Evidence map›Paper›PMID 27544685›Full record

ArticleBMC cancer2016

Environmental, maternal, and reproductive risk factors for childhood acute lymphoblastic leukemia in Egypt: a case-control study.

Sameera Ezzat, Wafaa M Rashed, Sherin Salem, M Tevfik Dorak, Mai El-Daly, Mohamed Abdel-Hamid, Iman Sidhom, Alaa El-Hadad, Christopher Loffredo

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

9 authors at 6 institutions in 3 countries.

Sameera EzzatNational Liver Institute, Menoufia University, Shibin El Kom, Egypt. sameera.ezzat@gmail.com.
Wafaa M RashedChildren's Cancer Hospital 57357, El Sayeda Zeinab, Cairo, 11441, Egypt.
Sherin SalemChildren's Cancer Hospital 57357, El Sayeda Zeinab, Cairo, 11441, Egypt.
M Tevfik DorakSchool of Health Sciences, Liverpool Hope University, Liverpool, UK.
Mai El-DalyNational Liver Institute, Menoufia University, Shibin El Kom, Egypt.
Mohamed Abdel-HamidFaculty of Medicine, Minia University, Minia, Egypt.
Iman SidhomChildren's Cancer Hospital 57357, El Sayeda Zeinab, Cairo, 11441, Egypt.
Alaa El-HadadChildren's Cancer Hospital 57357, El Sayeda Zeinab, Cairo, 11441, Egypt.
Christopher LoffredoLombardi Cancer Center, Georgetown University, Washington, DC, USA.
Cairo University · EGMenoufia University · EGChildren Cancer Hospital · EGGeorgetown University · USLiverpool Hope University · GBMinia University · EG

Funding

Risk Factors for TEL-AML Fusion Genes and Childhood Acute Lymphoblastic Leukemia R03CA133960 · NCI · NATL HEPATOLOGY/TROPICAL MED RES INST · PI EZZAT, SAMEERA · 2008 to 2009
$108k
NCI NIH HHS R03 CA133960
6 · The paper itself

Abstract

backgroundAcute lymphocytic leukemia (ALL) is the most common pediatric cancer. The exact cause is not known in most cases, but past epidemiological research has suggested a number of potential risk factors. This study evaluated associations between environmental and parental factors and the risk for ALL in Egyptian children to gain insight into risk factors in this developing country.

methodsWe conducted a case-control design from May 2009 to February 2012. Cases were recruited from Children's Cancer Hospital, Egypt (CCHE). Healthy controls were randomly selected from the general population to frequency-match the cumulative group of cases by sex, age groups (<1; 1 - 5; >5 - 10; >10 years) and region of residence (Cairo metropolitan region, Nile Delta region (North), and Upper Egypt (South)). Mothers provided answers to an administered questionnaire about their environmental exposures and health history including those of the father. Odds ratios (ORs) and 95 % confidence intervals (CI) were calculated using logistic regression with adjustment for covariates.

resultsTwo hundred ninety nine ALL cases and 351 population-based controls frequency-matched for age group, gender and location were recruited. The risk of ALL was increased with the mother's use of medications for ovulation induction (ORadj = 2.5, 95 % CI =1.2 -5.1) and to a lesser extend with her age (ORadj = 1.8, 95 % CI = 1.1 - 2.8, for mothers ≥ 30 years old). Delivering the child by Cesarean section, was also associated with increased risk (ORadj = 2.01, 95 % CI =1.24-2.81).

conclusionsIn Egypt, the risk for childhood ALL appears to be associated with older maternal age, and certain maternal reproductive factors.

Indexed as

AdolescentAdultCase-Control StudiesEgyptFemaleHumansLogistic ModelsMaleMaternal AgeOdds RatioPrecursor Cell Lymphoblastic Leukemia-LymphomaRisk FactorsSurveys and QuestionnairesYoung AdultAcute Lymphoblastic LeukemiaCesarean SectionEgyptOvulation induction

Identifiers

PMID27544685
PMCPMC4992254
OpenAlexW2512094634

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.