Document Detail

Spatial clustering of myelodysplastic syndromes (MDS) in the Seattle-Puget Sound region of Washington State.
MedLine Citation:
PMID:  20101455     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Incidence of myelodysplastic syndromes (MDS) has been described in the United States since its inclusion in the Surveillance, Epidemiology, and End Results program in 2001, and the Seattle-Puget Sound region of Washington State has among the highest rates of the registries. In this investigation, we described small-scale incidence patterns of MDS within the Seattle-Puget Sound region from 2002 to 2006 and identified potential spatial clusters to inform planning of future studies of MDS etiology.
METHODS: We used a spatial disease mapping model to estimate smoothed relative risks for each census tract and to describe the spatial component of variability in the incidence rates. We also used two methods to describe the location of potential MDS clusters: the approach of Besag and Newell and the Kulldorff spatial scan statistic.
RESULTS: Our findings from all three approaches indicated the most likely areas of increased MDS incidence were located on Whidbey Island in Island County.
CONCLUSION: Interpretation is limited because our data are based on the residential location of the MDS case only at the time of diagnosis. Nevertheless, inclusion of identified cluster regions in future population-based research and investigation of individual-level exposures could shed light on environmental risk factors for MDS.
Michelle E Ross; Jon Wakefield; Scott Davis; Anneclaire J De Roos
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-01-26
Journal Detail:
Title:  Cancer causes & control : CCC     Volume:  21     ISSN:  1573-7225     ISO Abbreviation:  Cancer Causes Control     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-14     Completed Date:  2010-08-20     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  9100846     Medline TA:  Cancer Causes Control     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  829-38     Citation Subset:  IM    
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MeSH Terms
Cluster Analysis
Myelodysplastic Syndromes / epidemiology*
Risk Factors
United States / epidemiology
Grant Support
N01-PC-55020-20/PC/NCI NIH HHS; R01 CA095994/CA/NCI NIH HHS; R01 CA095994/CA/NCI NIH HHS

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