Association between medically diagnosed postnatal infection and childhood cancers: A matched case-control study in Denmark, 1978 to 2016

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Article describes how, although the association between infection and childhood cancer has been long investigated, there is limited information on rarer cancers. This article aimed to explore the association between postnatal infection and childhood cancers in the Danish population.

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9 p.

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Sirirungreung, Anupong; Hansen, Johnni; Ritz, Beate & Heck, Julia E. May 27, 2023.

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This article is part of the collection entitled: UNT Scholarly Works and was provided by the UNT College of Health and Public Service to the UNT Digital Library, a digital repository hosted by the UNT Libraries. It has been viewed 21 times, with 20 in the last month. More information about this article can be viewed below.

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Article describes how, although the association between infection and childhood cancer has been long investigated, there is limited information on rarer cancers. This article aimed to explore the association between postnatal infection and childhood cancers in the Danish population.

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9 p.

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Abstract: Although the association between infection and childhood cancer has been long investigated, there is limited information on rarer cancers. This article aimed to explore the association between postnatal infection and childhood cancers in the Danish population. A matched case-control study was conducted using Danish nationwide registries from 1978 to 2016. Each childhood cancer case was matched 1:25 with controls by birth date within a week and sex. Postnatal infections were identified from the Danish National Patient Registry, which lists diagnoses seen in hospital, specialist or emergency care services. Multivariable conditional logistic regression was used to estimate adjusted odds ratios (adj.OR) and 95% confidence intervals (CI). Specific types of infections and the number of infection episodes were also considered. The study included 4125 childhood cancer cases and 103 526 matched controls with ages ranging from 0 to 19 years. Medically diagnosed postnatal infections were positively associated with many types of childhood cancer including acute lymphoblastic leukemia (adj.OR = 1.42; 95% CI: 1.23-1.63), acute myeloid leukemia (adj.OR = 1.80; 95% CI: 1.28-2.52), non-Hodgkin lymphoma (adj.OR = 1.53; 95% CI: 1.19-1.97) and central nervous system tumors (adj.OR = 1.57; 95% CI: 1.39-1.77). A higher number of infection episodes were also associated with an increased risk of these cancers. Specific infections such as viral, enteric and urinary tract infections were also strongly associated with specific types of cancer. In conclusion, children who later develop cancer appear to have adverse reactions to infections necessitating referral to specialized health care services, perhaps indicating dysregulated immune function.

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  • International Journal of Cancer, 153(5), John Wiley & Sons, May 27, 2023, pp. 1-9

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  • Publication Title: International Journal of Cancer
  • Volume: 153
  • Issue: 5
  • Page Start: 994
  • Page End: 1002
  • Peer Reviewed: Yes

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  • May 27, 2023

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  • Dec. 14, 2023, 5:14 a.m.

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  • Jan. 8, 2024, 11:09 a.m.

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Thumbnail image of item number 1 in: 'Association between medically diagnosed postnatal infection and childhood cancers: A matched case-control study in Denmark, 1978 to 2016'.
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Sirirungreung, Anupong; Hansen, Johnni; Ritz, Beate & Heck, Julia E. Association between medically diagnosed postnatal infection and childhood cancers: A matched case-control study in Denmark, 1978 to 2016, article, May 27, 2023; (https://digital.library.unt.edu/ark:/67531/metadc2201620/: accessed May 24, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT College of Health and Public Service.

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