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| Content Provider | Springer Nature Link |
|---|---|
| Author | Karalexi, M. A. Dessypris, N. Skalkidou, A. Biniaris Georgallis, S. I Kalogirou, Ε. Ι. Thomopoulos, T. P. Herlenius, E. Spector, L. G. Loutradis, D. Chrousos, G. P. Petridou, E. Th. |
| Copyright Year | 2017 |
| Abstract | History of fetal loss including miscarriage and stillbirth has been inconsistently associated with childhood (0–14 years) leukemia in subsequent offspring. A quantitative synthesis of the inconclusive literature by leukemia subtype was therefore conducted.Eligible studies (N = 32) were identified through the screening of over 3500 publications. Random-effects meta-analyses were conducted on the association of miscarriage/stillbirth history with overall (AL; 18,868 cases/35,685 controls), acute lymphoblastic (ALL; 16,150 cases/38,655 controls), and myeloid (AML; 3042 cases/32,997 controls) leukemia. Sensitivity and subgroup analyses by age and ALL subtype, as well as meta-regression were undertaken.Fetal loss history was associated with increased AL risk [Odds Ratio (OR) 1.10, 95% Confidence Intervals (CI) 1.04–1.18]. The positive association was seen for ALL (OR 1.12, 95%CI 1.05–1.19) and for AML (OR 1.13, 95%CI 0.91–1.41); for the latter the OR increased in sensitivity analyses. Notably, stillbirth history was significantly linked to ALL risk (OR 1.33, 95%CI 1.02–1.74), but not AML. By contrast, the association of ALL and AML with previous miscarriage reached marginal significance. The association of miscarriage history was strongest in infant ALL (OR 2.34, 95%CI 1.19–4.60).In this meta-analysis involving >50,000 children, we found noteworthy associations by indices of fetal loss, age at diagnosis, and leukemia type; namely, of stillbirth with ALL and miscarriage history with infant ALL. Elucidation of plausible underlying mechanisms may provide insight into leukemia pathogenesis and indicate monitoring interventions prior to and during pregnancy. |
| Starting Page | 599 |
| Ending Page | 624 |
| Page Count | 26 |
| File Format | |
| ISSN | 09575243 |
| Journal | Cancer Causes & Control |
| Volume Number | 28 |
| Issue Number | 6 |
| e-ISSN | 15737225 |
| Language | English |
| Publisher | Springer International Publishing |
| Publisher Date | 2017-04-11 |
| Publisher Place | Cham |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Miscarriage Stillbirth Childhood acute lymphoblastic leukemia Childhood acute myeloid leukemia Meta-analysis Meta-regression Cancer Research Biomedicine Oncology Public Health Epidemiology Hematology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cancer Research Oncology |
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