The Inter-Regional Epidemiological Study of Childhood Cancer (IRESCC): case control study of children with bone and soft tissue sarcomas
1988

Study of Childhood Cancer and Sarcomas

Sample size: 555 publication Evidence: moderate

Author Information

Author(s): A.L. Hartley, J.M. Birch, P.A. McKinney, M.D. Teare, V. Blair, J. Carrette, J.R. Mann, G.J. Draper, C.A. Stiller, H.E. Johnston, R.A. Cartwright, J.A.H. Waterhouse

Primary Institution: Christie Hospital & Holt Radium Institute, University of Leeds, The Children's Hospital, Childhood Cancer Research Group, West Midlands Cancer Registry

Hypothesis

What are the aetiological factors associated with childhood bone and soft tissue sarcomas?

Conclusion

The study found few significant risk factors for childhood sarcomas, but noted some associations with maternal health during pregnancy and early medical experiences of the children.

Supporting Evidence

  • Lower birth weight was observed in children with Ewing's tumour.
  • Mothers of children with soft tissue sarcoma showed symptoms of toxaemia during pregnancy.
  • Children with rhabdomyosarcoma were more likely to have received antibiotics shortly after birth.
  • An excess of congenital malformations was noted in case children compared to controls.

Takeaway

This study looked at children with certain types of cancer and found that not many things in their mothers' pregnancies seemed to cause the cancer.

Methodology

The study included newly-diagnosed cases of malignant neoplasms in children under 15 years of age diagnosed between 1980 and 1983, using interviews and medical record verification.

Potential Biases

Potential bias from self-reported data and the small sample size may affect the reliability of the findings.

Limitations

The study may have missed some risk factors due to the small number of cases analyzed and the reliance on parental reports.

Participant Demographics

The study included children under 15 years of age, with a mix of soft tissue sarcomas and bone tumours.

Statistical Information

P-Value

0.04

Confidence Interval

95% CI 1.05-7.06

Statistical Significance

p<0.05

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