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Reproduction patter...
Reproduction patterns among non-Hodgkin lymphoma survivors by subtype in Sweden, Denmark and Norway : A population-based matched cohort study
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- Entrop, Joshua P. (author)
- Karolinska Institutet
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- Weibull, Caroline E. (author)
- Karolinska Institutet
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- Smedby, Karin E. (author)
- Karolinska Institutet
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- Jakobsen, Lasse H. (author)
- Aalborg Univ Hosp, Clin Canc Res Ctr, Dept Hematol, Aalborg, Denmark.;Aalborg Univ, Dept Math Sci, Aalborg, Denmark.
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- Ovlisen, Andreas K. (author)
- Aalborg Univ Hosp, Clin Canc Res Ctr, Dept Hematol, Aalborg, Denmark.
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- Glimelius, Ingrid, 1975- (author)
- Uppsala universitet,Cancerprecisionsmedicin
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- Marklund, Anna (author)
- Karolinska Univ Hosp, Dept Reprod Med, Div Gynecol & Reprod, Stockholm, Sweden.
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- Larsen, Thomas S. (author)
- Odense Univ Hosp, Dept Hematol, Odense, Denmark.
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- Holte, Harald (author)
- Oslo Univ Hosp, Dept Oncol, Oslo, Norway.;Univ Oslo, KG Jebsen Ctr B Cell Malignancies, Oslo, Norway.
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- Fossa, Alexander (author)
- Oslo Univ Hosp, Dept Oncol, Oslo, Norway.;Univ Oslo, KG Jebsen Ctr B Cell Malignancies, Oslo, Norway.
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- Smeland, Knut B. (author)
- Oslo Univ Hosp, Dept Oncol, Oslo, Norway.
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- El-Galaly, Tarec C. (author)
- Karolinska Inst, Dept Med Solna, Clin Epidemiol Div, Stockholm, Sweden.;Aalborg Univ Hosp, Clin Canc Res Ctr, Dept Hematol, Aalborg, Denmark.
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- Eloranta, Sandra (author)
- Karolinska Inst, Dept Med Solna, Clin Epidemiol Div, Stockholm, Sweden.
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Karolinska Institutet Aalborg Univ Hosp, Clin Canc Res Ctr, Dept Hematol, Aalborg, Denmark;Aalborg Univ, Dept Math Sci, Aalborg, Denmark. (creator_code:org_t)
- John Wiley & Sons, 2023
- 2023
- English.
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In: British Journal of Haematology. - : John Wiley & Sons. - 0007-1048 .- 1365-2141. ; 202:4, s. 785-795
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Abstract
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- Previous studies concerning reproductive patterns among non-Hodgkin lymphoma (NHL) survivors are scarce and those available have reported conflicting results. Treatment regimens vary considerably between aggressive and indolent NHL and studies of reproductive patterns by subtypes are warranted. In this matched cohort study, we identified all NHL patients aged 18-40 years and diagnosed between 2000 and 2018 from the Swedish and Danish lymphoma registers, and the clinical database at Oslo University Hospital (n = 2090). Population comparators were matched on sex, birth year and country (n = 19 427). Hazard ratios (HRs) were estimated using Cox regression. Males and females diagnosed with aggressive lymphoma subtypes had lower childbirth rates (HRfemale: 0.43, 95% CI: 0.31-0.59, HRmale: 0.61, 95% CI: 0.47-0.78) than comparators during the first 3 years after diagnosis. For indolent lymphomas, childbirth rates were not significantly different from comparators (HRfemale: 0.71, 95% CI: 0.48-1.04, HRmale: 0.94, 95% CI: 0.70-1.27) during the same period. Childbirth rates reached those of comparators for all subtypes after 3 years but the cumulative incidence of childbirths was decreased throughout the 10-year follow-up for aggressive NHL. Children of NHL patients were more likely to be born following assisted reproductive technology than those of comparators, except for male indolent lymphoma patients. In conclusion, fertility counselling is particularly important for patients with aggressive NHL.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- fertility
- late effects of therapy
- non-Hodgkin lymphoma
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Entrop, Joshua P ...
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Weibull, Carolin ...
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Smedby, Karin E.
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Jakobsen, Lasse ...
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Ovlisen, Andreas ...
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Glimelius, Ingri ...
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show more...
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Marklund, Anna
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Larsen, Thomas S ...
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Holte, Harald
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Fossa, Alexander
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Smeland, Knut B.
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El-Galaly, Tarec ...
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Eloranta, Sandra
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
- Articles in the publication
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British Journal ...
- By the university
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Uppsala University
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Karolinska Institutet