Evidence map›Paper›PMID 19199107›Full record

ArticleCancer causes & control : CCC2009

Maternal exposure to medical radiation and Wilms tumor in the offspring: a report from the Children's Oncology Group.

Ruchika Goel, Andrew F Olshan, Julie A Ross, Norman E Breslow, Brad H Pollock

Open access · greenAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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

5 authors at 5 institutions in 1 country.

Ruchika GoelDepartment of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA 15213, USA.
Andrew F Olshan
Julie A Ross
Norman E Breslow
Brad H Pollock
The University of Texas Health Science Center at San Antonio · USUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · USUniversity of Washington · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Late Effects of Treatment in Wilms Tumor Survivors and OffspringR01CA054498 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEISENRING, WENDY M · 1991 to 2017
$13.8M
Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
CASE CONTROL STUDY OF RISK FACTORS FOR WILMS TUMORR01CA075385 · NCI · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI OLSHAN, ANDREW · 1998 to 2002
$1.6M
NCI NIH HHS R01 CA054498NCI NIH HHS R01 CA075385NCI NIH HHS R01CA75385NCI NIH HHS U10 CA098543NICHD NIH HHS R24 HD050924NIEHS NIH HHS P30 ES010126NIEHS NIH HHS P30ES10126
6 · The paper itself

Abstract

objectiveThis study examined the association between pre-conception and in utero maternal medical radiation exposure and Wilms tumor, using data from a large population-based case-control study.

methodsCases were identified from the National Wilms Tumor Study Group. Controls were identified by random digit dialing and frequency matched to child's age and geographic area of residence in the United States and Canada. Interview data from 512 cases and 509 controls were analyzed using multivariable logistic regression. Odds ratios (OR) and 95% confidence intervals (CI) for Wilms tumor and exposure to: (1) maternal X-ray alone and; (2) all medical radiation types (X-ray, CT, RT, Nuclear scans, Fluoroscopy) combined, for the period from two years before conception until child birth were estimated after adjustment for age, geographic area, maternal education, and household income.

resultsWe found no consistent association between the risk of Wilms tumor and either maternal X-ray exposure (OR 0.9, 95% CI 0.7-1.3) or all medical radiation types combined (OR 0.9, 95% CI 0.7-1.2). No meaningful associations were seen for analysis of gonadal or non-gonadal radiation exposure.

conclusionOur study did not find any consistent pattern of association between Wilms tumor and maternal radiation exposure during pre-pregnancy or pregnancy period. In view of the negative findings from the largest case control study of this question to date, the reduced doses of biological radiation during pregnancy, and the requirements for an improved study design, we believe that future studies of this exposure may not be a priority for research on Wilms tumor.

Indexed as

Maternal ExposurePrenatal Exposure Delayed EffectsCanadaCase-Control StudiesChildConfidence IntervalsFemaleHumansInterviews as TopicKidney NeoplasmsLogistic ModelsOdds RatioPregnancyRacial GroupsRadiographyRisk Factors

Identifiers

PMID19199107
PMCPMC2814068
OpenAlexW2084292449

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.