Evidence map›Paper›PMID 41367606›Full record

SynthesisFrontiers in pediatrics2025

Neonatal phototherapy and cancer risk: a systematic review and meta-analysis.

Sloane J Freeman, Charles D G Keown-Stoneman, Mariah Ghobrial, Thivia Jegathesan, Michael D Sgro

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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
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

5 authors.

Sloane J FreemanWomen and Children's Health Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Charles D G Keown-StonemanLi Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Mariah GhobrialWomen and Children's Health Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Thivia JegathesanWomen and Children's Health Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Michael D SgroWomen and Children's Health Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the risk of cancer after phototherapy for neonatal hyperbilirubinemia. Study design: This was a systematic review and meta-analysis. Electronic databases, including PubMed, Embase, and Cochrane Library, were searched. Prospective and retrospective studies, case series, and review studies published between 1970 and 2025 were included. Studies underwent two stages of screening. The first phase was title and abstract screening. The second phase was a full-text review of studies deemed to meet the inclusion criteria. Risk of bias was assessed using ROBINS-E. Inverse-variance weighted multi-level random effects models were used for all analyses. Results: This systematic review and meta-analysis included 15 studies. Risk of bias was low in eight studies, one study was judged to have some concerns, and six studies were determined to have a high risk of bias. A total of 6,675,265 patient data points were included. Studies ranged from 1995-2022, with an age group from 35 weeks to 31 years old. Overall, there was an estimated 24% increased odds of cancer for those who received phototherapy compared to those who did not [OR = 1.24; 95% CI: (1.12, 1.36); Conclusions: Phototherapy for neonatal hyperbilirubinemia was associated with a small increased risk of cancer up to age 31 years. This association must be balanced by the well-understood risk of Bilirubin-Induced Neurologic Dysfunction.

Indexed as

cancerhyperbilirubinemiameta-analysisneonatologyphototherapysystematic review

Identifiers

PMID41367606
PMCPMC12682806

What OpenQuestion holds

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LicenceCC BY
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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.