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In vitro fertilization and risk of childhood leukemia in Greece and Sweden
Author(s) -
Petridou Eleni Th,
Sergentanis Theodoros N.,
Panagopoulou Paraskevi,
Moschovi Maria,
Polychronopoulou Sophia,
Baka Margarita,
Pourtsidis Apostolos,
Athanassiadou Fani,
Kalmanti Maria,
Sidi Vasiliki,
Dessypris Nick,
Frangakis Constantine,
Matsoukis Ioannis L.,
Stefanadis Christodoulos,
Skalkidou Alkistis,
Stephansson Olof,
Adami HansOlov,
Kieler Helle
Publication year - 2012
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.23194
Subject(s) - medicine , odds ratio , leukemia , cancer registry , confidence interval , case control study , childhood leukemia , acute leukemia , cancer , risk factor , pediatrics , lymphoblastic leukemia
Background Cancer risk in children born after in vitro fertilization (IVF) remains largely unknown. We aimed to investigate risk of leukemia and lymphoma following IVF using two nationwide datasets. Methods The hospital‐based case–control study in Greece derived from the National Registry for Childhood Hematological Malignancies (1996–2008, 814 leukemia and 277 lymphoma incident cases with their 1:1 matched controls). The Swedish case–control study was nested in the Swedish Medical Birth Register (MBR) (1995–2007, 520 leukemia and 71 lymphoma cases with their 5,200 and 710 matched controls) with ascertainment of incident cancer cases in the National Cancer Register. Study‐specific and combined odds ratios (OR) were estimated using conditional logistic regression, with adjustment for possible risk factors. Results Nationwide studies pointed to similar size excess risk of leukemia following IVF, but to a null association between IVF and lymphoma. The proportion of leukemia cases conceived through IVF was 3% in Greece and 2.7% in Sweden; prevalence of IVF in matched controls was 1.8% and 1.6%, respectively. In combined multivariable analyses, the increased risk of leukemia was confined to age below 3.8 years (OR = 2.21; 95% confidence interval, CI: 1.27–3.85) and to acute lymphoblastic leukemia (ALL) (OR = 1.77; 95% CI: 1.06–2.95) with no sufficient evidence of excess risk for other leukemias (OR = 1.34; 95% CI: 0.38–4.69). Following IVF, OR for ALL was 2.58 (95% CI: 1.37–4.84) before age 3.8 and 4.29 (95% CI: 1.49–12.37) before age 2 years. Conclusions IVF seems to be associated with increased risk of early onset ALL in the offspring. Pediatr Blood Cancer 2012; 58: 930–936. © 2011 Wiley Periodicals, Inc.