Evidence map›Paper›PMID 34966942›Full record

ArticleInternational journal of epidemiology2022

Cohort study of familial viral hepatitis and risks of paediatric cancers.

Julia E Heck, Chia-Kai Wu, Xiwen Huang, Kara W Chew, Myron Tong, Noah Federman, Beate Ritz, Onyebuchi A Arah, Chung-Yi Li, Fei Yu and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Exposure to Acetaminophen (Paracetamol) during Pregnancy and Childhood Cancer: A Population-Based Cohort Study in Taiwan.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Maternal migraine and risk of pediatric cancers.Pediatric blood & cancer · 2023
    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

13 authors at 9 institutions in 4 countries.

Julia E HeckDepartment of Rehabilitation and Health Services, College of Health and Public Service, University of North Texas, Denton, TX, USA.ORCID 0000-0001-8713-8413
Chia-Kai WuDepartment of Health Care Management, National Taipei University of Nursing and Health Sciences, Beitou Dist, Taipei, Taiwan.
Xiwen HuangCenter for Racial and Ethnic Equity in Health and Society, University of North Texas, Denton, TX, USA.
Kara W ChewDivision of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Myron TongAsian Liver Center, Geffen School of Medicine and Ronald Reagan Medical Center, UCLA, Los Angeles, CA, USA.
Noah FedermanDepartment of Pediatrics, Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
Beate RitzDepartment of Epidemiology, Fielding School of Public Health, University of California (UCLA), Los Angeles, CA, USA.
Onyebuchi A ArahDepartment of Epidemiology, Fielding School of Public Health, University of California (UCLA), Los Angeles, CA, USA.
Chung-Yi LiDepartment of Public Health, National Cheng Kung University, Tainan, Taiwan.
Fei YuDepartment of Biostatistics, Fielding School of Public Health UCLA, Los Angeles, CA, USA.
Jorn OlsenDepartment of Clinical Epidemiology, Aarhus University, Aarhus N, Denmark.
Johnni HansenDanish Cancer Society Research Center, Copenhagen, Denmark.ORCID 0000-0002-9342-2725
Pei-Chen LeeDepartment of Health Care Management, National Taipei University of Nursing and Health Sciences, Beitou Dist, Taipei, Taiwan.
Aarhus University · DKUniversity of California, Los Angeles · USUniversity of North Texas · USChina Medical University · TWDanish Cancer Society · DKInserm · FRNational Taipei University of Nursing and Health Science · TWRonald Reagan UCLA Medical Center · USUCLA Health · US

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
Maternal comorbidities, prescription drug use in pregnancy and childhood cancerR21CA175959 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HECK, JULIA · 2014 to 2015
$323k
Parental Occupation and Childhood CancersR03ES021643 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HECK, JULIA · 2012 to 2013
$152k
NCI NIH HHS R21 CA175959NICHD NIH HHS P2C HD041022NIEHS NIH HHS R03 ES021643
6 · The paper itself

Abstract

backgroundAlthough viral hepatitis causes paediatric hepatocellular carcinoma and hepatic and extrahepatic cancers in adults, there are few epidemiologic studies on paediatric-cancer risks from parental viral hepatitis. In a nationwide study in a viral hepatitis endemic region and with confirmation in another population-based sample, we examined associations between parental hepatitis B (HBV) and C (HCV) infections and risks of cancers in offspring.

methodsWe included all children born in Taiwan in 2004-2014 (N = 2 079 037) with 2160 cancer cases ascertained from the Cancer Registry. We estimated risks for paediatric cancers using Cox proportional-hazard regressions. We checked these associations in a nationwide case-control study in Denmark (6422 cases, 160 522 controls).

resultsIn Taiwan, paternal HBV was related to child's hepatoblastoma [hazard ratio (HR) = 1.77, 95% confidence interval (CI) = 1.05, 2.97] when identified at any time in the medical record, and when analyses were limited to hepatitis diagnoses occurring before the child's birth, risks increased (HR = 2.08, 95% CI = 1.13-3.80). Paternal HCV was related to child's non-Hodgkin lymphoma (HR = 2.06, 95% CI = 1.13-3.74). Maternal HCV was weakly related to increased risks of all childhood cancers [all types combined; HR = 1.45, 95% CI = 0.95-2.22]. The population-attributable fraction of hepatoblastoma for maternal, paternal and child HBV was 2.6%, 6.8% and 2.8%, respectively.

conclusionsParental HBV and HCV may be risk factors for hepatic and non-hepatic cancers in children. If associations are causal, then parental screening and treatment with antivirals may prevent some paediatric cancers.

Indexed as

Hepatitis CHepatitis, Viral, HumanHepatoblastomaLiver NeoplasmsAdultCase-Control StudiesChildCohort StudiesHumansRisk Factorschildhood-cancer epidemiologyhepatitis BHepatitis Chepatoblastomanon-Hodgkin lymphomapregnancy

Identifiers

PMID34966942
PMCPMC9308392
OpenAlexW4205882485

What OpenQuestion holds

Textmetadata
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.