Evidence map›Paper›PMID 19021636›Full record

ArticleClinical genetics2009

Radiotherapy for childhood cancer and risk for congenital malformations in offspring: a population-based cohort study.

J F Winther, J D Boice, K Frederiksen, A Bautz, J J Mulvihill, M Stovall, J H Olsen

Open access · greenAbstract read
In one paragraph

Article in Clinical genetics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
10.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 88 citations in OpenAlex.

  1. Trial
  2. Review
  3. Joint effects of IVF and cancer history on birth outcomes.Journal of assisted reproduction and genetics · 2026
    Article
  4. Effects of Cytotoxic Therapies on the Sperm Genome and Epigenome.Advances in experimental medicine and biology · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Birth Defects in Offspring of Adolescent and Young Adults with a History of Cancer: A Population-Based Study of 27,000 Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Observational
  17. Reproductive Function and Outcomes in Female Survivors of Childhood, Adolescent, and Young Adult Cancer: A Review.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

J F WintherInstitute of Cancer Epidemiology, Danish Cancer Society, DK-2100 Copenhagen, Denmark. jeanette@cancer.dk
J D Boice
K Frederiksen
A Bautz
J J Mulvihill
M Stovall
J H Olsen
Danish Cancer Society · DKVanderbilt University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Oklahoma · US

Funding

Genetic Consequences of Therapies for CancerR01CA104666 · NCI · VANDERBILT UNIVERSITY · PI BOICE, JOHN DUNNING · 2005 to 2009
$3.0M
NCI NIH HHS CA104666NCI NIH HHS R01 CA104666
6 · The paper itself

Abstract

Offspring of childhood cancer survivors may be at risk of genetic disease due to the mutagenic cancer treatments received by their parents. Congenital malformations were evaluated in a population-based cohort study of 1715 offspring of 3963 childhood cancer survivors and 6009 offspring of 5657 survivors' siblings. The Danish Central Population Register, Cancer Registry and Hospital Register were used to identify study subjects and congenital malformations. Gonadal and uterine radiation doses were characterized based on standard radiation-treatment regimens. The prevalence of congenital malformations at birth in offspring of survivors (44 cases, 2.6%) was slightly higher but not statistically different from that of offspring of siblings (140 cases, 2.3%) [prevalence proportion ratio (PPR), 1.1; 95% confidence interval, 0.8-1.5] or of the general population (observed-to-expected ratio, 1.2; 0.9-1.6). Including malformations diagnosed later in life did not change the ratios appreciably. The risk for malformations was slightly higher in the offspring of irradiated parents than in that of non-irradiated parents (PPR 1.2 vs 1.0) but was unrelated to gonadal dose. This study provides evidence that cancer therapy of children does not increase the risk for malformations in their offspring. Continued monitoring of genetic risks among their offspring, however, is warranted.

Indexed as

Abnormalities, Radiation-InducedAdultChildCohort StudiesCongenital AbnormalitiesDenmarkFemaleHumansMaleMaternal ExposureNeoplasmsPaternal ExposurePregnancyPregnancy OutcomeRisk Factors

Identifiers

PMID19021636
PMCPMC2697125
OpenAlexW2064579088

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.