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Maternal Health, Pr...
Maternal Health, Pregnancy and Offspring Factors, and Maternal Thyroid Cancer Risk : A Nordic Population-Based Registry Study
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- Kitahara, Cari M. (author)
- NCI, Div Canc Epidemiol & Genet, 9609 Med Ctr Dr,Rm 7E-456, Bethesda, MD 20892 USA.
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- Daltveit, Dagrun Slettebo (author)
- Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.
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- Ekbom, Anders (author)
- Karolinska Institutet
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- Engeland, Anders (author)
- Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.;Norwegian Inst Publ Hlth, Div Mental & Phys Hlth, Bergen, Norway.
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- Gissler, Mika (author)
- Karolinska Institutet
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- Glimelius, Ingrid, 1975- (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för immunologi, genetik och patologi,Karolinska Inst, Dept Med, Div Clin Epidemiol, Stockholm, Sweden.;Karolinska Univ Hosp, Stockholm, Sweden.
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- Grotmol, Tom (author)
- Canc Registry Norway, Oslo, Norway.
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- Lagerros, Ylva Trolle (author)
- Karolinska Institutet
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- Madanat-Harjuoja, Laura (author)
- Finnish Canc Registry, Canc Soc Finland, Helsinki, Finland.;Dana Farber Canc Inst, Boston Childrens Canc & Blood Disorders Ctr, Boston, MA 02115 USA.
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- Mannisto, Tuija (author)
- Northern Finland Lab Ctr NordLab, Oulu, Finland.
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- Sorensen, Henrik Toft (author)
- Aarhus Univ Hosp, Dept Clin Epidemiol, Aarhus, Denmark.;Aarhus Univ, Aarhus, Denmark.
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- Troisi, Rebecca (author)
- NCI, Div Canc Epidemiol & Genet, 9609 Med Ctr Dr,Rm 7E-456, Bethesda, MD 20892 USA.
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- Bjorge, Tone (author)
- Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.;Canc Registry Norway, Oslo, Norway.
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NCI, Div Canc Epidemiol & Genet, 9609 Med Ctr Dr,Rm 7E-456, Bethesda, MD 20892 USA Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway. (creator_code:org_t)
- 2022-09-20
- 2023
- English.
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In: American Journal of Epidemiology. - : Oxford University Press. - 0002-9262 .- 1476-6256. ; 192:1, s. 70-83
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Thyroid cancer incidence is higher in women than men, especially during the reproductive years, for reasons that remain poorly understood. Using population-based registry data from 4 Nordic countries through 2015, we examined associations of perinatal characteristics with risk of maternal thyroid cancer. Cases were women diagnosed with thyroid cancer >= 2 years after last birth (n = 7,425, 83% papillary). Cases were matched to controls (n = 67,903) by mother's birth year, country, and county of residence. Odds ratios (ORs) were estimated using conditional logistic regression models adjusting for parity. Older age at first pregnancy, postpartum hemorrhage (OR = 1.18, 95% (confidence interval) CI: 1.08, 1.29), and benign thyroid conditions (ORs ranging from 1.64 for hypothyroidism to 10.35 for thyroid neoplasms) were associated with increased thyroid cancer risk, as were higher offspring birth weight (per 1-kg increase, OR = 1.17, 95% CI: 1.12, 1.22) and higher likelihood of offspring being large for gestational age (OR = 1.26, 95% CI: 1.11, 1.43). Unmarried/noncohabiting status (OR = 0.91, 95% CI: 0.84, 0.98), maternal smoking (OR = 0.75, 95% CI: 0.67, 0.84), and preterm birth (OR = 0.90, 95% CI: 0.83, 0.98) were associated with reduced risk. Several factors (e.g., older age at first pregnancy, maternal smoking, goiter, benign neoplasms, postpartum hemorrhage, hyperemesis gravidarum, and neonatal jaundice) were associated with advanced thyroid cancer. These findings suggest that some perinatal exposures may influence maternal thyroid cancer risk.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- benign thyroid disease
- cohort study
- epidemiology
- hormones
- observational study
- pregnancy
- reproductive factors
- thyroid cancer
Publication and Content Type
- ref (subject category)
- art (subject category)
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Kitahara, Cari M ...
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Daltveit, Dagrun ...
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Ekbom, Anders
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Engeland, Anders
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Gissler, Mika
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Glimelius, Ingri ...
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show more...
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Grotmol, Tom
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Lagerros, Ylva T ...
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Madanat-Harjuoja ...
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Mannisto, Tuija
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Sorensen, Henrik ...
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Troisi, Rebecca
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Bjorge, Tone
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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American Journal ...
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Uppsala University
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Karolinska Institutet