2022
The Use of Assisted Reproductive Technology by European Childhood Cancer Survivors
BORGMANN-STAUDT, Anja, Michael SIMON, Greta SOMMERHAEUSER, Marta-Julia FERNANDEZ-GONZALEZ, Lucia Alacan FRIEDRICH et. al.Základní údaje
Originální název
The Use of Assisted Reproductive Technology by European Childhood Cancer Survivors
Autoři
BORGMANN-STAUDT, Anja (garant), Michael SIMON, Greta SOMMERHAEUSER, Marta-Julia FERNANDEZ-GONZALEZ, Lucia Alacan FRIEDRICH, Stephanie KLCO-BROSIUS, Tomáš KEPÁK (203 Česká republika, domácí), Jarmila KRUSEOVA, Gisela MICHEL, Anna PANASIUK, Sandrin SCHMIDT, Laura LOTZ a Magdalena BALCEREK
Vydání
Current Oncology, Basel, MDPI, 2022, 1198-0052
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.600
Kód RIV
RIV/00216224:14110/22:00128440
Organizační jednotka
Lékařská fakulta
UT WoS
000845993000001
Klíčová slova anglicky
childhood and adolescence; cancer; survivor; ART; offspring; health outcome
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 31. 1. 2023 12:51, Mgr. Tereza Miškechová
Anotace
V originále
CCS often wish to have biological children yet harbour concerns about fertility impairment, pregnancy risks and the general health risks of prospective offspring. To clarify these concerns, health outcomes in survivor offspring born following ART (n = 74, 4.5%) or after spontaneous conception (n = 1585) were assessed in our European offspring study by descriptive and bivariate analysis. Outcomes were compared to a sibling offspring cohort (n = 387) in a 4:1 matched-pair analysis (n = 1681). (i) Survivors were more likely to employ ART than their siblings (4.5% vs. 3.7%, p = 0.501). Successful pregnancies were achieved after a median of one cycle with, most commonly, intracytoplasmic sperm injection (ICSI) using non-cryopreserved oocytes/sperm. (ii) Multiple-sibling births (p < 0.001, 29.7% vs. 2.5%), low birth weight (p < 0.001; OR = 3.035, 95%-CI = 1.615-5.706), and preterm birth (p < 0.001; OR = 2.499, 95%-CI = 1.401-4.459) occurred significantly more often in survivor offspring following ART utilisation than in spontaneously conceived children. ART did not increase the prevalence of childhood cancer, congenital malformations or heart defects. (iii) These outcomes had similar prevalences in the sibling population. In our explorative study, we could not detect an influence on health outcomes when known confounders, such as multiple births, were taken into account.