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• W2753157157 abstract "To compare the incidence of childhood cancer in children born from assisted reproductive technology (ART) by selected treatment parameters. Longitudinal cohort of children born from ART in 14 States (CA, CO, CT, FL, IL, MA, MI, NC, NJ, NY, OH, PA, TX, and VA). Women who were residents of participating study States and who underwent in vitro fertilization cycles resulting in a live birth between 2004 and 2013 (three States to 2009 and one State to 2010) were linked to their birth certificates. All children were linked to their respective State cancer registries through 2013 (three States through 2012); additional data are expected from one State. Cox proportional hazards models were used to compute hazard ratios (HRs) and 95% confidence intervals (CI) of the overall risk of cancer by ART by three treatment parameters (fresh vs frozen embryo state, day 2-3 vs day 5-6 embryo transfer, and the use of intracytoplasmic sperm injection (ICSI), yes/no), adjusting for State and year of birth, and mother’s age, race, and education, stratified by plurality. The study cohort included 204,655 ART children with 242 registry-confirmed cancers. The HR was marginally elevated for singletons only in fresh versus frozen embryos and day 5-6 versus day 2-3; the HR was elevated for both singletons and twins with the use of ICSI. The confidence intervals of the HR for twin births include the estimates obtained for singletons, indicating no statistical difference between the two groups. This large, population-based study shows that the potential increases in cancer rates among ART children are small and not statistically significant, but did vary by treatment parameters and plurality. These results warrant further surveillance and continued research into the potential association between ART treatment and cancer.Tabled 1FreshFrozenDay 5-6Day 2-3ICSINo ICSIN, singleton children90,24324,61935,86151,54658,71825,769N, cancers1112148607727Rate/1,000 births1.230.851.341.161.311.05Hazard Ratio (95% CI)1.26 (0.78, 2.03)Reference1.22 (0.81, 1.83)Reference1.28 (0.81, 2.03)Referencep-value0.34--0.34--0.28--N, twin children75,38914,40436,38036,83748,27722,186N, cancers892142465621Rate/1,000 births1.181.461.151.251.160.95Hazard Ratio (95% CI)0.68 (0.42, 1.12)Reference0.96 (0.61, 1.52)Reference1.35 (0.80, 2.28)Referencep-value0.12--0.86--0.25-- Open table in a new tab" @default.
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• W2753157157 date "2017-09-01" @default.
• W2753157157 modified "2023-10-14" @default.
• W2753157157 title "Assisted reproductive technology & risk of childhood cancer: analysis within art births by plurality" @default.
• W2753157157 doi "https://doi.org/10.1016/j.fertnstert.2017.07.986" @default.
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