Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident

Exposure of the thyroid gland to ionizing radiation at a young age is the main recognized risk factor for differentiated thyroid cancer. After the Chernobyl and Fukushima nuclear accidents, thyroid cancer screening was implemented mainly for children, leading to case over-diagnosis as seen in South...

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Autores: Cléro, Enora, Ostroumova, Evgenia, Demoury, Claire, Grosche, Bernd, Kesminiene, Ausrele, Liutsko, Liudmila, Motreff, Yvon, Oughton, Deborah, Pirard, Philippe, Rogel, Agnès, Van Nieuwenhuyse, An, Laurier, Dominique, Cardis, Elisabeth
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/53018
Acceso en línea:http://hdl.handle.net/10230/53018
http://dx.doi.org/10.1016/j.envint.2020.106230
Access Level:acceso abierto
Palabra clave:Health monitoring
Nuclear accident
Recommendation
Screening
Thyroid cancer
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spelling Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accidentCléro, EnoraOstroumova, EvgeniaDemoury, ClaireGrosche, BerndKesminiene, AusreleLiutsko, LiudmilaMotreff, YvonOughton, DeborahPirard, PhilippeRogel, AgnèsVan Nieuwenhuyse, AnLaurier, DominiqueCardis, ElisabethHealth monitoringNuclear accidentRecommendationScreeningThyroid cancerExposure of the thyroid gland to ionizing radiation at a young age is the main recognized risk factor for differentiated thyroid cancer. After the Chernobyl and Fukushima nuclear accidents, thyroid cancer screening was implemented mainly for children, leading to case over-diagnosis as seen in South Korea after the implementation of opportunistic screening (where subjects are recruited at healthcare sites). The aim of cancer screening is to reduce morbidity and mortality, but screening can also cause negative effects on health (with unnecessary treatment if over-diagnosis) and on quality of life. This paper from the SHAMISEN special issue (Nuclear Emergency Situations - Improvement of Medical And Health Surveillance) presents the principles of cancer screening, the lessons learned from thyroid cancer screening, as well as the knowledge on thyroid cancer incidence after exposure to iodine-131. The SHAMISEN Consortium recommends to envisage systematic health screening after a nuclear accident, only when appropriately justified, i.e. ensuring that screening will do more good than harm. Based on the experience of the Fukushima screening, the consortium does not recommend mass or population-based thyroid cancer screening, as the negative psychological and physical effects are likely to outweigh any possible benefit in affected populations; thyroid health monitoring should however be made available to persons who request it (regardless of whether they are at increased risk or not), accompanied with appropriate information and support.This work was funded by OPERRA (Open Project for the European Radiation Research Area: EC FP7, grant agreement 604984) and the Norwegian Research Council (NFR project number 263856). ISGlobal acknowledges support from the Spanish Ministry of Science, Innovation and Universities through the “Centro de Excelencia Severo Ochoa 2019–2023” Programme (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Programme (http://cerca.cat/en/).Elsevier202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/53018http://dx.doi.org/10.1016/j.envint.2020.106230reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésEnviron Int. 2021 Jan;146:106230info:eu-repo/grantAgreement/EC/FP7/604984© 2020 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/530182026-05-29T05:05:01Z
dc.title.none.fl_str_mv Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
title Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
spellingShingle Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
Cléro, Enora
Health monitoring
Nuclear accident
Recommendation
Screening
Thyroid cancer
title_short Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
title_full Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
title_fullStr Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
title_full_unstemmed Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
title_sort Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
dc.creator.none.fl_str_mv Cléro, Enora
Ostroumova, Evgenia
Demoury, Claire
Grosche, Bernd
Kesminiene, Ausrele
Liutsko, Liudmila
Motreff, Yvon
Oughton, Deborah
Pirard, Philippe
Rogel, Agnès
Van Nieuwenhuyse, An
Laurier, Dominique
Cardis, Elisabeth
author Cléro, Enora
author_facet Cléro, Enora
Ostroumova, Evgenia
Demoury, Claire
Grosche, Bernd
Kesminiene, Ausrele
Liutsko, Liudmila
Motreff, Yvon
Oughton, Deborah
Pirard, Philippe
Rogel, Agnès
Van Nieuwenhuyse, An
Laurier, Dominique
Cardis, Elisabeth
author_role author
author2 Ostroumova, Evgenia
Demoury, Claire
Grosche, Bernd
Kesminiene, Ausrele
Liutsko, Liudmila
Motreff, Yvon
Oughton, Deborah
Pirard, Philippe
Rogel, Agnès
Van Nieuwenhuyse, An
Laurier, Dominique
Cardis, Elisabeth
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Health monitoring
Nuclear accident
Recommendation
Screening
Thyroid cancer
topic Health monitoring
Nuclear accident
Recommendation
Screening
Thyroid cancer
description Exposure of the thyroid gland to ionizing radiation at a young age is the main recognized risk factor for differentiated thyroid cancer. After the Chernobyl and Fukushima nuclear accidents, thyroid cancer screening was implemented mainly for children, leading to case over-diagnosis as seen in South Korea after the implementation of opportunistic screening (where subjects are recruited at healthcare sites). The aim of cancer screening is to reduce morbidity and mortality, but screening can also cause negative effects on health (with unnecessary treatment if over-diagnosis) and on quality of life. This paper from the SHAMISEN special issue (Nuclear Emergency Situations - Improvement of Medical And Health Surveillance) presents the principles of cancer screening, the lessons learned from thyroid cancer screening, as well as the knowledge on thyroid cancer incidence after exposure to iodine-131. The SHAMISEN Consortium recommends to envisage systematic health screening after a nuclear accident, only when appropriately justified, i.e. ensuring that screening will do more good than harm. Based on the experience of the Fukushima screening, the consortium does not recommend mass or population-based thyroid cancer screening, as the negative psychological and physical effects are likely to outweigh any possible benefit in affected populations; thyroid health monitoring should however be made available to persons who request it (regardless of whether they are at increased risk or not), accompanied with appropriate information and support.
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/53018
http://dx.doi.org/10.1016/j.envint.2020.106230
url http://hdl.handle.net/10230/53018
http://dx.doi.org/10.1016/j.envint.2020.106230
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Environ Int. 2021 Jan;146:106230
info:eu-repo/grantAgreement/EC/FP7/604984
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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