Evidence map›Paper›PMID 23327340›Full record

ArticleActa oncologica (Stockholm, Sweden)2013

Stillbirth, early death and neonatal morbidity among offspring of female cancer survivors.

Laura-Maria Madanat-Harjuoja, Päivi M Lähteenmäki, Tadeusz Dyba, Mika Gissler, John D Boice, Nea Malila

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In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

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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

6 authors at 4 institutions in 2 countries.

Laura-Maria Madanat-HarjuojaFinnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland. laura.madanat@cancer.fi
Päivi M Lähteenmäki
Tadeusz Dyba
Mika Gissler
John D Boice
Nea Malila
Finnish Cancer Registry · FITampere University · FITurku University Hospital · FIVanderbilt University · US

Funding

Genetic Consequences of Therapies for CancerR01CA104666 · NCI · VANDERBILT UNIVERSITY · PI BOICE, JOHN DUNNING · 2005 to 2009
$3.0M
Medical Research Council MR/K006525/1NCI NIH HHS R01 CA104666
6 · The paper itself

Abstract

backgroundIncreased awareness of the adverse effects of cancer treatments has prompted the development of fertility preserving regimens for the growing population of cancer survivors who desire to have children of their own. MATERIAL AND

methodsWe conducted a registry-based study to evaluate the risk of stillbirth, early death and neonatal morbidity among children of female cancer survivors (0-34 years at diagnosis) compared with children of female siblings. A total of 3501 and 16 908 children of female cancer patients and siblings, respectively, were linked to the national medical birth and cause-of-death registers.

resultsThe risk of stillbirth or early death was not significantly increased among offspring of cancer survivors as compared to offspring of siblings: the risk [Odds Ratio (OR)] of early neonatal death, i.e. mortality within the first week was 1.35, with a 95% confidence interval (CI) of 0.58-3.18, within 28 days 1.40, 95% CI 0.46-4.24 and within the first year of life 1.11, 95% CI 0.64-1.93 after adjustment for the main explanatory variables. All these risk estimates were reduced towards one after further adjustment for duration of pregnancy. Measures of serious neonatal morbidity were not significantly increased among the children of survivors. However, there was a significant increase in the monitoring of children of cancer survivors for neonatal conditions (OR 1.56, 95% CI 1.35-1.80), which persisted even after correcting for duration of pregnancy, that might be related to parental cancer and its treatment or increased surveillance among the children.

conclusionOffspring of cancer survivors were more likely to require monitoring or care in a neonatal intensive care unit, but the risk of early death or stillbirth was not increased after adjustment for prematurity. Due to the rarity of the mortality outcomes studied, collaborative studies may be helpful in ruling out the possibility of an increased risk among offspring of cancer survivors.

Indexed as

Infant MortalityFemaleHumansInfant, NewbornNeoplasmsPregnancyRegistriesRisk FactorsStillbirthSurvivors

Identifiers

PMID23327340
PMCPMC3865710
OpenAlexW1973473603

What OpenQuestion holds

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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.