Hospitalization rate in offspring of cancer survivors: a national cohort study

Research output: Contribution to journalArticle

Abstract

Purpose: The number of childbirths among cancer survivors continues to increase, but it is still largely unknown whether the children of cancer survivors might experience adverse health outcomes during the process of growing up. Methods: We identified all individuals diagnosed with cancer between 1958 and 2015 from the Swedish Cancer Registry and linked them to the Swedish Medical Birth Register to identify their offspring born between 1997 and 2015. Up to 10 children, whose parents did not have a diagnosis of cancer, were matched with the study population according to date of birth and gender. Results: By linking with the Swedish Hospital Discharge Register, we found that the hospitalization rate was 15% higher in offspring of female cancer survivors, and 16% higher in offspring of male cancer survivors as compared to matched controls. Besides an increased risk of hospitalization due to malignant neoplasms (relative risk (RR) = 1.86, 99% CI 1.70–2.04) and benign neoplasms (RR = 1.48, 99% CI 1.18–1.86), a non-significant increased risk was found for hospitalization due to infectious and parasitic disease (RR = 1.09, 99% CI 0.98–1.21), diseases of the blood and blood-forming organs and certain disorders involving the immune mechanisms (RR = 1.33, 99% CI 0.98–1.80), and diseases of the circulatory system (RR = 1.05, 99% CI 0.98–1.12). Conclusion: Our study suggests that children of cancer survivors might experience a significantly increased rate of hospitalization, which calls for further studies. Implications for Cancer Survivors: Cancer survivors might be aware that the risk of hospitalization due to various diseases might be higher in their children as compared to the normal population.

Details

Authors
Organisations
External organisations
  • Skåne University Hospital
  • Icahn School of Medicine at Mount Sinai
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Cancer and Oncology
  • Public Health, Global Health, Social Medicine and Epidemiology

Keywords

  • Cancer survivor, Cohort study, Epidemiology, Hospitalization rate
Original languageEnglish
Pages (from-to)187-196
JournalJournal of Cancer Survivorship
Volume13
Issue number2
Early online date2019 Feb 18
Publication statusPublished - 2019
Publication categoryResearch
Peer-reviewedYes