagine that 30 and 40 years ago as today, the death certificates list
the cause of death. If it says lung cancer, how do you know that it was the
primary cancer and not just not a secondary cancer the person died from?
How were the lung cancers proven? With such a small sample size I would
think all of these problems are important.
Your exposure categories look like they were chosen arbirarily. They are
uneven. Why with such a small sample size would you select so many expoure
categories? Overall, it looks like you are finding a positive trend for
people living in homes when considering their radon exposure and lung
cancer. What does your dose effect curve look like with just 3 even
categories? Wouldn't a smaller number of categories increase your
confidence for each exposure category?
Has your study been submitted to a journal such as Health Physics? I would
think it would be important to get others to review your work before making
strong claims as is in your report.
Just my 2 cents for what its worth. Jim
--------------------------------------
>From: precura.martin@T-ONLINE.DE (Dr. Karl Martin)
>Reply-To: precura.martin@T-ONLINE.DE (Dr. Karl Martin)
>To: nelsonjima@HOTMAIL.COM
>CC: radsafe@list.vanderbilt.edu
>Subject: Schneeberg study
>Date: Sat, 14 Apr 2001 10:54:05 +0200
>
>Dear Jim,
>
>from your mail to Fritz Seiler I learnt you are not so happy with the
>Schneeberg
>Study due to the methods without further comment. The authors would be glad
>to
>discuss your objections, please let us know what made you unhappy with the
>methods.
>
>Regards, Karl
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