Is there an Increased Incidence of Surgically Removed Thyroid Carcinoma in Belgium Ten Years After Chernobyl ? A Study of Hospital Discharge Data

Abstract

In order to provide some answers to the much debated subject of the consequences of the Chernobyl accident, this study attempts to measure the incidence of surgically removed thyroid cancers in Belgium ten years following the explosion. The analysis was made from the hospital discharge data between 1993 and 1998. It offers the advantage of national coverage in spite of certain validity limits.

The results show an increase in surgically removed thyroid cancers, which is not, however, evident in the more susceptible younger generation who were involved at the time of the accident. Furthermore, the geographic distribution of the incidence is more marked in the south of the country, unaffected by the radioactive iodine contamination of 1986, which was more prevalent in the east of the country. The study of the type of surgery involved shows a rise in the proportion of total thyroidectomies.

These findings are in favour of the hypothesis of a causal effect linking the increased incidence of thyroid cancers to medical practice and surgery in particular and not to the consequence of the possible contamination.

Key Words:

• Thyroid cancer
• hospital discharge data
• thyroidectomy
• Chernobyl

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Notes on contributors

C. Daumerie

C. Daumerie Université catholique de Louvain Cliniques Universitaires St Luc Service d’Endocrinologie et Nutrition Avenue Hippocrate 10 B-1200 Brussels, Belgium Tel.: + 32 2 764 54 75 Fax: + 32 2 764 54 18 E-mail: [email protected]