Annals of Occupational and Environmental Medicine

Original Article

Use of Screening Dose to Evaluate the Work-relatedness of Cancers Occurring among Korean Radiation Workers: Meeseon Jeong, Young Woo Jin, Hyun Sul Lim, Chong Soon Kim; Korean Journal of Occupational and Environmental Medicine 2007;19(3):196-203. Published online September 30, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.3.196

OBJECTIVES
To propose a screening dose based on the probability of causation (PC) to simplify the evaluation procedure for the work-relatedness of the cancers occurring among Korean radiation workers.
METHODS
Under the PC uncertainty distribution, the screening dose was defined in which the maximum PC is equivalent to 50% for single exposure to radiation, after which the values were calculated according to three significance levels: 90%, 95%, and 99%. By using the screening doses for each cancer, we also predicted the number of compensations for the occupational cancers among the current Korean radiation workers to determine a reasonable criterion for the significance level.
RESULTS
If the cumulative dose received by a radiation worker with cancer is less than the screening dose, then PC can not be greater than 50%, i.e., the case can not be awarded as an occupational disease. The numbers of compensation cases for a future decade were predicted to be 3-5, 4-6, and 6-10 at the significance levels of 90%, 95%, and 99%, respectively.
CONCLUSIONS
The procedure to evaluate the occupational disease was greatly simplified by using the screening dose for evaluation. A criterion of 95% was recommended as the PC upper limit following consideration for the results of the predicted cases for compensation and the economic circumstances in Korea.

Citations

Citations to this article as recorded by

The work-relatedness at a case of acute lymphoblastic leukemia in a radiation oncologist
Bong Hyun Kim, Young-Jun Kwon, Young-Su Ju, Bong Kyu Kim, Hyun Seok Lee, Sang-gil Lee, Yun Kyung Chung
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef
A case of chronic myeloid leukemia in a diagnostic radiographer
Chulyong Park, Sungyeul Choi, Dohyung Kim, Jaechan Park, Saerom Lee
Annals of Occupational and Environmental Medicine.2014;[Epub] CrossRef
Ionizing Radiation-induced Diseases in Korea
Young-Woo Jin, Meeseon Jeong, Kieun Moon, Min-Heui Jo, Seong-Kyu Kang
Journal of Korean Medical Science.2010; 25(Suppl): S70. CrossRef
Health Disorders Caused by Physical Factors among Health Care Workers - Focusing on Ionizing Radiation -
Hyun-Sul Lim
Journal of the Korean Medical Association.2010; 53(6): 483. CrossRef

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