Evidence map›Paper›PMID 33638889›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2021

Maternal autoimmune disease is not associated with cancer in the offspring.

Laura K Seppälä, Laura-Maria Madanat-Harjuoja, Rebecca Troisi, Joshua N Sampson, Maarit K Leinonen, Kim Vettenranta

Open access · hybridAbstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% 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, 7 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 3 countries.

Laura K SeppäläPediatrics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0003-3028-9127
Laura-Maria Madanat-HarjuojaPediatrics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Rebecca TroisiDivision of Cancer Epidemiology and Genetics, Transdivisional Research Program, National Cancer Institute, Rockville, United States.
Joshua N SampsonBiostatistics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, United States.
Maarit K LeinonenUnit of Data and Analytics, Information Services Department, Finnish Institute of Health and Welfare, Helsinki, Finland.
Kim VettenrantaPediatrics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
University of Helsinki · FIFinnish Institute for Health and Welfare · FINational Cancer Institute · USNational Cancer Institute · UA

Funding

Early Life Exposures and Subsequent Cancer RiskZIACP010168 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI GIERACH, GRETCHEN · 2009 to 2025
$40.9M
Intramural NIH HHS ZIA CP010168
6 · The paper itself

Abstract

aimAutoimmune disease and its medication are associated with increased cancer risk in adults, but it is unknown whether maternal autoimmune disease and/or medication use in pregnancy are associated with increased cancer risk in offspring.

methodsIn this case-control study, we identified all patients under 20 years of age with their first cancer diagnosis in 1996-2014 from the Finnish Cancer Registry (n = 2029) and 1:5 population-based controls (n = 10,103) from the Medical Birth Register. We obtained information on maternal autoimmune disease and its medication from the relevant Finnish registries and used conditional logistic regression to analyse the risk of offspring cancer after maternal autoimmune disease exposure.

resultsThe odds ratio (OR) for cancer in offspring following maternal autoimmune exposure was 0.76 (95% confidence interval [CI] 0.47-1.23). Individual ORs for inflammatory bowel and connective tissue diseases were 1.08 (95% CI 0.56-2.01) and 0.50 (95% CI 0.23-1.08), respectively. The OR for maternal autoimmune medication was 0.95 (95% CI 0.80-1.14) overall and similar by drug subtype. There was an increased risk with medication in late pregnancy but the ORs were unstable owing to small numbers.

conclusionOur study does not support an increased cancer risk among offspring of women with autoimmune disease or its medication during pregnancy.

Indexed as

Autoimmune DiseasesNeoplasmsAdultCase-Control StudiesFemaleFinlandHumansInfant, NewbornLogistic ModelsPregnancyRegistriesRisk Factorsantenatal exposurechildhood cancer riskmaternal autoimmune diseasematernal medicationregistry-based study

Identifiers

PMID33638889
PMCPMC8270501
OpenAlexW3129534872

What OpenQuestion holds

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Registered trials

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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.