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Cumulative solar ultraviolet radiation exposure and basal cell carcinoma of the skin in a nationwide US cohort using satellite and ground-based measures.


ABSTRACT: BACKGROUND:Basal cell carcinoma of the skin (BCC) is the most common cancer in populations of European ancestry. Although consistently linked with basal cell carcinoma of the skin in case-control studies, few prospective cohort studies have evaluated the shape of the exposure-response of basal cell carcinoma associated with cumulative radiant solar ultraviolet exposure (UVR). METHODS:We followed 63,912 white cancer-free US radiologic technologists from entry (1983-1998) to exit (2003-2005) with known ultraviolet irradiance at up to 5 residential locations. Using generalized-additive and relative risk models we analyzed the exposure-response of basal cell carcinomas associated with ambient cumulative ultraviolet radiant exposure using ground-based National Solar Radiation database Average Daily Total Global data and satellite-based National Aeronautics and Space Administration Total Ozone Mapping Spectrometer data. RESULTS:There were 2151 technologists with an incident primary basal cell carcinoma. Risk of basal cell carcinoma rose with increasing cumulative ultraviolet radiation exposure using both measures, such that 1?MJ?cm-?2 increased basal cell carcinoma risk by 8.48 (95% CI 5.22, 11.09, p?

SUBMITTER: Little MP 

PROVIDER: S-EPMC6935112 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Cumulative solar ultraviolet radiation exposure and basal cell carcinoma of the skin in a nationwide US cohort using satellite and ground-based measures.

Little Mark P MP   Linet Martha S MS   Kimlin Michael G MG   Lee Terrence T   Tatalovich Zaria Z   Sigurdson Alice J AJ   Cahoon Elizabeth K EK  

Environmental health : a global access science source 20191227 1


<h4>Background</h4>Basal cell carcinoma of the skin (BCC) is the most common cancer in populations of European ancestry. Although consistently linked with basal cell carcinoma of the skin in case-control studies, few prospective cohort studies have evaluated the shape of the exposure-response of basal cell carcinoma associated with cumulative radiant solar ultraviolet exposure (UVR).<h4>Methods</h4>We followed 63,912 white cancer-free US radiologic technologists from entry (1983-1998) to exit (2  ...[more]

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