Kuitunen I, Nikkilä A, Kiviranta P, Jääskeläinen J, Auvinen A. Risk of childhood neoplasms related to neonatal phototherapy- a systematic review and meta-analysis.
Pediatr Res 2024:10.1038/s41390-024-03191-7. [PMID:
38615073 DOI:
10.1038/s41390-024-03191-7]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 03/18/2024] [Accepted: 03/24/2024] [Indexed: 04/15/2024]
Abstract
CONTEXT
Observational studies have shown conflicting results as to whether exposure to neonatal phototherapy is associated with increased rates of childhood cancer.
OBJECTIVE
To 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.
RESULTS
Six 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.
CONCLUSIONS
Children 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.
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