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Radon



I do not think the IA study followed the 150 Bq m-3 over and under 

stratification.  Didn't they use equal exposure categories and then let the 

subjects fall within them?



Les



>From: Tom Mohaupt <tom.mohaupt@wright.edu>

>To: Les Crable <lescrable@hotmail.com>

>CC: bcradsafers@hotmail.com, radsafe@list.vanderbilt.edu

>Subject: Re: Another (partial) literature review (radon)

>Date: Mon, 14 Jan 2002 16:42:42 -0500

>

>Les,

>At present the radon data in residential levels is very blurry. Some

>studies include a confounding factor that has an OR that is more than a

>magnitude higher. Some studies exclude intercomparing low order risk

>factors for lung cancer. It seems to be "vogue" now to stratify data to

>obtain a category of ">140 Bq/m^3". No one has ever shown that the action

>levels used by most industrial nations (i.e., 200 Bq/m^3 for new

>construction and 400 Bq/m^3 for old buildings) are inappropriate and less

>safe. Using the EPA action level as the cut off might lead one to believe

>that the studies are performed more for political reasons than to add

>clarity to any relationship radon concentration may have with lung cancer.

>Also. by setting the highest radon group at ">140 Bq/m^3" the investigators

>are excluding any evaluation of the data at radon action levels accepted

>internationally. Why?

>

>Take a look at the ranges included in the radon categories:

>0-50 Bq/m^3 includes 50 Bq/m^3

>50-80 Bq/m^3 includes 30 Bq/m^3

>80-140 Bq/m^3 includes 60 Bq/m^3

> >140 Bq/m^3 covers nearly an infinity of values

>

>How about stratifications that are more equally distributed, such as 0-100,

>100-200, 200-400, 400-800, 800-1200, 1200 and above. Of course the answer

>is because about 1/2 the cases and controls have radon levels below 50

>Bq/m^3 and about 80% of the cases and controls have radon levels below 140

>Bq/m^3.

>As a minimum, I would like to see the last category regrouped to evaluate

>200 and 400 Bq/m^3. Wouldn't you?

>

>Tom

>Les Crable wrote:

> >

> > Tom,

> >

> > Why is this a bias?  They were likey setting exposure categories so that

> > their results could be comparable with som of the U.S. studies.

> >

> > >From: "Bjorn Cedervall" <bcradsafers@HOTMAIL.COM>

> > >Reply-To: "Bjorn Cedervall" <bcradsafers@HOTMAIL.COM>

> > >To: radsafe@list.vanderbilt.edu

> > >Subject: Re: Another (partial) literature review (radon)

> > >Date: Mon, 14 Jan 2002 16:27:02 +0000

> > >

> > >Thank you! A better way to stratify the data may be to randomize the

> > >intervals and use some average to get away from this kind of bias. The 

>same

> > >problem seems to be true for some power line/leukemia studies.

> > >

> > >Bjorn Cedervall    bcradsafers@hotmail.com

> > >------------------------------------------

> > >>The radon action levels in most of Europe is 200 Bq/m^3 for new

> > >>construction and 400 Bq/m^3 for old houses. The authors stratified the

> > >>data

> > >>for (values in Bq/m^3) <50, 50-100, 101-200, 201-400, >400. But their 

>data

> > >analysis used grouping of (values in Bq/m^3): <50, 50-80, 80-140, and 

> >140,

> > >which coincides with the U.S. EPA levels. I found this change curious.

> > >The authors report a RR of 1.55 for >140 Bq/m^3.

> > >

> > >The European classification is still positive, but the number of cases 

>is

> > >low enough to change the results significantly with a single addition 

>or

> > >deletion of a case in any group above 200 Bq/m^3.

> > >RR (measured results) for 101-200: 1.15, 201-400: 1.15, >400: 1.20

> > >

> > >

> > >_________________________________________________________________

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> > >

> > 

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>--

>Thomas Mohaupt, M.S., CHP

>University Radiation Safety Officer

>

>104 Health Sciences Bldg

>Wright State University

>Dayton, Ohio 45435

>tom.mohaupt@wright.edu

>(937) 775-2169

>(937) 775-3761 (fax)

>

>"An investment in knowledge gains the best interest." Ben Franklin





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