Cancer Diagnosis During Pregnancy and Livebirth Outcomes in the Adolescent and Young Adult Horizon Study Article Swipe
Anna C. Cochrane
,
Chelsea Anderson
,
Sara Mitra
,
Laura Green
,
Christopher D. Baggett
,
Jennifer E. Mersereau
,
Darios Getahun
,
Marilyn L. Kwan
,
Chun Chao
,
Lawrence H. Kushi
,
Hazel B. Nichols
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1089/jwh.2024.0064
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1089/jwh.2024.0064
Objective: To describe patterns of cancer treatment and live birth outcomes that followed a cancer diagnosis during pregnancy. Study Design: The Adolescent and Young Adult (AYA) Horizon Study is an observational study evaluating outcomes in survivors of the five most common types of cancer in this age group (15-39 years old). Of the 23,629 individuals identified diagnosed with breast, lymphoma, thyroid, melanoma, or gynecological cancer in North Carolina (2000-2015) and California (2004-2016), we identified 555 live births to individuals who experienced cancer diagnosis during pregnancy. Births to individuals diagnosed with cancer during pregnancy were matched ∼1:5 on maternal age and year of delivery to live births to individuals without a cancer diagnosis (N = 2,667). Multivariable Poisson regression was used to compare birth outcomes between pregnancies affected by a cancer diagnosis and unaffected matched pregnancies. Results: Cancer diagnosis during pregnancy was associated with an increased risk of preterm delivery (prevalence ratio [PR] 2.70; 95% confidence interval [CI] 2.24, 3.26); very preterm delivery (PR 1.74; 95% CI 1.12, 2.71); induction of labor (PR 1.48; 95% CI 1.27, 1.73); low birth weight (PR 1.97; 95% CI 1.55, 2.50); and cesarean delivery (PR 1.18; 95% CI 1.04, 1.34) but not associated with low Apgar score (PR 0.90; 95% CI 0.39, 2.06). In our sample, 41% of patients received chemotherapy, half of whom initiated chemotherapy during pregnancy, and 86% received surgery, 58% of whom had surgery during pregnancy. Of the 19% who received radiation, all received radiation treatment following pregnancy. Conclusion: We identified an increased risk of birth outcomes, including preterm and very preterm delivery, induction of labor, low birth weight, and cesarean delivery, to those experiencing a cancer diagnosis during pregnancy. This analysis contributes to the available evidence for those experiencing a cancer diagnosis during pregnancy.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1089/jwh.2024.0064
- OA Status
- green
- Cited By
- 1
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402279160
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4402279160Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1089/jwh.2024.0064Digital Object Identifier
- Title
-
Cancer Diagnosis During Pregnancy and Livebirth Outcomes in the Adolescent and Young Adult Horizon StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-09-05Full publication date if available
- Authors
-
Anna C. Cochrane, Chelsea Anderson, Sara Mitra, Laura Green, Christopher D. Baggett, Jennifer E. Mersereau, Darios Getahun, Marilyn L. Kwan, Chun Chao, Lawrence H. Kushi, Hazel B. NicholsList of authors in order
- Landing page
-
https://doi.org/10.1089/jwh.2024.0064Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/11876816Direct OA link when available
- Concepts
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Pregnancy, Horizon, Obstetrics, Young adult, Medicine, Psychology, Developmental psychology, Physics, Biology, Astronomy, GeneticsTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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36Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.1.73); | 176 |
| abstract_inverted_index.2.06). | 207 |
| abstract_inverted_index.2.50); | 185 |
| abstract_inverted_index.2.71); | 167 |
| abstract_inverted_index.23,629 | 53 |
| abstract_inverted_index.3.26); | 158 |
| abstract_inverted_index.Births | 85 |
| abstract_inverted_index.Cancer | 136 |
| abstract_inverted_index.births | 76, 105 |
| abstract_inverted_index.cancer | 5, 14, 43, 64, 81, 90, 110, 129, 274, 289 |
| abstract_inverted_index.common | 40 |
| abstract_inverted_index.during | 16, 83, 91, 138, 221, 232, 276, 291 |
| abstract_inverted_index.labor, | 263 |
| abstract_inverted_index.weight | 179 |
| abstract_inverted_index.∼1:5 | 95 |
| abstract_inverted_index.2,667). | 114 |
| abstract_inverted_index.Horizon | 26 |
| abstract_inverted_index.Poisson | 116 |
| abstract_inverted_index.between | 124 |
| abstract_inverted_index.breast, | 58 |
| abstract_inverted_index.compare | 121 |
| abstract_inverted_index.matched | 94, 133 |
| abstract_inverted_index.preterm | 147, 160, 256, 259 |
| abstract_inverted_index.sample, | 210 |
| abstract_inverted_index.surgery | 231 |
| abstract_inverted_index.weight, | 266 |
| abstract_inverted_index.without | 108 |
| abstract_inverted_index.Carolina | 67 |
| abstract_inverted_index.affected | 126 |
| abstract_inverted_index.analysis | 279 |
| abstract_inverted_index.cesarean | 187, 268 |
| abstract_inverted_index.delivery | 102, 148, 161, 188 |
| abstract_inverted_index.describe | 2 |
| abstract_inverted_index.evidence | 284 |
| abstract_inverted_index.followed | 12 |
| abstract_inverted_index.interval | 155 |
| abstract_inverted_index.maternal | 97 |
| abstract_inverted_index.outcomes | 10, 33, 123 |
| abstract_inverted_index.patients | 213 |
| abstract_inverted_index.patterns | 3 |
| abstract_inverted_index.received | 214, 225, 238, 241 |
| abstract_inverted_index.surgery, | 226 |
| abstract_inverted_index.thyroid, | 60 |
| abstract_inverted_index.(<i>N</i> | 112 |
| abstract_inverted_index.available | 283 |
| abstract_inverted_index.delivery, | 260, 269 |
| abstract_inverted_index.diagnosed | 56, 88 |
| abstract_inverted_index.diagnosis | 15, 82, 111, 130, 137, 275, 290 |
| abstract_inverted_index.following | 244 |
| abstract_inverted_index.including | 255 |
| abstract_inverted_index.increased | 144, 250 |
| abstract_inverted_index.induction | 168, 261 |
| abstract_inverted_index.initiated | 219 |
| abstract_inverted_index.lymphoma, | 59 |
| abstract_inverted_index.melanoma, | 61 |
| abstract_inverted_index.outcomes, | 254 |
| abstract_inverted_index.pregnancy | 92, 139 |
| abstract_inverted_index.radiation | 242 |
| abstract_inverted_index.survivors | 35 |
| abstract_inverted_index.treatment | 6, 243 |
| abstract_inverted_index.Adolescent | 21 |
| abstract_inverted_index.California | 70 |
| abstract_inverted_index.associated | 141, 197 |
| abstract_inverted_index.confidence | 154 |
| abstract_inverted_index.evaluating | 32 |
| abstract_inverted_index.identified | 55, 73, 248 |
| abstract_inverted_index.pregnancy, | 222 |
| abstract_inverted_index.pregnancy. | 17, 84, 233, 245, 277, 292 |
| abstract_inverted_index.radiation, | 239 |
| abstract_inverted_index.regression | 117 |
| abstract_inverted_index.unaffected | 132 |
| abstract_inverted_index.(2000-2015) | 68 |
| abstract_inverted_index.(prevalence | 149 |
| abstract_inverted_index.<b><i>Study | 18 |
| abstract_inverted_index.contributes | 280 |
| abstract_inverted_index.experienced | 80 |
| abstract_inverted_index.individuals | 54, 78, 87, 107 |
| abstract_inverted_index.pregnancies | 125 |
| abstract_inverted_index.(2004-2016), | 71 |
| abstract_inverted_index.chemotherapy | 220 |
| abstract_inverted_index.experiencing | 272, 287 |
| abstract_inverted_index.pregnancies. | 134 |
| abstract_inverted_index.Multivariable | 115 |
| abstract_inverted_index.chemotherapy, | 215 |
| abstract_inverted_index.gynecological | 63 |
| abstract_inverted_index.observational | 30 |
| abstract_inverted_index.Design:</i></b> | 19 |
| abstract_inverted_index.<b><i>Results:</i></b> | 135 |
| abstract_inverted_index.<b><i>Objective:</i></b> | 0 |
| abstract_inverted_index.<b><i>Conclusion:</i></b> | 246 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6000000238418579 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.6761294 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |