Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia
Objective: To investigate the risk of cancer and potential gender effects in persons hospitalised with burn injury. Design: Population-based retrospective cohort study using record-linkage systems in Scotland and Western Australia. Participants: Records of 37 890 and 23 450 persons admitted with a b...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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B M J Group
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/26674 |
| _version_ | 1848752053482946560 |
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| author | Duke, Janine Bauer, J. Fear, M. Rea, S. Wood, F. Boyd, James |
| author_facet | Duke, Janine Bauer, J. Fear, M. Rea, S. Wood, F. Boyd, James |
| author_sort | Duke, Janine |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: To investigate the risk of cancer and potential gender effects in persons hospitalised with burn injury. Design: Population-based retrospective cohort study using record-linkage systems in Scotland and Western Australia. Participants: Records of 37 890 and 23 450 persons admitted with a burn injury in Scotland and Western Australia, respectively, from 1983 to 2008. Deidentified extraction of all linked hospital morbidity records, mortality and cancer records were provided by the Information Service Division Scotland and the Western Australian Data Linkage Service. Main outcome measures: Total and gender-specific number of observed and expected cases of total (‘all sites’) and site-specific cancers and standardised incidence ratios (SIRs).Results: From 1983 to 2008, for female burn survivors, there was a greater number of observed versus expected notifications of total cancer with 1011 (SIR, 95% CI 1.3, 1.2to 1.4) and 244 (SIR, 95% CI 1.12, 1.05 to 1.30), respectively, for Scotland and Western Australia. No statistically significant difference in total cancer risk was found for males. Significant excesses in observed cancers among burn survivors (combined gender) in Scotland and Western Australian were found for buccal cavity, liver, larynx and respiratory tract and for cancers of the female genital tract. Conclusions: Results from the Scotland data confirmed the increased risk of total (‘all sites’) cancer previously observed among female burn survivors in Western Australia. The gender dimorphism observed in this study may be related to the role of gender in the immune response to burn injury. More research is required to understand the underlying mechanism(s) that may link burn injury with an increased risk of some cancers. |
| first_indexed | 2025-11-14T08:02:30Z |
| format | Journal Article |
| id | curtin-20.500.11937-26674 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:02:30Z |
| publishDate | 2014 |
| publisher | B M J Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-266742017-09-13T15:29:34Z Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia Duke, Janine Bauer, J. Fear, M. Rea, S. Wood, F. Boyd, James data linkage morbidity records mortality records gender burn injury cancer Objective: To investigate the risk of cancer and potential gender effects in persons hospitalised with burn injury. Design: Population-based retrospective cohort study using record-linkage systems in Scotland and Western Australia. Participants: Records of 37 890 and 23 450 persons admitted with a burn injury in Scotland and Western Australia, respectively, from 1983 to 2008. Deidentified extraction of all linked hospital morbidity records, mortality and cancer records were provided by the Information Service Division Scotland and the Western Australian Data Linkage Service. Main outcome measures: Total and gender-specific number of observed and expected cases of total (‘all sites’) and site-specific cancers and standardised incidence ratios (SIRs).Results: From 1983 to 2008, for female burn survivors, there was a greater number of observed versus expected notifications of total cancer with 1011 (SIR, 95% CI 1.3, 1.2to 1.4) and 244 (SIR, 95% CI 1.12, 1.05 to 1.30), respectively, for Scotland and Western Australia. No statistically significant difference in total cancer risk was found for males. Significant excesses in observed cancers among burn survivors (combined gender) in Scotland and Western Australian were found for buccal cavity, liver, larynx and respiratory tract and for cancers of the female genital tract. Conclusions: Results from the Scotland data confirmed the increased risk of total (‘all sites’) cancer previously observed among female burn survivors in Western Australia. The gender dimorphism observed in this study may be related to the role of gender in the immune response to burn injury. More research is required to understand the underlying mechanism(s) that may link burn injury with an increased risk of some cancers. 2014 Journal Article http://hdl.handle.net/20.500.11937/26674 10.1136/bmjopen-2013-003845 B M J Group fulltext |
| spellingShingle | data linkage morbidity records mortality records gender burn injury cancer Duke, Janine Bauer, J. Fear, M. Rea, S. Wood, F. Boyd, James Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia |
| title | Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia |
| title_full | Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia |
| title_fullStr | Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia |
| title_full_unstemmed | Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia |
| title_short | Burn injury, gender and cancer risk: population-based cohort study using data from Scotland and Western Australia |
| title_sort | burn injury, gender and cancer risk: population-based cohort study using data from scotland and western australia |
| topic | data linkage morbidity records mortality records gender burn injury cancer |
| url | http://hdl.handle.net/20.500.11937/26674 |