Table 5.
Odds ratios (ORs)a for thyroid cancer risk in offspring (papillary, n=1,968 and follicular, n=280) in relation to maternal and neonatal characteristics, stratified on age at diagnosis.
Papillary | Follicular | |||||||
---|---|---|---|---|---|---|---|---|
<30 years | 30+ years | <30 years | 30+ years | |||||
OR1 | 95% | OR1 | 95% | OR1 | 95% | OR1 | 95% | |
Maternal characteristics | ||||||||
Age at birth (per birth) | 0.99 | 0.98-1·00 | 1·00 | 0.99-1·01 | 0.97 | 0.94-1·01 | 0.98 | 0.95-1·02 |
Smoking during pregnancy (yes vs. no) | 1·14 | 0.89-1·47 | 0.29 | 0.03-2·66 | 0.98 | 0.52-1·86 | 7·94 | 0.49-128 |
Marital status | ||||||||
Married/ cohabitant | 1·00 | Reference | 1·00 | Reference | 1·00 | Reference | 1·00 | Reference |
Single/widow/divorced/other | 1·08 | 0.91-1·28 | 1·00 | 0.82-1·21 | 0.83 | 0.52-1·33 | 0.98 | 0.59-1·63 |
Paternal characteristics | ||||||||
Age at birth (per year) | 1·00 | 0.98-1·02 | 1·00 | 0.98-1·01 | 0.99 | 0.94-1·04 | 0.97 | 0.93-1·01 |
Birth characteristics | ||||||||
Preterm birth (yes vs. no) | 1·04 | 0.78-1·37 | 0.69 | 0.46-1·04 | 1·06 | 0.50-2·22 | 1·36 | 0.63-2·93 |
Multiple birth (yes vs. no) | 1·18 | 0.77-1·81 | 1·32 | 0.83-2·12 | 0.33 | 0.04-2·43 | 1·00 | 0.23-4·31 |
Cesarean delivery (yes vs. no) | 0.90 | 0.72-1·13 | 0.94 | 0.69-1·27 | 1·09 | 0.63-1·88 | 1·63 | 0.78-3·38 |
Small-for-gestational age (yes vs. no) | 1·22 | 0.86-1·75 | 0.94 | 0.62-1·43 | 0.28 | 0.04-2·06 | 0.80 | 0.24-2·64 |
Large-for-gestational age (yes vs. no) | 1·26 | 0.84-1·88 | 1·23 | 0.78-1·92 | 0.59 | 0.18-1·95 | 0.48 | 0.06-3·59 |
Birth weight (g) | ||||||||
<1,500 | 1·15 | 0.46-2·91 | NE | NE | NE | NE | NE | NE |
1,500-2,499 | 1·09 | 0.78-1·51 | 0.90 | 0.61-1·33 | 1·22 | 0.47-3·15 | 0.59 | 0.18-1·96 |
2,500-3,499 | 1·00 | Reference | 1·00 | Reference | 1·00 | Reference | 1·00 | Reference |
3,500-4,499 | 1·15 | 1·01-1·31 | 1·01 | 0.87-1·16 | 1·61 | 1·13-2·28 | 1·41 | 0.97-2·06 |
4,500+ | 1·30 | 0.87-1·93 | 1·31 | 0.87-1·97 | 1·00 | 0.35-2·90 | NE | NE |
Birth weight (per kg) | 1·11 | 0.99-1·25 | 1·11 | 0.97-1·26 | 1·44 | 1·06-1·97 | 1·31 | 0.92-1·88 |
Birth order | ||||||||
1 | 1·00 | Reference | 1·00 | Reference | 1·00 | Reference | 1·00 | Reference |
2 | 0.99 | 0.86-1·14 | 1·03 | 0.88-1·20 | 1·21 | 0.83-1·75 | 0.84 | 0.55-1·27 |
3 | 0.78 | 0.65-0.95 | 0.89 | 0.72-1·09 | 0.89 | 0.53-1·49 | 0.78 | 0.46-1·33 |
4 | 0.78 | 0.57-1·07 | 0.70 | 0.49-1·00 | 0.68 | 0.29-1·64 | 0.72 | 0.30-1·75 |
5+ | 1·33 | 0.93-1·91 | 0.71 | 0.46-1·11 | 0.46 | 0.11-1·95 | 0.57 | 0.17-1·92 |
Maternal conditions diagnosed before pregnancy | ||||||||
Diabetes (yes vs. no) | 2·25 | 1·09-4·63 | 0.91 | 0.27-2·99 | 1·11 | 0.14-8·77 | 20.0 | 1·81-221 |
Hypertension (yes vs. no) | 0.58 | 0.08-4·39 | 5·00 | 0.45-55·1 | NE | NE | NE | NE |
Maternal conditions diagnosed before/during pregnancy (Denmark only) | ||||||||
Hypothyroidism (yes vs. no) | 42·5 | 17·5-103 | 12·2 | 4·88-30.7 | 5·00 | 0.45-55·1 | NE | NE |
Hyperthyroidism (yes vs. no) | 9·63 | 3·99-23·2 | 14·4 | 6·17-33·8 | NE | NE | 8·22 | 1·13-60.1 |
Goiter (yes vs. no) | 48·7 | 22·8-104 | 77·8 | 30.7-197 | 28·4 | 7·66-105 | NEb | NEb |
Thyroiditis (yes vs. no) | 2·50 | 0.28-22·5 | 5·00 | 0.92-27·3 | NE | NE | NE | NE |
Benign neoplasms (yes vs. no) | 20.0 | 3·66-109 | 20.0 | 1·81-221 | NE | NE | 10.0 | 0.63-160 |
Maternal conditions diagnosed during pregnancy | ||||||||
Gestational hypertension (yes vs. no) | 0.74 | 0.43-1·28 | 0.62 | 0.30-1·26 | NE | NE | 2·53 | 0.84-7·67 |
Hyperemesis (yes vs. no) | 1·02 | 0.51-2·03 | 1·02 | 0.44-2·36 | 2·20 | 0.61-7·87 | 1·00 | 0.13-7·81 |
Pregnancy anemia (yes vs. no) | 1·39 | 0.77-2·51 | 0.58 | 0.23-1·43 | 0.83 | 0.10-6·55 | 1·43 | 0.18-11·6 |
Gestational diabetes (yes vs. no) | 1·19 | 0.47-3·05 | 1·25 | 0.16-9·99 | 2·27 | 0.48-10.8 | NE | NE |
Placental abruption (yes vs. no) | 0.69 | 0.21-2·25 | 0.65 | 0.15-2·70 | 1·46 | 0.17-12·8 | NE | NE |
Placenta previa (yes vs. no) | 1·07 | 0.32-3·54 | 0.74 | 0.17-3·13 | NE | NE | 1·67 | 0.20-13·8 |
Preeclampsia/eclampsia (yes vs. no) | 1·00 | 0.68-1·47 | 1·01 | 0.63-1·63 | 0.33 | 0.04-2·42 | 1·44 | 0.50-4·19 |
Postpartum hemorrhage (yes vs. no) | 1·15 | 0.86-1·54 | 1·27 | 0.93-1·74 | 1·63 | 0.78-3·37 | 1·78 | 0.88-3·59 |
Neonatal conditions diagnosed in the first year after birth | ||||||||
Congenital hypothyroidism (yes vs. no) | 2·86 | 0.59-13·8 | NE | NE | 20.0 | 1·81-221 | NE | NE |
Neonatal jaundice (yes vs. no) | 1·36 | 0.85-2·18 | 1·05 | 0.25-4·52 | 0.37 | 0.05-2·79 | NE | NE |
From conditional logistic regression models, conditioned on birth year (of the case), sex, country, and county of birth
In unconditional logistic regression models (adjusting for the matching factors), the OR is 216 (95% CI 87-541), based on 19 exposed cases (59%) and 3 exposed controls (1%)