Concept of optimisation of the radiation protection system in the nuclear sector: management of individual cancer risks and providing targeted health care
The paper discusses the provision of targeted health care to nuclear workers in Russia based on radiation-epidemiological estimates of cancer risks. Cancer incidence rates are analysed for the workers of the Institute of Physical Power Engineering (the first nuclear installation in the world) who we...
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| Veröffentlicht in: | Journal of radiological protection 2006-12, Vol.26 (4), p.361-374 |
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| container_end_page | 374 |
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| container_issue | 4 |
| container_start_page | 361 |
| container_title | Journal of radiological protection |
| container_volume | 26 |
| creator | Ivanov, V K Tsyb, A F Agapov, A M Panfilov, A P Kaidalov, O V Gorski, A I Maksioutov, M A Suspitsin, Y V Vaizer, V I |
| description | The paper discusses the provision of targeted health care to nuclear workers in Russia based on radiation-epidemiological estimates of cancer risks. Cancer incidence rates are analysed for the workers of the Institute of Physical Power Engineering (the first nuclear installation in the world) who were subjected to individual dosimetric monitoring from 1950 to 2002. The value of excess relative risk for solid cancers was found to be ERR Gy(-1) = 0.24 (95% CI: -4.22; 7.96). It has been shown that 81.8% of the persons covered by individual dosimetric monitoring have potential attributive risk up to 5%, and the risk is more than 10% for 3.7% of the workers. Among the detected cancer cases, 73.5% of the individuals show an attributive risk up to 5% and the risk is in excess of 10% for 3.9% of the workers. Principles for the provision of targeted health care, given voluntary health insurance, are outlined. |
| doi_str_mv | 10.1088/0952-4746/26/4/001 |
| format | Article |
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Cancer incidence rates are analysed for the workers of the Institute of Physical Power Engineering (the first nuclear installation in the world) who were subjected to individual dosimetric monitoring from 1950 to 2002. The value of excess relative risk for solid cancers was found to be ERR Gy(-1) = 0.24 (95% CI: -4.22; 7.96). It has been shown that 81.8% of the persons covered by individual dosimetric monitoring have potential attributive risk up to 5%, and the risk is more than 10% for 3.7% of the workers. Among the detected cancer cases, 73.5% of the individuals show an attributive risk up to 5% and the risk is in excess of 10% for 3.9% of the workers. Principles for the provision of targeted health care, given voluntary health insurance, are outlined.</description><identifier>ISSN: 0952-4746</identifier><identifier>EISSN: 1361-6498</identifier><identifier>DOI: 10.1088/0952-4746/26/4/001</identifier><identifier>PMID: 17146121</identifier><language>eng</language><publisher>England: IOP Publishing</publisher><subject>Body Burden ; Delivery of Health Care - organization & administration ; Humans ; Incidence ; Neoplasms, Radiation-Induced - epidemiology ; Nuclear Reactors - statistics & numerical data ; Quality Assurance, Health Care - organization & administration ; Radiation Dosage ; Radiation Monitoring - statistics & numerical data ; Radiation Protection - methods ; Relative Biological Effectiveness ; Risk Assessment - methods ; Risk Factors ; Russia - epidemiology</subject><ispartof>Journal of radiological protection, 2006-12, Vol.26 (4), p.361-374</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-52da9174dc5abf144034dc0e97fdccb9cf1c4f5be3deec3d7cbc378c0480934a3</citedby><cites>FETCH-LOGICAL-c436t-52da9174dc5abf144034dc0e97fdccb9cf1c4f5be3deec3d7cbc378c0480934a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://iopscience.iop.org/article/10.1088/0952-4746/26/4/001/pdf$$EPDF$$P50$$Giop$$H</linktopdf><link.rule.ids>314,780,784,27923,27924,53829,53909</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17146121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ivanov, V K</creatorcontrib><creatorcontrib>Tsyb, A F</creatorcontrib><creatorcontrib>Agapov, A M</creatorcontrib><creatorcontrib>Panfilov, A P</creatorcontrib><creatorcontrib>Kaidalov, O V</creatorcontrib><creatorcontrib>Gorski, A I</creatorcontrib><creatorcontrib>Maksioutov, M A</creatorcontrib><creatorcontrib>Suspitsin, Y V</creatorcontrib><creatorcontrib>Vaizer, V I</creatorcontrib><title>Concept of optimisation of the radiation protection system in the nuclear sector: management of individual cancer risks and providing targeted health care</title><title>Journal of radiological protection</title><addtitle>J Radiol Prot</addtitle><description>The paper discusses the provision of targeted health care to nuclear workers in Russia based on radiation-epidemiological estimates of cancer risks. Cancer incidence rates are analysed for the workers of the Institute of Physical Power Engineering (the first nuclear installation in the world) who were subjected to individual dosimetric monitoring from 1950 to 2002. The value of excess relative risk for solid cancers was found to be ERR Gy(-1) = 0.24 (95% CI: -4.22; 7.96). It has been shown that 81.8% of the persons covered by individual dosimetric monitoring have potential attributive risk up to 5%, and the risk is more than 10% for 3.7% of the workers. Among the detected cancer cases, 73.5% of the individuals show an attributive risk up to 5% and the risk is in excess of 10% for 3.9% of the workers. Principles for the provision of targeted health care, given voluntary health insurance, are outlined.</description><subject>Body Burden</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Humans</subject><subject>Incidence</subject><subject>Neoplasms, Radiation-Induced - epidemiology</subject><subject>Nuclear Reactors - statistics & numerical data</subject><subject>Quality Assurance, Health Care - organization & administration</subject><subject>Radiation Dosage</subject><subject>Radiation Monitoring - statistics & numerical data</subject><subject>Radiation Protection - methods</subject><subject>Relative Biological Effectiveness</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Russia - epidemiology</subject><issn>0952-4746</issn><issn>1361-6498</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctu1DAUhi1ERYfCC7BAXlGxCONb4oRdNeImVeoG1pZjn8wYEjvYDlJfpU-LMzOCRSXEysc-3_lt-UPoFSXvKGnbLelqVgkpmi1rtmJLCH2CNpQ3tGpE1z5Fmz_AJXqe0ndCSMM5e4YuqaSioYxu0MMueANzxmHAYc5ucklnF_y6zwfAUVt3OphjyGCOZbpPGSbs_BHxixlBR5xKN8T3eNJe72ECfwx13rpfzi56xEaXqyKOLv1IWHu7RpaW83ucddxDBosPoMd8KGiEF-hi0GOCl-f1Cn37-OHr7nN1e_fpy-7mtjKCN7mqmdUdlcKaWvcDFYLwUhPo5GCN6TszUCOGugduAQy30vSGy9YQ0ZKOC82v0PUptzzn5wIpq_IJBsZRewhLUlJwymUnZSHf_JNkpKaECVZAdgJNDClFGNQc3aTjvaJEre7UqkatahRrlFDFXRl6fU5f-gns35GzrAJUJ8CF-f8C3z7mH3NqtgP_DUzpszg</recordid><startdate>20061201</startdate><enddate>20061201</enddate><creator>Ivanov, V K</creator><creator>Tsyb, A F</creator><creator>Agapov, A M</creator><creator>Panfilov, A P</creator><creator>Kaidalov, O V</creator><creator>Gorski, A I</creator><creator>Maksioutov, M A</creator><creator>Suspitsin, Y V</creator><creator>Vaizer, V I</creator><general>IOP Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope></search><sort><creationdate>20061201</creationdate><title>Concept of optimisation of the radiation protection system in the nuclear sector: management of individual cancer risks and providing targeted health care</title><author>Ivanov, V K ; Tsyb, A F ; Agapov, A M ; Panfilov, A P ; Kaidalov, O V ; Gorski, A I ; Maksioutov, M A ; Suspitsin, Y V ; Vaizer, V I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-52da9174dc5abf144034dc0e97fdccb9cf1c4f5be3deec3d7cbc378c0480934a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Body Burden</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Humans</topic><topic>Incidence</topic><topic>Neoplasms, Radiation-Induced - epidemiology</topic><topic>Nuclear Reactors - statistics & numerical data</topic><topic>Quality Assurance, Health Care - organization & administration</topic><topic>Radiation Dosage</topic><topic>Radiation Monitoring - statistics & numerical data</topic><topic>Radiation Protection - methods</topic><topic>Relative Biological Effectiveness</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Russia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ivanov, V K</creatorcontrib><creatorcontrib>Tsyb, A F</creatorcontrib><creatorcontrib>Agapov, A M</creatorcontrib><creatorcontrib>Panfilov, A P</creatorcontrib><creatorcontrib>Kaidalov, O V</creatorcontrib><creatorcontrib>Gorski, A I</creatorcontrib><creatorcontrib>Maksioutov, M A</creatorcontrib><creatorcontrib>Suspitsin, Y V</creatorcontrib><creatorcontrib>Vaizer, V I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>Journal of radiological protection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ivanov, V K</au><au>Tsyb, A F</au><au>Agapov, A M</au><au>Panfilov, A P</au><au>Kaidalov, O V</au><au>Gorski, A I</au><au>Maksioutov, M A</au><au>Suspitsin, Y V</au><au>Vaizer, V I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concept of optimisation of the radiation protection system in the nuclear sector: management of individual cancer risks and providing targeted health care</atitle><jtitle>Journal of radiological protection</jtitle><addtitle>J Radiol Prot</addtitle><date>2006-12-01</date><risdate>2006</risdate><volume>26</volume><issue>4</issue><spage>361</spage><epage>374</epage><pages>361-374</pages><issn>0952-4746</issn><eissn>1361-6498</eissn><abstract>The paper discusses the provision of targeted health care to nuclear workers in Russia based on radiation-epidemiological estimates of cancer risks. Cancer incidence rates are analysed for the workers of the Institute of Physical Power Engineering (the first nuclear installation in the world) who were subjected to individual dosimetric monitoring from 1950 to 2002. The value of excess relative risk for solid cancers was found to be ERR Gy(-1) = 0.24 (95% CI: -4.22; 7.96). It has been shown that 81.8% of the persons covered by individual dosimetric monitoring have potential attributive risk up to 5%, and the risk is more than 10% for 3.7% of the workers. Among the detected cancer cases, 73.5% of the individuals show an attributive risk up to 5% and the risk is in excess of 10% for 3.9% of the workers. Principles for the provision of targeted health care, given voluntary health insurance, are outlined.</abstract><cop>England</cop><pub>IOP Publishing</pub><pmid>17146121</pmid><doi>10.1088/0952-4746/26/4/001</doi><tpages>14</tpages></addata></record> |
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| ispartof | Journal of radiological protection, 2006-12, Vol.26 (4), p.361-374 |
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| source | MEDLINE; IOP Publishing Journals; Institute of Physics (IOP) Journals - HEAL-Link |
| subjects | Body Burden Delivery of Health Care - organization & administration Humans Incidence Neoplasms, Radiation-Induced - epidemiology Nuclear Reactors - statistics & numerical data Quality Assurance, Health Care - organization & administration Radiation Dosage Radiation Monitoring - statistics & numerical data Radiation Protection - methods Relative Biological Effectiveness Risk Assessment - methods Risk Factors Russia - epidemiology |
| title | Concept of optimisation of the radiation protection system in the nuclear sector: management of individual cancer risks and providing targeted health care |
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