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Lung cancer in never-smokers: a case-control study in a radon-prone area (Galicia, Spain)

María Torres-Durán, Alberto Ruano-Ravina, Isaura Parente-Lamelas, Virginia Leiro-Fernández, José Abal-Arca, Carmen Montero-Martínez, Carolina Pena-Álvarez, Francisco Javier González-Barcala, Olalla Castro-Añón, Antonio Golpe-Gómez, Cristina Martínez, María José Mejuto-Martí, Alberto Fernández-Villar, Juan Miguel Barros-Dios
European Respiratory Journal 2014; DOI: 10.1183/09031936.00017114
María Torres-Durán
1Service of Pneumology. University Hospital Complex of Vigo, Vigo, Spain
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Alberto Ruano-Ravina
2Dept of Preventive Medicine and Public Health, University of Santiago de Compostela. Santiago de Compostela, Spain
3CIBER de Epidemiología y Salud Pública, CIBERESP, Spain
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Isaura Parente-Lamelas
4Service of Pneumology, Ourense Hospital Complex, Spain
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Virginia Leiro-Fernández
1Service of Pneumology. University Hospital Complex of Vigo, Vigo, Spain
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José Abal-Arca
4Service of Pneumology, Ourense Hospital Complex, Spain
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Carmen Montero-Martínez
5Service of Pneumology, University Hospital Complex of A Coruña, A Coruña, Spain
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Carolina Pena-Álvarez
6Service of Oncology, Pontevedra Hospital Complex, Pontevedra, Spain
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Francisco Javier González-Barcala
7Service of Pneumology, Santiago de Compostela University Clinic Hospital, Santiago de Compostela, Spain
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Olalla Castro-Añón
8Service of Pneumology, Hospital Lucus Augusti, Lugo, Spain
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Antonio Golpe-Gómez
7Service of Pneumology, Santiago de Compostela University Clinic Hospital, Santiago de Compostela, Spain
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Cristina Martínez
9National Institute of Silicosis, University Hospital of Asturias, Oviedo. Spain
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María José Mejuto-Martí
10Service of Pneumology, Hospital Arquitecto Marcide, Ferrol, Spain
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Alberto Fernández-Villar
1Service of Pneumology. University Hospital Complex of Vigo, Vigo, Spain
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Juan Miguel Barros-Dios
2Dept of Preventive Medicine and Public Health, University of Santiago de Compostela. Santiago de Compostela, Spain
3CIBER de Epidemiología y Salud Pública, CIBERESP, Spain
11Service of Preventive Medicine. University Hospital Complex of Santiago de Compostela, A Coruña Spain
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Abstract

The aim of the study was to assess the effect of residential radon exposure on the risk of lung cancer in never-smokers and to ascertain if environmental tobacco smoke modifies the effect of residential radon.

We designed a multicentre hospital-based case-control study in a radon-prone area (Galicia, Spain). All participants were never-smokers. Cases had an anatomopathologically confirmed primary lung cancer and controls were recruited from individuals undergoing minor, non-oncological surgery. Residential radon was measured using alpha track detectors.

We included 521 individuals, 192 cases and 329 controls, 21% were males. We observed an odds ratio (95% CI) of 2.42 (1.45–4.06) for individuals exposed to ≥200 Bq·m−3 compared with those exposed to <100 Bq·m−3. Environmental tobacco smoke exposure at home increased lung cancer risk in individuals with radon exposure >200 Bq·m−3. Individuals exposed to environmental tobacco smoke and to radon concentrations >200 Bq·m−3 had higher lung cancer risk than those exposed to lower radon concentrations and exposed to environmental tobacco smoke.

Residential radon increases lung cancer risk in never-smokers. An association between residential radon exposure and environmental tobacco smoke on the risk of lung cancer might exist.

Abstract

Residential radon exposure increases risk of lung cancer in never-smokers, ETS exposure may raise radon effect http://ow.ly/xRVte

  • Received January 26, 2014.
  • Accepted June 4, 2014.
  • © ERS
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Lung cancer in never-smokers: a case-control study in a radon-prone area (Galicia, Spain)
María Torres-Durán, Alberto Ruano-Ravina, Isaura Parente-Lamelas, Virginia Leiro-Fernández, José Abal-Arca, Carmen Montero-Martínez, Carolina Pena-Álvarez, Francisco Javier González-Barcala, Olalla Castro-Añón, Antonio Golpe-Gómez, Cristina Martínez, María José Mejuto-Martí, Alberto Fernández-Villar, Juan Miguel Barros-Dios
European Respiratory Journal Jan 2014, erj00171-2014; DOI: 10.1183/09031936.00017114

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Lung cancer in never-smokers: a case-control study in a radon-prone area (Galicia, Spain)
María Torres-Durán, Alberto Ruano-Ravina, Isaura Parente-Lamelas, Virginia Leiro-Fernández, José Abal-Arca, Carmen Montero-Martínez, Carolina Pena-Álvarez, Francisco Javier González-Barcala, Olalla Castro-Añón, Antonio Golpe-Gómez, Cristina Martínez, María José Mejuto-Martí, Alberto Fernández-Villar, Juan Miguel Barros-Dios
European Respiratory Journal Jan 2014, erj00171-2014; DOI: 10.1183/09031936.00017114
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