Evidence map›Paper›PMID 38615073›Full record

SynthesisPediatric research2024

Risk of childhood neoplasms related to neonatal phototherapy- a systematic review and meta-analysis.

Ilari Kuitunen, Atte Nikkilä, Panu Kiviranta, Johanna Jääskeläinen, Anssi Auvinen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pediatric research, 2024. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Hyperbilirubinemia in premature infants <35 weeks' gestation: A chronologic age format for graphing consensus-based recommendations.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ilari KuitunenUniversity of Eastern Finland, Institute of Clinical Medicine and Department of Pediatrics, Kuopio, Finland. ilari.kuitunen@uef.fi.ORCID 0000-0001-8178-9610
Atte NikkiläTampere University, Faculty of Medicine and Health Technologies, Tampere, Finland.
Panu KivirantaUniversity of Eastern Finland, Institute of Clinical Medicine and Department of Pediatrics, Kuopio, Finland.
Johanna JääskeläinenUniversity of Eastern Finland, Institute of Clinical Medicine and Department of Pediatrics, Kuopio, Finland.
Anssi AuvinenTampere University, Faculty of Social Sciences, Department of Epidemiology, Tampere, Finland.

Funding

University of Eastern Finland
6 · The paper itself

Abstract

contextObservational studies have shown conflicting results as to whether exposure to neonatal phototherapy is associated with increased rates of childhood cancer.

objectiveTo describe the rates of childhood neoplasms and cancer after neonatal phototherapy. DATA SOURCES: The CENTRAL, PubMed, Scopus, and Web of Science databases. STUDY SELECTION: Observational studies regardless of design were included. DATA EXTRACTION: The data were extracted by one author and validated by another. The risk-of-bias assessment was performed using the ROBINS-E and Joanna Briggs Institute critical appraisal tools.

resultsSix cohort and 10 case-control studies were included. The overall risk of bias was high in seven and low in nine studies. In cohort studies, the odds ratio (OR) was increased for hematopoietic cancer (1.44; confidence interval [CI]: 1.16-1.80) and solid tumors (OR: 1.18; CI: 1.00-1.40). In case-control studies, the OR was 1.63 (CI: 0.99-2.67) for hematopoietic cancers and 1.18 (CI: 1.04-1.34) for solid tumors.

conclusionsChildren with a history of neonatal phototherapy had increased risk of hematopoietic cancer and solid tumors. The evidence quality was limited due to the high risk of bias and potential residual confounding. IMPACT STATEMENT: Exposure to neonatal phototherapy increased later risk of hematopoietic cancer and solid tumors. This is the most comprehensive study on the association between phototherapy and cancer, but the evidence quality was limited due risk of bias and residual confounding. Future large scale well conducted studies are still needed to better estimate the association and.

Indexed as

NeoplasmsPhototherapyCase-Control StudiesChildChild, PreschoolHumansInfantInfant, NewbornOdds RatioRisk Factors

Identifiers

PMID38615073
PMCPMC11521995

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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.