Evidence map›Paper›PMID 19148952›Full record

ArticlePediatric blood & cancer2009

Maternal health conditions during pregnancy and acute leukemia in children with Down syndrome: A Children's Oncology Group study.

Simona Ognjanovic, Susan Puumala, Logan G Spector, Franklin O Smith, Leslie L Robison, Andrew F Olshan, Julie A Ross

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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  8. 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 6 institutions in 1 country.

Simona OgnjanovicDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA. ognja001@umn.edu
Susan Puumala
Logan G Spector
Franklin O Smith
Leslie L Robison
Andrew F Olshan
Julie A Ross
University of Minnesota · USSt. Jude Children's Research Hospital · USUniversity of Cincinnati · USUniversity of Minnesota Medical Center · USUniversity of Minnesota System · USUniversity of North Carolina at Chapel Hill · US

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Translational Pediatric Cancer Epidemiology Research Training GrantT32CA099936 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Logan G. Spector · 2004 to 2026
$5.1M
EPIDEMIOLOGY OF DOWN SYNDROME--LEUKEMIA &DOWN SYNDROMER01CA075169 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ROSS, JULIE ANN · 1997 to 2001
$883k
NCI NIH HHS R01 CA075169NCI NIH HHS R01 CA75169NCI NIH HHS T32 CA099936NICHD NIH HHS R24 HD050924
6 · The paper itself

Abstract

backgroundChildren with Down syndrome (DS) have about a 20-fold increased risk of developing leukemia. Early childhood infections may protect against acute lymphoid leukemia (ALL) in children with and without DS. We examined whether maternal infections and health conditions during pregnancy were associated with acute leukemia in children with DS. PROCEDURE: We conducted a case-control study of 158 children with DS and leukemia (including 97 cases with acute lymphoblastic leukemia (ALL) and 61 cases with acute myeloid leukemia (AML)) and 173 children with DS during the period 1997-2002. Maternal interview included information about 14 maternal conditions during gestation that are likely to induce an inflammatory response. We evaluated their prevalence in cases and controls. Five of these were common enough to allow analyses by leukemia subtype.

resultsVaginal bleeding was the most frequent (18% cases, 25% controls) and was associated with a reduced risk (odds ratio (OR) = 0.57; 95% confidence interval (CI) = 0.33-0.99) for all cases combined. Other variables, while showing a potential trend toward reduced risk had effect estimates, which were imprecise and not statistically significant. In contrast, amniocentesis was marginally associated with an increased risk of AML (OR = 2.06, 95% CI = 0.90-4.69).

conclusionsData from this exploratory investigation suggest that some health conditions during pregnancy may be relevant in childhood leukemogenesis. Larger epidemiological studies and other model systems (animal, clinical studies) may provide a clearer picture of the potential association and mechanisms.

Indexed as

AdultCase-Control StudiesChildChild, PreschoolDown SyndromeFemaleHumansLeukemia, Myeloid, AcuteMaleMaternal WelfarePrecursor Cell Lymphoblastic Leukemia-LymphomaPregnancyRisk Factors

Identifiers

PMID19148952
PMCPMC2659730
OpenAlexW2064529206

What OpenQuestion holds

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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.