0000000000206143

AUTHOR

Steffen Dreger

showing 4 related works from this author

Regional deprivation and non-cancer related computed tomography use in pediatric patients in Germany: Cross-sectional analysis of cohort data.

2016

BACKGROUND: Conflicting findings were observed in recent studies assessing the association between patients' area-level socio-economic status and the received number of computed tomography (CT) examinations in children. The aim was to investigate the association between area-level socio-economic status and variation in CT examination practice for pediatric patients in Germany. METHODS: Data from Radiology Information Systems for children aged 0 to < 15 years without cancer who had at least one CT examination between 2001 and 2010 were extracted in 20 hospitals across Germany. The small-area German Index of Multiple Deprivation (GIMD) was used to assess regional deprivation. The GIMD …

MalePediatricsCross-sectional studyGerman Peoplelcsh:MedicinePediatricsDiagnostic RadiologyGeographical Locations0302 clinical medicineGermanyNeoplasmsMedicine and Health SciencesEthnicities030212 general & internal medicineChildlcsh:ScienceTomographyGeographic AreasRadiationMultidisciplinaryGeographymedicine.diagnostic_testRadiology and ImagingPhysicsMagnetic Resonance ImagingEuropeOncologyChild Preschool030220 oncology & carcinogenesisPhysical SciencesCohortFemaleBody regionResearch ArticleUrban Areasmedicine.medical_specialtyAdolescentImaging TechniquesNeuroimagingResearch and Analysis Methods03 medical and health sciencesDiagnostic MedicineHounsfield scaleCancer Detection and DiagnosismedicineHumansHealthcare DisparitiesRetrospective StudiesNuclear Physicsbusiness.industrylcsh:RInfant NewbornInfantBiology and Life SciencesCancerMagnetic resonance imagingRetrospective cohort studyOdds ratiomedicine.diseaseComputed Axial TomographyCross-Sectional StudiesSocial ClassSocioeconomic FactorsPediatrics ; Urban areas ; German people ; Germany ; Magnetic resonance imaging ; Computed axial tomography ; Cancer detection and diagnosis ; Ionizing radiationPeople and PlacesIonizing RadiationEarth SciencesPopulation Groupingslcsh:QTomography X-Ray ComputedbusinessNuclear medicineNeuroscience
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Japanese Radiation Research Society

2017

Computed tomography (CT) is an essential tool in modern medicine and is frequently used to diagnose a wide range of conditions, particularly in industrial countries, such as Japan and Germany. However, markedly higher doses of ionizing radiation are delivered during CT imaging than during conventional X-ray examinations. To assess pediatric CT practice patterns, data from three university hospital databases (two in Japan and one in Germany) were analyzed. Anonymized data for patients aged 0 to 14 years who had undergone CT examinations between 2008 and 2010 were extracted. To assess CT practice, an interdisciplinary classification scheme for CT indications, which incorporated the most commo…

MaleIonizing radiationmedicine.medical_specialtyModern medicineAdolescentHealth Toxicology and Mutagenesischildren ; computed tomography ; ionizing radiation ; practice pattern ; international comparisonComputed tomographyClassification schemePediatric ct030218 nuclear medicine & medical imagingHospitals UniversityGerman03 medical and health sciences0302 clinical medicineJapanPractice patternGermanyRegular PapermedicineHumansRadiology Nuclear Medicine and imagingPractice Patterns Physicians'ChildChildrenComputed tomographyInternational comparisonRadiationmedicine.diagnostic_testbusiness.industryInfant NewbornInfantUniversity hospitallanguage.human_languageChild Preschool030220 oncology & carcinogenesislanguageFemaleRadiologyTomographyCt imagingTomography X-Ray ComputedbusinessJournal of Radiation Research
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Cohort study of occupational cosmic radiation dose and cancer mortality in German aircrew, 1960-2014.

2020

ObjectivesTo determine cancer mortality compared with the general population and to examine dose-response relationships between cumulative occupational radiation dose and specific cancer outcomes in the German aircrew cohort.MethodsFor a cohort of 26 846 aircrew personnel, standardised mortality ratios (SMR) were calculated. Dose-response analyses were carried out using Poisson regression to assess dose-related cancer risks for the period 1960–2014. Exposure assessment comprises recently available dose register data for all cohort members and newly estimated retrospective cabin crew doses for 1960–2003.ResultsSMR for all-cause, specific cancer groups and most individual cancers were reduced…

OncologyMalemedicine.medical_specialtyNeoplasms Radiation-InducedPopulationRadiation DosageEffective dose (radiation)Cohort Studies03 medical and health sciencessymbols.namesake0302 clinical medicineInternal medicineGermanyOccupational ExposuremedicineHumansPoisson regressioneducationMelanomaAgededucation.field_of_studyCumulative dosebusiness.industryBrain NeoplasmsPublic Health Environmental and Occupational HealthDose-Response Relationship RadiationMiddle Aged030210 environmental & occupational healthOccupational Diseases030220 oncology & carcinogenesisRelative riskCohortsymbolsAircrewFemalebusinessCosmic RadiationCohort studyOccupational and environmental medicine
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Estimated radiation exposure of German commercial airline cabin crew in the years 1960-2003 modeled using dose registry data for 2004-2015.

2016

Exposure to ionizing radiation of cosmic origin is an occupational risk factor in commercial aircrew. In a historic cohort of 26,774 German aircrew, radiation exposure was previously estimated only for cockpit crew using a job-exposure matrix (JEM). Here, a new method for retrospectively estimating cabin crew dose is developed. The German Federal Radiation Registry (SSR) documents individual monthly effective doses for all aircrew. SSR-provided doses on 12,941 aircrew from 2004 to 2015 were used to model cabin crew dose as a function of age, sex, job category, solar activity, and male pilots' dose; the mean annual effective dose was 2.25 mSv (range 0.01–6.39 mSv). In addition to an inverse …

AdultMaleEngineeringOperations researchAircraftOccupational riskMean squared prediction errorCrewToxicologyRadiation DosageEffective dose (radiation)Risk Assessment030218 nuclear medicine & medical imaging03 medical and health sciences0302 clinical medicineAge DistributionAeronauticsOccupational ExposureRadiation IonizingHumansRegistriesSex DistributionRetrospective Studiesbusiness.industryPublic Health Environmental and Occupational Healthjob-exposure matrixexposure modelingMiddle AgedRadiation Exposure030210 environmental & occupational healthPollutionRadiation exposurePilotsCohortaviationAircrewRegistry dataepidemiologyFemalebusinessionizing radiationCosmic RadiationEnvironmental MonitoringJournal of exposure scienceenvironmental epidemiology
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