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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Day care, childhood infections, and risk of neuroblastoma
Florence Menegaux1, Andrew F Olshan, Joseph P Neglia
1INSERM U170-IFR69, 94800 Villejuif, France.
Insights
Childhood infections and allergies may reduce neuroblastoma risk. This study suggests infectious agents might play a role in neuroblastoma etiology, warranting further investigation into infection's impact.
Area of Science:
- Pediatric Oncology
- Epidemiology
- Immunology
Background:
- Neuroblastoma is a common infant cancer with unknown causes.
- Infectious etiologies are hypothesized for some childhood cancers, but not fully explored for neuroblastoma.
Purpose of the Study:
- To investigate the relationship between day-care attendance, childhood infections, allergies, and neuroblastoma risk.
Main Methods:
- A large case-control study involving 538 neuroblastoma cases and 504 controls.
- Telephone interviews with mothers regarding various exposures, including infections and allergies.
Main Results:
- Decreased neuroblastoma risk was observed with day-care attendance (OR=0.81).
- Reduced risk was associated with childhood infectious diseases like chickenpox, mumps, and measles (OR=0.60).
- Allergies also showed a trend towards reduced risk (OR=0.68).
Conclusions:
- Findings suggest a potential role for infectious agents in neuroblastoma etiology.
- Childhood infections and allergies may be linked to decreased neuroblastoma risk.
- Future studies should gather more direct data on infection exposure.
Abstract:
Neuroblastoma is the most common cancer in infants worldwide, but little is known about its etiology. Infectious etiologies involving the immune system have been hypothesized for some childhood cancers, especially leukemia, but the role of infectious agents in neuroblastoma has not been fully investigated. The authors used data from a large case-control study conducted by the Children's Oncology Group in the United States and Canada in 1992-1994 to investigate whether there was any relation among day-care attendance, childhood infections, allergies, and neuroblastoma. They interviewed mothers of 538 case children and 504 age-matched control children by telephone about several factors, including pregnancy, medical history, lifestyle, and childhood medical conditions and exposures. The results suggested decreased risks associated with day-care attendance (odds ratio (OR) = 0.81, 95% confidence interval (CI): 0.56, 1.17), childhood infectious diseases (chickenpox, mumps, red measles, and German measles) (OR = 0.60, 95% CI: 0.39, 0.93), and allergies (OR = 0.68, 95% CI: 0.44, 1.07). The authors found reduced neuroblastoma risk associated with markers of potential childhood infections. This suggests a possible role of infectious agents in neuroblastoma etiology. Future epidemiologic studies should incorporate more direct data on infection.
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