Reported Radiation Overexposure Accidents Worldwide, 1980-2013: A Systematic Review
Identifieur interne : 000058 ( Pmc/Checkpoint ); précédent : 000057; suivant : 000059Reported Radiation Overexposure Accidents Worldwide, 1980-2013: A Systematic Review
Auteurs : Karen Coeytaux [États-Unis] ; Eric Bey [France] ; Doran Christensen [États-Unis] ; Erik S. Glassman [États-Unis] ; Becky Murdock [États-Unis] ; Christelle Doucet [France]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
Radiation overexposure accidents are rare but can have severe long-term health consequences. Although underreporting can be an issue, some extensive literature reviews of reported radiation overexposures have been performed and constitute a sound basis for conclusions on general trends. Building further on this work, we performed a systematic review that completes previous reviews and provides new information on characteristics and trends of reported radiation accidents.
We searched publications and reports from MEDLINE, EMBASE, the International Atomic Energy Agency, the International Radiation Protection Association, the United Nations Scientific Committee on the Effects of Atomic Radiation, the United States Nuclear Regulatory Commission, and the Radiation Emergency Assistance Center/Training Site radiation accident registry over 1980-2013. We retrieved the reported overexposure cases, systematically extracted selected information, and performed a descriptive analysis.
297 out of 5189 publications and reports and 194 records from the REAC/TS registry met our eligibility criteria. From these, 634 reported radiation accidents were retrieved, involving 2390 overexposed people, of whom 190 died from their overexposure. The number of reported cases has decreased for all types of radiation use, but the medical one. 64% of retrieved overexposure cases occurred with the use of radiation therapy and fluoroscopy. Additionally, the types of reported accidents differed significantly across regions.
This review provides an updated and broader view of reported radiation overexposures. It suggests an overall decline in reported radiation overexposures over 1980-2013. The greatest share of reported overexposures occurred in the medical fields using radiation therapy and fluoroscopy; this larger number of reported overexposures accidents indicates the potential need for enhanced quality assurance programs. Our data also highlights variations in characteristics of reported accidents by region. The main limitation of this study is the likely underreporting of radiation overexposures. Ensuring a comprehensive monitoring and reporting of radiation overexposures is paramount to inform and tailor prevention interventions to local needs.
Url:
DOI: 10.1371/journal.pone.0118709
PubMed: 25789482
PubMed Central: 4366065
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Glassman</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge, Tennessee, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge, Tennessee</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Murdock, Becky" sort="Murdock, Becky" uniqKey="Murdock B" first="Becky" last="Murdock">Becky Murdock</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge, Tennessee, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge, Tennessee</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Doucet, Christelle" sort="Doucet, Christelle" uniqKey="Doucet C" first="Christelle" last="Doucet">Christelle Doucet</name><affiliation wicri:level="3"><nlm:aff id="aff004"><addr-line>Celogos, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Celogos, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Radiation overexposure accidents are rare but can have severe long-term health consequences. Although underreporting can be an issue, some extensive literature reviews of reported radiation overexposures have been performed and constitute a sound basis for conclusions on general trends. Building further on this work, we performed a systematic review that completes previous reviews and provides new information on characteristics and trends of reported radiation accidents.</p></sec><sec id="sec002"><title>Methods</title><p>We searched publications and reports from MEDLINE, EMBASE, the International Atomic Energy Agency, the International Radiation Protection Association, the United Nations Scientific Committee on the Effects of Atomic Radiation, the United States Nuclear Regulatory Commission, and the Radiation Emergency Assistance Center/Training Site radiation accident registry over 1980-2013. We retrieved the reported overexposure cases, systematically extracted selected information, and performed a descriptive analysis.</p></sec><sec id="sec003"><title>Results</title><p>297 out of 5189 publications and reports and 194 records from the REAC/TS registry met our eligibility criteria. From these, 634 reported radiation accidents were retrieved, involving 2390 overexposed people, of whom 190 died from their overexposure. The number of reported cases has decreased for all types of radiation use, but the medical one. 64% of retrieved overexposure cases occurred with the use of radiation therapy and fluoroscopy. Additionally, the types of reported accidents differed significantly across regions.</p></sec><sec id="sec004"><title>Conclusions</title><p>This review provides an updated and broader view of reported radiation overexposures. It suggests an overall decline in reported radiation overexposures over 1980-2013. The greatest share of reported overexposures occurred in the medical fields using radiation therapy and fluoroscopy; this larger number of reported overexposures accidents indicates the potential need for enhanced quality assurance programs. Our data also highlights variations in characteristics of reported accidents by region. The main limitation of this study is the likely underreporting of radiation overexposures. Ensuring a comprehensive monitoring and reporting of radiation overexposures is paramount to inform and tailor prevention interventions to local needs.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Holmberga, O" uniqKey="Holmberga O">O Holmberga</name></author><author><name sortKey="Czarwinskia, R" uniqKey="Czarwinskia R">R Czarwinskia</name></author><author><name sortKey="Mettler, F" uniqKey="Mettler F">F Mettler</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mettler, Fa" uniqKey="Mettler F">FA Mettler</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Carpeggiani, C" uniqKey="Carpeggiani C">C Carpeggiani</name></author><author><name sortKey="Kraft, G" uniqKey="Kraft G">G Kraft</name></author><author><name sortKey="Caramella, D" uniqKey="Caramella D">D 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, CA USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25789482</article-id><article-id pub-id-type="pmc">4366065</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0118709</article-id><article-id pub-id-type="publisher-id">PONE-D-14-49531</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Reported Radiation Overexposure Accidents Worldwide, 1980-2013: A Systematic Review</article-title><alt-title alt-title-type="running-head">Systematic Review of Reported Radiation Overexposure Accidents</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Coeytaux</surname><given-names>Karen</given-names></name><xref ref-type="aff" rid="aff001"><sup>1</sup></xref><xref rid="cor001" ref-type="corresp">*</xref></contrib><contrib contrib-type="author"><name><surname>Bey</surname><given-names>Eric</given-names></name><xref ref-type="aff" rid="aff002"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Christensen</surname><given-names>Doran</given-names></name><xref ref-type="aff" rid="aff003"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Glassman</surname><given-names>Erik S.</given-names></name><xref ref-type="aff" rid="aff003"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Murdock</surname><given-names>Becky</given-names></name><xref ref-type="aff" rid="aff003"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Doucet</surname><given-names>Christelle</given-names></name><xref ref-type="aff" rid="aff004"><sup>4</sup></xref></contrib></contrib-group><aff id="aff001"><label>1</label><addr-line>Episight Consulting, Summit, New Jersey, United States of America</addr-line></aff><aff id="aff002"><label>2</label><addr-line>Plastic and Reconstructive Surgery Department, Percy Military Hospital, Clamart, France</addr-line></aff><aff id="aff003"><label>3</label><addr-line>Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge, Tennessee, United States of America</addr-line></aff><aff id="aff004"><label>4</label><addr-line>Celogos, Paris, France</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Carpenter</surname><given-names>David O.</given-names></name><role>Academic Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Institute for Health & the Environment, UNITED STATES</addr-line></aff><author-notes><fn fn-type="conflict" id="coi001"><p><bold>Competing Interests: </bold>The authors of this manuscript have the following competing interests: The salaries of authors KC and CD are from Episight Consulting and Celogos. No other competing interest was declared by any of the authors. This does not alter the authors’ adherence to PLOS ONE policies on sharing data and materials.</p></fn><fn fn-type="con" id="contrib001"><p>Conceived and designed the experiments: KC EB DC ESG CD. Performed the experiments: KC BM EB CD. Analyzed the data: KC. Contributed reagents/materials/analysis tools: KC EB DC BM CD. Wrote the paper: KC EB DC ESG BM CD. Data collection: KC BM EB CD. Analysis and interpretation of the data: KC EB DC CD. Drafting article: KC. Critical review of the article: KC EB DC ESG BM CD. Final approval of the version to be published: KC EB DC ESG BM CD. Agreement to be accountable for all aspects of the work: KC EB DC ESG BM CD.</p></fn><corresp id="cor001">* E-mail: <email>karen.coeytaux@yahoo.com</email></corresp></author-notes><pub-date pub-type="epub"><day>19</day><month>3</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>10</volume><issue>3</issue><elocation-id>e0118709</elocation-id><history><date date-type="received"><day>4</day><month>11</month><year>2014</year></date><date date-type="accepted"><day>6</day><month>1</month><year>2015</year></date></history><permissions><license xlink:href="https://creativecommons.org/publicdomain/zero/1.0/"><license-p>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/publicdomain/zero/1.0/">Creative Commons CC0</ext-link> public domain dedication</license-p></license></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="pone.0118709.pdf"></self-uri><abstract><sec id="sec001"><title>Background</title><p>Radiation overexposure accidents are rare but can have severe long-term health consequences. Although underreporting can be an issue, some extensive literature reviews of reported radiation overexposures have been performed and constitute a sound basis for conclusions on general trends. Building further on this work, we performed a systematic review that completes previous reviews and provides new information on characteristics and trends of reported radiation accidents.</p></sec><sec id="sec002"><title>Methods</title><p>We searched publications and reports from MEDLINE, EMBASE, the International Atomic Energy Agency, the International Radiation Protection Association, the United Nations Scientific Committee on the Effects of Atomic Radiation, the United States Nuclear Regulatory Commission, and the Radiation Emergency Assistance Center/Training Site radiation accident registry over 1980-2013. We retrieved the reported overexposure cases, systematically extracted selected information, and performed a descriptive analysis.</p></sec><sec id="sec003"><title>Results</title><p>297 out of 5189 publications and reports and 194 records from the REAC/TS registry met our eligibility criteria. From these, 634 reported radiation accidents were retrieved, involving 2390 overexposed people, of whom 190 died from their overexposure. The number of reported cases has decreased for all types of radiation use, but the medical one. 64% of retrieved overexposure cases occurred with the use of radiation therapy and fluoroscopy. Additionally, the types of reported accidents differed significantly across regions.</p></sec><sec id="sec004"><title>Conclusions</title><p>This review provides an updated and broader view of reported radiation overexposures. It suggests an overall decline in reported radiation overexposures over 1980-2013. The greatest share of reported overexposures occurred in the medical fields using radiation therapy and fluoroscopy; this larger number of reported overexposures accidents indicates the potential need for enhanced quality assurance programs. Our data also highlights variations in characteristics of reported accidents by region. The main limitation of this study is the likely underreporting of radiation overexposures. Ensuring a comprehensive monitoring and reporting of radiation overexposures is paramount to inform and tailor prevention interventions to local needs.</p></sec></abstract><funding-group><funding-statement>This work was supported by HRA Pharma, 15 rue Beranger, 75003 Paris, France. Celogos and Episight Consulting provided support in the form of salaries for authors KC and CD. The specific roles of these authors are articulated in the “Author Contributions” section. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts><fig-count count="4"></fig-count><table-count count="1"></table-count><page-count count="26"></page-count></counts><custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name><meta-value>All relevant data are referenced in <xref rid="pone.0118709.t001" ref-type="table">Table 1</xref> of the paper.</meta-value></custom-meta></custom-meta-group></article-meta><notes><title>Data Availability</title><p>All relevant data are referenced in <xref rid="pone.0118709.t001" ref-type="table">Table 1</xref> of the paper.</p></notes></front></pmc><affiliations><list><country><li>France</li><li>États-Unis</li></country><region><li>New Jersey</li><li>Tennessee</li><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="États-Unis"><region name="New Jersey"><name sortKey="Coeytaux, Karen" sort="Coeytaux, Karen" uniqKey="Coeytaux K" first="Karen" last="Coeytaux">Karen Coeytaux</name></region><name sortKey="Christensen, Doran" sort="Christensen, Doran" uniqKey="Christensen D" first="Doran" last="Christensen">Doran Christensen</name><name sortKey="Glassman, Erik S" sort="Glassman, Erik S" uniqKey="Glassman E" first="Erik S." last="Glassman">Erik S. Glassman</name><name sortKey="Murdock, Becky" sort="Murdock, Becky" uniqKey="Murdock B" first="Becky" last="Murdock">Becky Murdock</name></country><country name="France"><noRegion><name sortKey="Bey, Eric" sort="Bey, Eric" uniqKey="Bey E" first="Eric" last="Bey">Eric Bey</name></noRegion><name sortKey="Doucet, Christelle" sort="Doucet, Christelle" uniqKey="Doucet C" first="Christelle" last="Doucet">Christelle Doucet</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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