Perinatal and childhood outcomes of children born to female cancer survivors in South Korea
Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring. Comprehensive population-based studies would be invaluable for female cancer survivors in making decisions about their future. This study uses the National H...
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Published in | Scientific reports Vol. 14; no. 1; p. 2418 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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29.01.2024
Nature Publishing Group UK Nature Portfolio |
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Abstract | Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring. Comprehensive population-based studies would be invaluable for female cancer survivors in making decisions about their future. This study uses the National Health Information Database to investigate perinatal and long-term outcomes of offspring born to mothers with a history of cancer. In a South Korean cohort of 95,264 women aged 15-40 diagnosed with cancer between 2007 and 2010, we evaluated the outcomes of 15,221 children born to 11,092, cancer survivors. We selected 147,727 women without a history of cancer and 201,444 children as a control group. Our study found that children of female cancer survivors have a significantly higher odds ratio of primary outcomes including preterm birth, low birth weight, neonatal intensive care unit admission, and death. While there was no difference in the rate of death within 1 year of birth between the two groups, the total death rate during the follow-up period was significantly higher in children born to mothers with cancer. After adjusting for gestational age and birth weight, there was no statistically significant increased hazard ratio of secondary outcomes including cancer, chromosomal abnormalities, cerebral palsy, delayed development, epilepsy, language disorder, or hearing impairment. |
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AbstractList | Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring. Comprehensive population-based studies would be invaluable for female cancer survivors in making decisions about their future. This study uses the National Health Information Database to investigate perinatal and long-term outcomes of offspring born to mothers with a history of cancer. In a South Korean cohort of 95,264 women aged 15-40 diagnosed with cancer between 2007 and 2010, we evaluated the outcomes of 15,221 children born to 11,092, cancer survivors. We selected 147,727 women without a history of cancer and 201,444 children as a control group. Our study found that children of female cancer survivors have a significantly higher odds ratio of primary outcomes including preterm birth, low birth weight, neonatal intensive care unit admission, and death. While there was no difference in the rate of death within 1 year of birth between the two groups, the total death rate during the follow-up period was significantly higher in children born to mothers with cancer. After adjusting for gestational age and birth weight, there was no statistically significant increased hazard ratio of secondary outcomes including cancer, chromosomal abnormalities, cerebral palsy, delayed development, epilepsy, language disorder, or hearing impairment. Abstract Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring. Comprehensive population-based studies would be invaluable for female cancer survivors in making decisions about their future. This study uses the National Health Information Database to investigate perinatal and long-term outcomes of offspring born to mothers with a history of cancer. In a South Korean cohort of 95,264 women aged 15–40 diagnosed with cancer between 2007 and 2010, we evaluated the outcomes of 15,221 children born to 11,092, cancer survivors. We selected 147,727 women without a history of cancer and 201,444 children as a control group. Our study found that children of female cancer survivors have a significantly higher odds ratio of primary outcomes including preterm birth, low birth weight, neonatal intensive care unit admission, and death. While there was no difference in the rate of death within 1 year of birth between the two groups, the total death rate during the follow-up period was significantly higher in children born to mothers with cancer. After adjusting for gestational age and birth weight, there was no statistically significant increased hazard ratio of secondary outcomes including cancer, chromosomal abnormalities, cerebral palsy, delayed development, epilepsy, language disorder, or hearing impairment. Abstract Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring. Comprehensive population-based studies would be invaluable for female cancer survivors in making decisions about their future. This study uses the National Health Information Database to investigate perinatal and long-term outcomes of offspring born to mothers with a history of cancer. In a South Korean cohort of 95,264 women aged 15–40 diagnosed with cancer between 2007 and 2010, we evaluated the outcomes of 15,221 children born to 11,092, cancer survivors. We selected 147,727 women without a history of cancer and 201,444 children as a control group. Our study found that children of female cancer survivors have a significantly higher odds ratio of primary outcomes including preterm birth, low birth weight, neonatal intensive care unit admission, and death. While there was no difference in the rate of death within 1 year of birth between the two groups, the total death rate during the follow-up period was significantly higher in children born to mothers with cancer. After adjusting for gestational age and birth weight, there was no statistically significant increased hazard ratio of secondary outcomes including cancer, chromosomal abnormalities, cerebral palsy, delayed development, epilepsy, language disorder, or hearing impairment. Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring. Comprehensive population-based studies would be invaluable for female cancer survivors in making decisions about their future. This study uses the National Health Information Database to investigate perinatal and long-term outcomes of offspring born to mothers with a history of cancer. In a South Korean cohort of 95,264 women aged 15-40 diagnosed with cancer between 2007 and 2010, we evaluated the outcomes of 15,221 children born to 11,092, cancer survivors. We selected 147,727 women without a history of cancer and 201,444 children as a control group. Our study found that children of female cancer survivors have a significantly higher odds ratio of primary outcomes including preterm birth, low birth weight, neonatal intensive care unit admission, and death. While there was no difference in the rate of death within 1 year of birth between the two groups, the total death rate during the follow-up period was significantly higher in children born to mothers with cancer. After adjusting for gestational age and birth weight, there was no statistically significant increased hazard ratio of secondary outcomes including cancer, chromosomal abnormalities, cerebral palsy, delayed development, epilepsy, language disorder, or hearing impairment. |
ArticleNumber | 2418 |
Author | Youk, Tae Mi Heo, Ja Yoon Jin, Ju Hyun Yun, Jisun |
Author_xml | – sequence: 1 givenname: Ju Hyun surname: Jin fullname: Jin, Ju Hyun organization: Department of Pediatrics, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea – sequence: 2 givenname: Tae Mi surname: Youk fullname: Youk, Tae Mi organization: Research Institute, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea – sequence: 3 givenname: Jisun surname: Yun fullname: Yun, Jisun organization: Department of Obstetrics, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea – sequence: 4 givenname: Ja Yoon surname: Heo fullname: Heo, Ja Yoon email: jayoonheo@gmail.com organization: Department of Hematology-Oncology, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10444, Republic of Korea. jayoonheo@gmail.com |
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Cites_doi | 10.1086/421473 10.3389/fonc.2020.01352 10.1089/jwh.2015.5194 10.1093/jncimonographs/lgi010 10.1007/s00431-022-04728-w 10.1200/JCO.2008.20.1541 10.1093/oncolo/oyab051 10.1111/aogs.13690 10.1056/NEJM199805073381902 10.1155/2022/2622310 10.1371/journal.pone.0113292 10.1158/1055-9965.EPI-09-0287 10.3109/0284186X.2012.758870 10.1515/JPEM.2004.17.1.55 10.1371/journal.pmed.0030336 10.1289/ehp.93101s2109 10.1111/j.1399-0004.2008.01109.x 10.4143/crt.2022.128 10.1002/ijc.30226 10.1002/ijc.24856 10.1002/ijc.27899 10.1093/jnci/djj394 10.1186/s12884-020-03002-x 10.1200/JCO.2008.21.1839 10.1002/cncr.23071 10.1097/CEJ.0000000000000396 |
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Snippet | Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring. Comprehensive... Abstract Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring.... Abstract Despite the increasing number of female cancer survivors, uncertainty remains regarding potential adverse health outcomes for their offspring.... |
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StartPage | 2418 |
SubjectTerms | Birth Weight Cancer Cancer Survivors Child Children Chromosome aberrations Death Developmental disabilities Epilepsy Female Females Gestational Age Hearing loss Humans Infant, Low Birth Weight Infant, Newborn Low birth weight Mortality Neonates Neoplasms - epidemiology Offspring Population studies Pregnancy Premature birth Premature Birth - epidemiology Statistical analysis |
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Title | Perinatal and childhood outcomes of children born to female cancer survivors in South Korea |
URI | https://www.ncbi.nlm.nih.gov/pubmed/38286860 https://www.proquest.com/docview/2919763530/abstract/ https://search.proquest.com/docview/2920185639 https://pubmed.ncbi.nlm.nih.gov/PMC10824740 https://doaj.org/article/13c743ecef2c4ed3b952a201addfb677 |
Volume | 14 |
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