Hostname: page-component-788cddb947-m6qld Total loading time: 0 Render date: 2024-10-14T01:07:02.016Z Has data issue: false hasContentIssue false

Relevance of Twin Data to Intrauterine Selection Special case of childhood cancer

Published online by Cambridge University Press:  01 August 2014

D. Hewitt
Affiliation:
Dept. of Epidemiology and Biometrics, University of Toronto
A. Stewart
Affiliation:
Dept. of Social Medicine, University of Oxford

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The purpose of this paper is to draw attention to the statistical implications of abortion risks being greater for twins than singletons, greater for MZ than DZ twins, and greater for one member of a twin pregnancy than both members. This last fact is important, because if one twin aborts the other is usually mistaken for a singleton at birth; thus allowing a given number of nonconcordant abortions to have a marginally greater effect on twin frequency than double the number of concordant abortions.

This feature of abortion hazards is shown in Tab. I, which is based on Sandon's calculations of concordance effects. The figures show how much greater is the effect of a high rate of nonconcordant abortions (Case B) than the effect of an equally high rate of 90% concordant abortions (Case A) or a lower rate of 60% concordant abortions (Case C). In other words, a low frequency of twins in general (and MZ twins in particular) should be typical of an abortion-ridden population and might be a means of recognizing diseases whose prevalence rates are misleading, because they are associated with an abortion hazard (i.e., inherited diseases and diseases acquired during embryogenesis).

Type
Session 7 - Multiple Conception and Pregnancy
Copyright
Copyright © The International Society for Twin Studies 1970

References

Gittelsohn, A., Milham, S. (1965). Congenital malformations in New York State. In: Genetics and Epidemiology of Chronic Diseases. U.S. Dept. of Health, Education and Welfare.Google Scholar
McDonald, A. (1964). Mongolism in twins. J. Med. Genet., 1: 39.CrossRefGoogle ScholarPubMed
Sandon, F. (1957). The relative numbers and abilities of some ten-year old twins. J. Roy. Stat. Soc., 120: 440.CrossRefGoogle Scholar
Smith, A. (1960). A further note on mongolism in twins. Brit. J. Prev. Soc. Med., 14: 47.Google Scholar
Stewart, A. M., Kneale, G. W. (1968). Changes in the cancer risk associated with obstetric radiography. Lancet, 1: 104.Google Scholar