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Epidemiological Study (case-control study)

Case-control study on radiology work, medical x-ray investigations, and use of cellular telephones as risk factors for brain tumors. epidemiol.

By: Hardell L, Nasman A, Pahlson A, Hallquist A
Published in: MedGenMed 2000; 2 (2): E2 ( open external web page PubMed Entry , open external web page Journal web site )

Aim of study (according to author)
In this study, further analyses on the database of a Swedish case-control study (see publication 1015) were performed on the risk of brain tumours and the use of cellular telephones, exposure to ionizing radiation and chemicals.
Background/further details:
Furthermore, there is an additional, similar analysis on the database of the same case-control study (publication 1015) in publication 9009.

Endpoint/type of risk estimation

Estimate of incidence by odds ratio (OR)

Exposure

groups of exposure:

group 1:  tumor localization brain hemisphere, ipsilateral cellular phone use 
group 2:  tumor localization brain hemisphere, contralateral use 
group 3:  tumor localization brain hemisphere, ipsilateral and contralateral use 
group 4:  tumor localization frontal, frontoparietal, parietal, or parieto-occipital, ipsilateral use 
group 5:  tumor localization frontal, frontoparietal, parietal, or parieto-occipital, contralateral use 
group 6:  tumor localization frontal, frontoparietal, parietal, or parieto-occipital, ipsilateral and contralateral use 
group 7:  tumor localization temporal, occipital or temporoparietal, ipsilateral use 
group 8:  tumor localization temporal, occipital or temporoparietal, contralateral use 
group 9:  tumor localization temporal, occipital or temporoparietal, ipsilateral and contralateral use 

Population

  • case group
    men and women, aged from 20 to 80 years
    diagnosis: brain tumor, histopathologically verified
    observation period: 1994 - 1996
    study location: Sweden (Uppsala-Örebro region, Stockholm region)
    source of data: Oncological Centres
    exclusion criteria: deceased, too ill, recurrent tumor

  • control group
    selection: population-based
    matching: sex, age, area, 1:2 (case:control)
Further parameters acquired by questionnaire (medical x-ray examinations, physicians and radiology work, exposure to chemicals, working conditions, years and number of days per year of exposure, drinking habits of low-calorie drinks (containing aspartame))

Study size i cases  controls 
number eligible 270-
number contacted 233466
number participating 217439
number available for analysis 209425

Other: anatomic tumor localization assessed for 198 patients

Statistical analysis using multivariate analysis

Results/conclusion (according to author)
Only results concerning exposure to electromagnetic fields are listed within the EMF-Portal.
No association was found with occupations with potential exposure to extremely low-frequency electromagnetic fields (eg., electrician, electronics work, lineman, or telecommunication work) and the risk for brain tumor. The use of a video display unit did not increase the risk. An increased risk for brain tumor was found for ipsilateral use of cellular phone in the anatomic area with highest microwave dose.

Limitations (according to author): The result for cellular phone exposure is based on low numbers (13 cases) and must be interpreted with caution.

(Study character: epidemiological study, case-control study)

Study funded by

  • Cancer och Allergifonden (Cancer and Allergy Foundation), Sweden
  • Örebro Cancer Fund, Sweden
  • Swedish Medical Research Council (SMRC), Sweden

Related articles i
Glossary: 50/60 Hz, AC, analog, anatomic, antenna, brain, brain tumor, calorie, case-control study, cellular phone, chemicals, cumulative, digital, dose, ear, electronics, EMF, epidemiological, exposure, extremely low-frequency, GSM, histopathologically, incidence, ionizing radiation, ipsilateral, magnetic field, matching, mean, microwave, mobile communication, NMT, occupational exposure, oncological, OR, PC, population-based, potential, questionnaire, radiology, risk, statistical, telecommunication, tumor, TV, video display, X-ray

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