Spatial temporal patterns in childhood leukaemia: further evidence for an infectious origin. EUROCLUS project.

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Serval ID
serval:BIB_7035
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Spatial temporal patterns in childhood leukaemia: further evidence for an infectious origin. EUROCLUS project.
Journal
British journal of cancer
Author(s)
Alexander F.E., Boyle P., Carli P.M., Coebergh J.W., Draper G.J., Ekbom A., Levi F., McKinney P.A., McWhirter W., Magnani C., Michaelis J., Olsen J.H., Peris-Bonet R., Petridou E., Pukkala E., Vatten L.
ISSN
0007-0920
Publication state
Published
Issued date
1998
Peer-reviewed
Oui
Volume
77
Number
5
Pages
812-817
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Research Support
Abstract
The EUROCLUS project included information on residence at diagnosis for 13351 cases of childhood leukaemia diagnosed in the period 1980-89 in defined geographical regions in 17 countries. A formal algorithm permits identification of small census areas as containing case excesses. The present analysis examines spatial-temporal patterns of the cases (n = 970) within these clustered areas. The objectives were, first, to compare these results with those from an analysis conducted for UK data for the period 1966-83, and, second, to extend them to consider infant leukaemias. A modification of the Knox test investigates, within the small areas, temporal overlap between cases in a subgroup of interest at a putative critical time and all other cases at any time between birth and diagnosis. Critical times were specified in advance as follows: for cases of acute lymphoblastic leukaemia aged 2-4 years, the 18-month period preceding diagnosis; for cases of total leukaemia aged 5-14 years, 1 year before to 1 year after birth; and for infant cases (diagnosed < 1 year), 1 year before to 6 months after birth. Each of the analyses found evidence of excess space-time overlap compared with that expected; these were 10% (P = 0.005), 15% (P= 0.0002) and 26% (P= 0.03) respectively. The results are interpreted in terms of an infectious origin of childhood leukaemia.
Keywords
Adolescent, Adult, Age Factors, Child, Child, Preschool, Cluster Analysis, Europe/epidemiology, Female, Humans, Incidence, Infant, Infant, Newborn, Infection/complications, Leukemia/epidemiology, Lymphoma, Non-Hodgkin/epidemiology, Male, Precursor Cell Lymphoblastic Leukemia-Lymphoma/epidemiology, Precursor Cell Lymphoblastic Leukemia-Lymphoma/etiology, Pregnancy, Pregnancy Complications, Infectious, Prenatal Exposure Delayed Effects, Risk, Time Factors
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Web of science
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19/11/2007 13:44
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20/08/2019 15:28
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