Pär Sparen

About me
Publications
Public outreach and news

About me

Education
-1986 BA, Dept. of Sociology, Stockholm University
-1996 Dr.Med.Sc., Dept. of Cancer Epidemiology, Uppsala University

Research

Research on human papilloma virus (HPV)
- Occurence of HPV induced disease
- Effects of vaccination against HPV

Research on cervical cancer
- Occurence of cervical cancer
- Prevention of cervical cancer by Pap smear screening
- Hereditary and social factors in cervical cancer
- HPV and cervical cancer

Research on psychiatric diseases and social factors in disease
- Etiology of psychiatric disease
- Psychiatric disease and somatic disease burden
- Social mobility, social change and health

Articles

Article: BMC ORAL HEALTH. 2024;24(1):506
Occupation and tongue cancer in Nordic countries
Peltonen J; Nikkilae R; Al-Samadi A; Maekitie A; Martinsen JI; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Weiderpass E; Salo T; Pukkala E
Article: PLOS MEDICINE. 2024;21(3):e1004372
Incidence of oncogenic HPV infection in women with and without mental illness: A population-based cohort study in Sweden
Herweijer E; Hu K; Wang J; Lu D; Sparen P; Adami H-O; Valdimarsdottir U; Sundstroem K; Fang F
Article: INTERNATIONAL JOURNAL OF CANCER. 2024;154(3):448-453
Long-term follow-up of cervical cancer incidence after normal cytological findings
Wang J; Edvardsson H; Strander B; Andrae B; Sparen P; Dillner J
Article: HIV MEDICINE. 2023;24(10):1045-1055
COVID-19 hospitalization outcomes in adults by HIV status; a nation-wide register-based study
Moller IK; Gisslen M; Wagner P; Sparen P; Carlander C
Article: PLOS MEDICINE. 2023;20(10):e1004304
Impact of cervical screening by human papillomavirus genotype: Population-based estimations
Wang J; Elfstrom KM; Lagheden C; Eklund C; Sundstrom K; Sparen P; Dillner J
Article: JAMA NETWORK OPEN. 2023;6(9):e2336213
Overall and Cervical Cancer Survival in Patients With and Without Mental Disorders
Herweijer E; Wang J; Hu K; Valdimarsdottir UA; Adami H-O; Sparen P; Sundstrom K; Fang F
Article: THE LANCET PUBLIC HEALTH. 2023;8(4):e266-e275
Invasive cervical cancer, precancerous lesions, and cervical screening participation among women with mental illness in Sweden: a population-based observational study
Hu K; Wang J; Sparen P; Herweijer E; Sjolander A; Adami H-O; Valdimarsdottir U; Sundstrom K; Fang F
Article: JOURNAL OF CLINICAL ONCOLOGY. 2022;40(14):1522-1528
Human Papillomavirus Infection Determines Prognosis in Cervical Cancer
Lei J; Arroyo-Muehr LS; Lagheden C; Eklund C; Kleppe SN; Elfstroem M; Andrae B; Sparen P; Dillner J; Sundstroem K
Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2022;226(5):704.e1-704.e9
Colposcopic performance in a birth cohort previously eligible for human papillomavirus vaccination
Sahlgren HAI; Elfgren K; Sparen P; Elfstrom MK
Article: BMC PUBLIC HEALTH. 2022;22(1):652
Patterns of sexual behaviour associated with repeated chlamydia testing and infection in men and women: a latent class analysis
Velicko I; Ploner A; Marions L; Sparen P; Herrmann B; Kuhlmann-Berenzon S
Article: CANCER MEDICINE. 2022;11(8):1850-1859
Socioeconomic status and risk of lung cancer by histological subtype in the Nordic countries
Pizzato M; Martinsen JI; Heikkinen S; Vignat J; Lynge E; Sparen P; La Vecchia C; Pukkala E; Vaccarella S
Article: ANNALS OF INTERNAL MEDICINE. 2022;175(2):210-218
Pregnancy Outcomes in Women With a Prior Cervical Intraepithelial Neoplasia Grade 3 Diagnosis : A Nationwide Population-Based Cohort Study With Sibling Comparison Design.
He W; Sparén P; Fang F; Sengpiel V; Strander B; Czene K
Article: BMC CANCER. 2022;22(1):75
NSAID use and unnatural deaths after cancer diagnosis: a nationwide cohort study in Sweden
Shen Q; Sjolander A; Sloan EK; Walker AK; Fall K; Valdimarsdottir U; Sparen P; Smedby KE; Fang F
Article: EUROPEAN JOURNAL OF OBSTETRICS AND GYNECOLOGY AND REPRODUCTIVE BIOLOGY. 2022;268:68-73
Feasibility of sending a direct send HPV self-sampling kit to long-term non-attenders in an organized cervical screening program
Sahlgren H; Sparen P; Elfgren K; Elfstrom KM
Article: AIDS. 2021;35(14):2367-2374
Nonvaccine human papillomavirus genotype common in women with HIV failing cervical precancer treatment
Carlander C; Lagheden C; Eklund C; Kleppe SN; Dzabic M; Wagner P; Sparen P; Dillner J
Article: ACTA ONCOLOGICA. 2021;60(7):835-841
Cancer incidence among musicians: 45 years of follow-up in four Nordic countries
Pukkala E; Peltomaa M; Makitie A; Heikkinen S; Kjaerheim K; Martinsen JI; Sparen P; Tryggvadottir L; Weiderpass E
Article: ELIFE. 2021;10:e61700
Alpha-1 adrenergic receptor antagonists to prevent hyperinflammation and death from lower respiratory tract infection
Koenecke A; Powell M; Xiong R; Shen Z; Fischer N; Huq S; Khalafallah AM; Trevisan M; Sparen P; Carrero JJ; Nishimura A; Caffo B; Stuart EA; Bai R; Staedtke V; Thomas DL; Papadopoulos N; Kinzler KW; Vogelstein B; Zhou S; Bettegowda C; Konig MF; Mensh BD; Vogelstein JT; Athey S
Article: SEXUALLY TRANSMITTED DISEASES. 2021;48(5):329-334
Changes in the Trend of Sexually Acquired Chlamydia Infections in Sweden and the Role of Testing: A Time Series Analysis
Velicko I; Ploner A; Sparen P; Herrmann B; Marions L; Kuhlmann-Berenzon S
Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2021;190(4):506-514
Differing Age-Specific Cervical Cancer Incidence Between Different Types of Human Papillomavirus: Implications for Predicting the Impact of Elimination Programs
Vanska S; Luostarinen T; Lagheden C; Eklund C; Kleppe SN; Andrae B; Sparen P; Sundstrom K; Lehtinen M; Dillner J
Article: AIDS. 2021;35(1):115-123
Employment by HIV status, mode of HIV transmission and migrant status: a nation-wide population-based study
Carlander C; Wagner P; Yilmaz A; Sparen P; Svedhem V
Article: ACTA CYTOLOGICA. 2021;65(5):377-384
Nationwide Rereview of Normal Cervical Cytologies before High-Grade Cervical Lesions or before Invasive Cervical Cancer
Edvardsson H; Wang J; Andrae B; Sparen P; Strander B; Dillner J
Article: BRITISH JOURNAL OF CANCER. 2020;123(12):1790-1795
Deep sequencing detects human papillomavirus (HPV) in cervical cancers negative for HPV by PCR
Arroyo Muhr LS; Lagheden C; Lei J; Eklund C; Nordqvist Kleppe S; Sparen P; Sundstrom K; Dillner J
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2020;29(12):2662-2668
HPV Types in Cervical Precancer by HIV Status and Birth Region: A Population-Based Register Study
Carlander C; Lagheden C; Eklund C; Kleppe SN; Dzabic M; Wagner P; Yilmaz A; Elfgren K; Sonnerborg A; Sparen P; Dillner J
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2020;29(11):2230-2234
Risk of Injuries around Diagnosis of Cervical Cancer and Its Precursor Lesions: A Nationwide Cohort Study in Sweden
Shen Q; Lu D; Andrae B; Schelin MEC; Sjolander A; Cao Y; Sparen P; Fang F
Article: NEW ENGLAND JOURNAL OF MEDICINE. 2020;383(14):1340-1348
HPV Vaccination and the Risk of Invasive Cervical Cancer
Lei J; Ploner A; Elfstrom KM; Wang J; Roth A; Fang F; Sundstrom K; Dillner J; Sparen P
Article: EMERGING INFECTIOUS DISEASES. 2020;26(10):2309-2318
Healthcare-Associated Legionnaires' Disease, Europe, 2008-2017
Beaute J; Plachouras D; Sandin S; Giesecke J; Sparen P
Article: ACTA ONCOLOGICA. 2020;59(8):988-993
Increase of cervical cancer incidence in Sweden in relation to screening history: population cohort study
Wang J; Andrae B; Strander B; Sparen P; Dillner J
Article: BRITISH JOURNAL OF CANCER. 2020;123(1):155-160
Impact of HPV vaccination on cervical screening performance: a population-based cohort study
Lei J; Ploner A; Lehtinen M; Sparen P; Dillner J; Elfstrom KM
Article: ACTA ONCOLOGICA. 2020;59(5):582-587
Smoking-adjusted risk of kidney cancer by occupation: a population-based cohort study of Nordic men
Michalek IM; Kinnunen TI; Kjaerheim K; Lynge E; Martinsen JI; Sparen P; Tryggyadottir L; Weiderpass E; Pukkala E
Article: INTERNATIONAL JOURNAL OF CANCER. 2020;146(5):1230-1240
Cervical cancer case-control audit: Results from routine evaluation of a nationwide cervical screening program
Wang J; Elfstrom KM; Andrae B; Kleppe SN; Ploner A; Lei J; Dillner J; Sundstrom K; Sparen P
Article: JOURNAL OF GENERAL VIROLOGY. 2020;101(3):265-270
Sequencing detects human papillomavirus in some apparently HPV-negative invasive cervical cancers
Muhr LSA; Lagheden C; Eklund C; Lei J; Nordqvist-Kleppe S; Sparen P; Sundstrom K; Dillner J
Article: BJOG: AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. 2020;127(4):448-454
Risk of vaginal cancer among hysterectomised women with cervical intraepithelial neoplasia: a population-based national cohort study
Alfonzo E; Holmberg ECV; Sparen P; Milsom I; Strander B
Article: INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH. 2020;93(2):197-204
Cancer incidence among Swedish firefighters: an extended follow-up of the NOCCA study
Bigert C; Martinsen JI; Gustavsson P; Sparen P
Article: PLOS ONE. 2020;15(9):e0239611
Cost-effectiveness of cervical cancer screening with primary HPV testing for unvaccinated women in Sweden
Fogelberg S; Clements MS; Pedersen K; Sy S; Sparen P; Kim JJ; Burger EA
Article: BREAST CANCER RESEARCH. 2019;21(1):139
Psychiatric disorders and cardiovascular diseases during the diagnostic workup of potential breast cancer: a population-based cohort study in Skane, Sweden
Shen Q; Joud A; Schelin MEC; Sjolander A; Cao Y; Sparen P; Fall K; Czene K; Valdimarsdottir U; Fang F
Article: BREAST. 2019;48:65-72
Occupational exposures and male breast cancer: A nested case-control study in the Nordic countries
Talibov M; Hansen J; Heikkinen S; Martinsen J-I; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: CANCER RESEARCH. 2019;79(15):3965-3972
Psychologic Distress Is Associated with Cancer-Specific Mortality among Patients with Cervical Cancer
Lu D; Andrae B; Valdimarsdottir U; Sundstrom K; Fall K; Sparen P; Fang F
Article: BMJ OPEN. 2019;9(7):e026192
Short-term and long-term case-fatality rates for myocardial infarction and ischaemic stroke by socioeconomic position and sex: a population-based cohort study in Sweden, 1990-1994 and 2005-2009
Malki N; Hagg S; Tiikkaja S; Koupil I; Sparen P; Ploner A
Article: ENVIRONMENTAL RESEARCH. 2019;173:117-123
Heavy metals, welding fumes, and other occupational exposures, and the risk of kidney cancer: A population-based nested case-control study in three Nordic countries
Michalek IM; Martinsen JI; Weiderpass E; Hansen J; Sparen P; Tryggvadottir L; Pukkala E
Article: SAFETY AND HEALTH AT WORK. 2019;10(2):141-150
Workplace Diesel Exhausts and Gasoline Exposure and Risk of Colorectal Cancer in Four Nordic Countries
Talibov M; Sormunen O; Weiderpass E; Kjaerheim K; Martinsen J-I; Sparen P; Tryggvadottir L; Hansen J; Pukkala E
Article: EUROSURVEILLANCE. 2019;24(20):13-21
Factors associated with Legionnaires' disease recurrence in hotel and holiday rental accommodation sites
Beaute J; Sandin S; de Jong B; Hallstrom LP; Robesyn E; Giesecke J; Sparen P
Article: THE BMJ. 2019;365:l1207
Cervical screening and risk of adenosquamous and rare histological types of invasive cervical carcinoma: population based nested case-control study
Lei J; Andrae B; Ploner A; Lagheden C; Eklund C; Kleppe SN; Wang J; Fang F; Dillner J; Elfstrom KM; Sparen P
Article: PREVENTIVE MEDICINE. 2019;120:26-33
Mode of HPV vaccination delivery and equity in vaccine uptake: A nationwide cohort study
Wang J; Ploner A; Sparen P; Lepp T; Roth A; Arnheim-Dahlstrom L; Sundstrom K
Article: CLINICAL INFECTIOUS DISEASES. 2019;68(4):641-649
Temporal Dynamics and Risk Factors for Bloodstream Infection With Extended-spectrum β-Lactamase-producing Bacteria in Previously-colonized Individuals: National Population-based Cohort Study
Isendahl J; Giske CG; Hammar U; Sparen P; Wisell KT; Ternhag A; Naucler P
Article: BJU INTERNATIONAL. 2019;123(2):233-238
Occupation and risk of cancer of the renal pelvis in Nordic countries
Michalek IM; Martinsen JI; Weiderpass E; Kjaerheim K; Lynge E; Sparen P; Tryggvadoffirt L; Pukkala E
Article: ACTA ONCOLOGICA. 2019;58(1):29-37
Occupational variation in bladder cancer in Nordic males adjusted with approximated smoking prevalence
Hadkhale K; Martinsen JI; Weiderpass E; Kjaerheim K; Sparen P; Tryggvadottir L; Lynge E; Pukkala E
Article: JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2019;61(1):41-46
Occupation and Risk of Kidney Cancer in Nordic Countries
Michalek IM; Martinsen JI; Weiderpass E; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Pukkala E
Article: CANCER CAUSES AND CONTROL. 2018;29(11):1027-1038
Occupational variation in the risk of female breast cancer in the Nordic countries
Katuwal S; Martinsen JI; Kjaerheim K; Sparen P; Tryggvadottir L; Lynge E; Weiderpass E; Pukkala E
Article: VACCINE. 2018;36(43):6373-6378
Effectiveness of varying number of doses and timing between doses of quadrivalent HPV vaccine against severe cervical lesions
Dehlendorff C; Sparen P; Baldur-Felskov B; Herweijer E; Arnheim-Dahlstrom L; Ploner A; Uhnoo I; Kjaer SK
Article: BMJ OPEN. 2018;8(10):e024477
Opportunistic HPV vaccination at age 16-23 and cervical screening attendance in Sweden: a national register-based cohort study
Kreusch T; Wang J; Sparen P; Sundstrom K
Article: PLOS MEDICINE. 2018;15(10):e1002666
High-risk human papillomavirus status and prognosis in invasive cervical cancer: A nationwide cohort study
Lei J; Ploner A; Lagheden C; Eklund C; Kleppe SN; Andrae B; Elfstrom KM; Dillner J; Sparen P; Sundstrom K
Article: SAFETY AND HEALTH AT WORK. 2018;9(3):290-295
Mesothelioma in Sweden: Dose-Response Analysis for Exposure to 29 Potential Occupational Carcinogenic Agents
Plato N; Martinsen JI; Kjaerheim K; Kyyronen P; Sparen P; Weiderpass E
Article: ASIAN PACIFIC JOURNAL OF CANCER PREVENTION. 2018;19(8):2331-2335
Perceived Physical Strain at Work and Incidence of Prostate Cancer – a Case-Control Study in Sweden and Finland.
Sormunen J; Talibov M; Sparén P; Martinsen JI; Weiderpass E; Pukkala E
Article: VACCINE. 2018;36(34):5160-5165
Cost-effectiveness of sex-neutral HPV-vaccination in Sweden, accounting for herd-immunity and sexual behaviour
Wolff E; Elfstrom KM; Cange HH; Larsson S; Englund H; Sparen P; Roth A
Article: CANCER EPIDEMIOLOGY. 2018;55:156-161
Benzene exposure at workplace and risk of colorectal cancer in four Nordic countries
Talibov M; Sormunen J; Hansen J; Kjaerheim K; Martinsen J-I; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: AIDS. 2018;32(11):1475-1484
Suppressive antiretroviral therapy associates with effective treatment of high-grade cervical intraepithelial neoplasia
Carlander C; Wagner P; van Beirs A; Yilmaz A; Elfgren K; Dillner J; Sonnerborg A; Sparen P
Article: LAKARTIDNINGEN. 2018;115:E9FD
[Cervical cancer has increased in Sweden in women who had a normal cell sample].
Dillner J; Sparén P; Andrae B; Strander B
Article: BRITISH JOURNAL OF CANCER. 2018;118(10):1377-1381
Nationwide comprehensive human papillomavirus (HPV) genotyping of invasive cervical cancer
Lagheden C; Eklund C; Lamin H; Kleppe SN; Lei J; Elfstrom KM; Sundstrom K; Andrae B; Sparen P; Dillner J
Article: VACCINE. 2018;36(15):1917-1920
Substantially reduced incidence of genital warts in women and men six years after HPV vaccine availability in Sweden
Herweijer E; Ploner A; Sparen P
Article: OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2018;75(3):191-198
Occupational exposure to asbestos and risk of cholangiocarcinoma: a population-based case-control study in four Nordic countries
Farioli A; Straif K; Brandi G; Curti S; Kjaerheim K; Martinsen JI; Sparen P; Tryggvadottir L; Weiderpass E; Biasco G; Violante FS; Mattioli S; Pukkala E
Article: PLOS ONE. 2018;13(1):e0190171
Socio-economic and demographic determinants affecting participation in the Swedish cervical screening program: A population-based case-control study
Broberg G; Wang J; Ostberg A-L; Adolfsson A; Nemes S; Sparen P; Strander B
Article: PLOS ONE. 2018;13(12):e0209003
Cervical cancer screening in Sweden 2014-2016
Hortlund M; Elfstrom KM; Sparen P; Almstedt P; Strander B; Dillner J
Article: INTERNATIONAL JOURNAL OF CANCER. 2017;141(12):2430-2436
Occupational exposure to wood dust and risk of nasal and nasopharyngeal cancer: A case-control study among men in four nordic countriesWith an emphasis on nasal adenocarcinoma
Siew SS; Martinsen JI; Kjaerheim K; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: EUROPEAN JOURNAL OF CANCER. 2017;87:92-100
Risk of early-onset prostate cancer associated with occupation in the Nordic countries
Barry KH; Martinsen JI; Alavanja MCR; Andreotti G; Blair A; Hansen J; Kjaerheim K; Koutros S; Lynge E; Sparen P; Tryggvadottir L; Weiderpass E; Berndt SI; Pukkala E
Article: PLOS MEDICINE. 2017;14(10):e1002414
Effectiveness of cervical screening after age 60 years according to screening history: Nationwide cohort study in Sweden
Wang J; Andrae B; Sundstrom K; Ploner A; Strom P; Elfstrom KM; Dillner J; Sparen P
Article: BJOG: AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. 2017;124(11):1680-1687
Assessing cervical intraepithelial neoplasia as an indicator disease for HIV in a low endemic setting: a population-based register study
Carlander C; Marrone G; Brannstrom J; Yilmaz A; Elfgren K; Sparen P; Sonnerborg A
Article: JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION : JAMIA. 2017;24(5):950-957
E-Science technologies in a workflow for personalized medicine using cancer screening as a case study
Spjuth O; Karlsson A; Clements M; Humphreys K; Ivansson E; Dowling J; Eklund M; Jauhiainen A; Czene K; Gronberg H; Sparen P; Wiklund F; Cheddad A; Palsdottir P; Rantalainen M; Abrahamsson L; Laure E; Litton J-E; Palmgren J
Article: BMJ OPEN. 2017;7(8):e016538
Occupational variation in incidence of bladder cancer: a comparison of population-representative cohorts from Nordic countries and Canada
Hadkhale K; MacLeod J; Demers PA; Martinsen JI; Weiderpass E; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Harris MA; Tjepkema M; Peters PA; Pukkala E
Article: BMJ OPEN. 2017;7(6):e015021
Timing of two versus three doses of quadrivalent HPV vaccine and associated effectiveness against condyloma in Sweden: a nationwide cohort study
Lamb F; Herweijer E; Ploner A; Uhnoo I; Sundstrom K; Sparen P; Arnheim-Dahlstrom L
Article: ANTICANCER RESEARCH. 2017;37(6):3221-3228
Occupational Risk for Oral Cancer in Nordic Countries
Tarvainen L; Suojanen J; Kyyronen P; Lindqvist C; Martinsen JI; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: INTERNATIONAL JOURNAL OF CANCER. 2017;140(8):1736-1746
Occupational exposure to solvents and bladder cancer: A population-based case control study in Nordic countries
Hadkhale K; Martinsen JI; Weiderpass E; Kjaerheim K; Sparen P; Tryggvadottir L; Lynge E; Pukkala E
Article: BMC PUBLIC HEALTH. 2017;17(1):235
Age, period and cohort effects on suicide mortality in Russia, 1956-2005
Jukkala T; Stickley A; Makinen IH; Baburin A; Sparen P
Article: OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2017;74(2):87-92
Occupational exposures and the risk of amyotrophic lateral sclerosis
Peters TL; Kamel F; Lundholm C; Feychting M; Weibull CE; Sandler DP; Wiebert P; Sparen P; Ye W; Fang F
Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2017;216(1):48.e1-48.e15
Follow-up of women with cervical cytological abnormalities showing atypical squamous cells of undetermined significance or low-grade squamous intraepithelial lesion: a nationwide cohort study
Sundstrom K; Lu D; Elfstrom KM; Wang J; Andrae B; Dillner J; Sparen P
Article: PLOS ONE. 2017;12(6):e0179520
The economic burden of human papillomavirus-related precancers and cancers in Sweden
Ostensson E; Silfverschiold M; Greiff L; Asciutto C; Wennerberg J; Lydryp M-L; Hakansson U; Sparen P; Borgfeldt C
Article: BJOG: AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. 2017;124(1):143-149
Incidence and occupational variation of ovarian granulosa cell tumours in Finland, Iceland, Norway and Sweden during 1953-2012: a longitudinal cohort study
Bryk S; Pukkala E; Martinsen J-I; Unkila-Kallio L; Tryggvadottir L; Sparen P; Kjaerheim K; Weiderpass E; Riska A
Article: EPIDEMIOLOGY AND INFECTION. 2016;144(16):3483-3493
Short-term effects of atmospheric pressure, temperature, and rainfall on notification rate of community-acquired Legionnaires' disease in four European countries
Beaute J; Sandin S; Uldum SA; Rota MC; Brandsema P; Giesecke J; Sparen P
Article: JOURNAL OF MEDICAL SCREENING. 2016;23(4):217-226
Registry-based assessment of the status of cervical screening in Sweden
Elfstrom KM; Sparen P; Olausson P; Almstedt P; Strander B; Dillner J
Article: INTERNATIONAL JOURNAL OF CANCER. 2016;139(7):1471-1479
Impact of immunosuppression and region of birth on risk of cervical intraepithelial neoplasia among migrants living with HIV in Sweden
Carlander C; Wagner P; Svedhem V; Elfgren K; Westling K; Sonnerborg A; Sparen P
Article: BMJ OPEN. 2016;6(8):e011312
Sexual and testing behaviour associated with Chlamydia trachomatis infection: a cohort study in an STI clinic in Sweden
Velicko I; Ploner A; Sparen P; Marions L; Herrmann B; Kuhlmann-Berenzon S
Article: BMC INFECTIOUS DISEASES. 2016;16(1):419
Sexually transmitted infections after bereavement - a population-based cohort study
Bond E; Lu D; Herweijer E; Sundstrom K; Valdimarsdottir U; Fall K; Arnheim-Dahlstrom L; Sparen P; Fang F
Article: CANCER EPIDEMIOLOGY. 2016;43:100-104
Perceived physical strain at work and incidence of colorectal cancer: A nested case-control study
Sormunen J; Talibov M; Martinsen JI; Kjaerheim K; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2016;58(8):e301-e307
Occupation and Risk of Bladder Cancer in Nordic Countries
Hadkhale K; Martinsen JI; Weiderpass E; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Pukkala E
Article: ANNALS OF THE RHEUMATIC DISEASES. 2016;75(7):1272-1278
Do RA or TNF inhibitors increase the risk of cervical neoplasia or of recurrence of previous neoplasia? A nationwide study from Sweden
Wadstrom H; Frisell T; Sparen P; Askling J
Article: INTERNATIONAL JOURNAL OF CANCER. 2016;138(12):2867-2874
Quadrivalent HPV vaccine effectiveness against high-grade cervical lesions by age at vaccination: A population-based study
Herweijer E; Sundstrom K; Ploner A; Uhnoo I; Sparen P; Arnheim-Dahlstrom L
Article: INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, THE. 2016;62(2):156-166
Psychiatric disorder and work life: A longitudinal study of intra-generational social mobility
Tiikkaja S; Sandin S; Hultman CM; Modin B; Malki N; Sparen P
Article: THE BMJ. 2016;352:i276
Risk of invasive cervical cancer after atypical glandular cells in cervical screening: nationwide cohort study
Wang J; Andrae B; Sundstrom K; Strom P; Ploner A; Elfstrom KM; Arnheim-Dahlstrom L; Dillner J; Sparen P
Article: CANCER RESEARCH. 2016;76(3):643-651
Bereavement Is Associated with an Increased Risk of HPV Infection and Cervical Cancer: An Epidemiological Study in Sweden
Lu D; Sundstrom K; Sparen P; Fall K; Sjolander A; Dillner J; Helm NY; Adami H-O; Valdimarsdottir U; Fang F
Article: EPIDEMIOLOGY AND HEALTH. 2016;38:e2016039
Occupation and mesothelioma in Sweden: updated incidence in men and women in the 27 years after the asbestos ban.
Plato N; Martinsen JI; Sparén P; Hillerdal G; Weiderpass E
Article: PLOS ONE. 2016;11(4):e0154296
No Evidence for Disease History as a Risk Factor for Narcolepsy after A(H1N1)pdm09 Vaccination
Lamb F; Ploner A; Fink K; Maeurer M; Bergman P; Piehl F; Weibel D; Sparen P; Arnheim-Dahlstrom L
Article: PLOS ONE. 2016;11(3):e0149857
Highest Vaccine Uptake after School-Based Delivery - A County-Level Evaluation of the Implementation Strategies for HPV Catch-Up Vaccination in Sweden
Rehn M; Uhnoo I; Kuhlmann-Berenzon S; Wallensten A; Sparen P; Netterlid E
Article: BMC INFECTIOUS DISEASES. 2015;15:488
Incidence of herpes zoster and associated events including stroke-a population-based cohort study
Sundstrom K; Weibull CE; Soderberg-Lofdal K; Bergstrom T; Sparen P; Arnheim-Dahlstrom L
Article: JOURNAL OF THE NATIONAL CANCER INSTITUTE. 2015;107(10):djv185
Interactions Between High- and Low-Risk HPV Types Reduce the Risk of Squamous Cervical Cancer
Sundstrom K; Ploner A; Arnheim-Dahlstrom L; Eloranta S; Palmgren J; Adami H-O; Helm NY; Sparen P; Dillner J
Article: INTERNATIONAL JOURNAL OF CANCER. 2015;137(3):590-597
Occupation and risk of oesophageal adenocarcinoma and squamous-cell carcinoma: The Nordic Occupational Cancer Study
Jansson C; Oh J-K; Martinsen JI; Lagergren J; Plato N; Kjaerheim K; Pukkala E; Sparen P; Tryggvadottir L; Weiderpass E
Article: CANCER CAUSES AND CONTROL. 2015;26(8):1079-1085
Occupational exposure to extremely low-frequency magnetic fields and electrical shocks and acute myeloid leukemia in four Nordic countries
Talibov M; Guxens M; Pukkala E; Huss A; Kromhout H; Slottje P; Martinsen JI; Kjaerheim K; Sparen P; Weiderpass E; Tryggvadottir L; Uuksulainen S; Vermeulen R
Article: EUROPEAN JOURNAL OF EPIDEMIOLOGY (EJE). 2015;30(5):435-447
Preterm and postterm birth in immigrant- and Swedish-born parents: a population register-based study
Khanolkar AR; Wedren S; Essen B; Sparen P; Koupil I
Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2015;43(2):204-211
Cancer incidence among waiters: 45 years of follow-up in five Nordic countries
Reijula J; Kjaerheim K; Lynge E; Martinsen JI; Reijula K; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: PLOS ONE. 2015;10(7):e0134185
The Participation of HPV-Vaccinated Women in a National Cervical Screening Program: Population-Based Cohort Study
Herweijer E; Feldman AL; Ploner A; Arnheim-Dahlstrom L; Uhnoo I; Netterlid E; Dillner J; Sparen P; Sundstrom K
Article: PLOS ONE. 2015;10(7):e0107624
When Life Got in the Way: How Danish and Norwegian Immigrant Women in Sweden Reason about Cervical Screening and Why They Postpone Attendance
Azerkan F; Widmark C; Sparen P; Weiderpass E; Tillgren P; Faxelid E
Article: SCANDINAVIAN JOURNAL OF WORK, ENVIRONMENT & HEALTH. 2014;40(5):511-517
Occupational exposure to solvents and acute myeloid leukemia: a population-based, case-control study in four Nordic countries
Talibov M; Lehtinen-Jacks S; Martinsen JI; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Weiderpass E; Kauppinen T; Kyyroenen P; Pukkala E
Article: OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2014;71(6):398-404
Cancer incidence among firefighters: 45 years of follow-up in five Nordic countries
Pukkala E; Martinsen JI; Weiderpass E; Kjaerheim K; Lynge E; Tryggvadottir L; Sparen P; Demers PA
Article: CANCER CAUSES AND CONTROL. 2014;25(4):499-506
Loss of a parent and the risk of cancer in early life: a nationwide cohort study
Kennedy B; Valdimarsdottir U; Sundstrom K; Sparen P; Lambe M; Fall K; Fang F
Article: JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (JAMA). 2014;311(6):597-603
Association of Varying Number of Doses of Quadrivalent Human Papillomavirus Vaccine With Incidence of Condyloma
Herweijer E; Leval A; Ploner A; Eloranta S; Simard JF; Dillner J; Netterlid E; Sparen P; Arnheim-Dahlstrom L
Article: THE BMJ. 2014;348:f7361
Effect of ageing on cervical or vaginal cancer in Swedish women previously treated for cervical intraepithelial neoplasia grade 3: population based cohort study of long term incidence and mortality
Strander B; Hallgren J; Sparen P
Article: PLOS ONE. 2014;9(8):e105279
Temporal Trends in Incidence of Myocardial Infarction and Ischemic Stroke by Socioeconomic Position in Sweden 1987-2010
Malki N; Koupil I; Eloranta S; Weibull CE; Tiikkaja S; Ingelsson E; Sparen P
Article: FRONTIERS IN CARDIOVASCULAR MEDICINE. 2014;126(21):3
Common Familial Effects on Ischemic Stroke and Myocardial Infarction: A Swedish National Cohort Study
Kasiman K; Lundholm C; Sandin S; Malki N; Sparen P; Ingelsson E
Article: PLOS ONE. 2014;9(1):e82222
Guillain-Barre Syndrome and Adjuvanted Pandemic Influenza A (H1N1) 2009 Vaccines: A Multinational Self-Controlled Case Series in Europe
Romio S; Weibel D; Dieleman JP; Olberg HK; de Vries CS; Sammon C; Andrews N; Svanstrom H; Molgaard-Nielsen D; Hviid A; Lapeyre-Mestre M; Sommet A; Saussier C; Castot A; Heijbel H; Arnheim-Dahlstrom L; Sparen P; Mosseveld M; Schuemie M; van der Mass N; Jacobs BC; Leino T; Kilpi T; Storsaeter J; Johansen K; Kramarz P; Bonhoeffer J; Sturkenboom MCJM
Article: OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2013;70(12):828-830
Cholangiocarcinoma among workers in the printing industry: using the NOCCA database to elucidate the generalisability of a cluster report from Japan
Vlaanderen J; Straif K; Martinsen JI; Kauppinen T; Pukkala E; Sparen P; Tryggvadottir L; Weiderpass E; Kjaerheim K
Article: ANNALS OF ONCOLOGY. 2013;24(12):3112-3117
Suicide and suicide attempt after a cancer diagnosis among young individuals
Lu D; Fall K; Sparen P; Ye W; Adami H-O; Valdimarsdottir U; Fang F
Article: THE BMJ. 2013;347:f5906
Autoimmune, neurological, and venous thromboembolic adverse events after immunisation of adolescent girls with quadrivalent human papillomavirus vaccine in Denmark and Sweden: cohort study
Arnheim-Dahlstrom L; Pasternak B; Svanstrom H; Sparen P; Hviid A
Article: OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2013;70(6):393-401
Occupational exposure to trichloroethylene and perchloroethylene and the risk of lymphoma, liver, and kidney cancer in four Nordic countries
Vlaanderen J; Straif K; Pukkala E; Kauppinen T; Kyyronen P; Martinsen JI; Kjaerheim K; Tryggvadottir L; Hansen J; Sparen P; Weiderpass E
Article: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. 2013;92(5):546-554
Hormonal and surgical treatments for endometriosis and risk of epithelial ovarian cancer
Melin A-S; Lundholm C; Malki N; Swahn M-L; Sparen P; Bergqvist A
Article: JOURNAL OF THE NATIONAL CANCER INSTITUTE. 2013;105(7):469-474
Quadrivalent Human Papillomavirus Vaccine Effectiveness: A Swedish National Cohort Study
Leval A; Herweijer E; Ploner A; Eloranta S; Simard JF; Dillner J; Young C; Netterlid E; Sparen P; Arnheim-Dahlstrom L
Article: VACCINE. 2013;31(8):1246-1254
The incidence of narcolepsy in Europe: Before, during, and after the influenza A(H1N1)pdm09 pandemic and vaccination campaigns
Wijnans L; Lecomte C; de Vries C; Weibel D; Sammon C; Hviid A; Svanstrom H; Molgaard-Nielsen D; Heijbel H; Dahlstrom LA; Hallgreng J; Sparen P; Jennum P; Mosseveld M; Schuemie M; van der Maas N; Partinen M; Romio S; Trotta F; Santuccio C; Menna A; Plazzi G; Moghadam KK; Ferro S; Lammers GJ; Overeem S; Johansen K; Kramarz P; Bonhoeffer J; Sturkenboom MCJM
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2013;22(1):150-158
Prospective Study of HPV16 Viral Load and Risk of In Situ and Invasive Squamous Cervical Cancer
Sundstrom K; Ploner A; Dahlstrom LA; Palmgren J; Dillner J; Adami H-O; Ylitalo N; Sparen P
Article: PLOS ONE. 2013;8(11):e77975
Social Class, Social Mobility and Risk of Psychiatric Disorder - A Population-Based Longitudinal Study
Tiikkaja S; Sandin S; Malki N; Modin B; Sparen P; Hultman CM
Article: THE BMJ. 2012;345:e7594
Risk of presentation to hospital with epileptic seizures after vaccination with monovalent AS03 adjuvanted pandemic A/H1N1 2009 influenza vaccine (Pandemrix): self controlled case series study
Arnheim-Dahlstrom L; Hallgren J; Weibull CE; Sparen P
Article: JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. 2012;54(12):1527-1532
Occupation and Leukemia in Nordic Countries
Talibov M; Kautiainen S; Martinsen JI; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: SOCIAL SCIENCE AND MEDICINE. 2012;75(10):1883-1890
Familial risk of premature cardiovascular mortality and the impact of intergenerational occupational class mobility
Tiikkaja S; Olsson M; Malki N; Modin B; Sparen P
Article: JOURNAL OF INFECTIOUS DISEASES. 2012;206(6):860-866
Incidence of Genital Warts in Sweden Before and After Quadrivalent Human Papillomavirus Vaccine Availability
Leval A; Herweijer E; Arnheim-Dahlstrom L; Walum H; Frans E; Sparen P; Simard JF
Article: INTERNATIONAL JOURNAL OF CANCER. 2012;131(1):186-192
Occupation and risk of primary Fallopian tube carcinoma in Nordic countries
Riska A; Martinsen JI; Kjaerheim K; Lynge E; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH. 2012;66(6):e9
Intergenerational social mobility and the risk of hypertension
Hogberg L; Cnattingius S; Lundholm C; Sparen P; Iliadou AN
Article: NEW ENGLAND JOURNAL OF MEDICINE. 2012;366(14):1310-1318
Suicide and Cardiovascular Death after a Cancer Diagnosis
Fang F; Fall K; Mittleman MA; Sparen P; Ye W; Adami H-O; Valdimarsdottir U
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2012;22(2):220-224
Young age at first intercourse and risk-taking behaviours-a study of nearly 65 000 women in four Nordic countries
Olesen TB; Jensen KE; Nygard M; Tryggvadottir L; Sparen P; Hansen BT; Liaw K-L; Kjaer SK
Article: CIRCULATION. GENOMIC AND PRECISION MEDICINE. 2012;5(2):226-233
Familial Effects on Ischemic Stroke The Role of Sibling Kinship, Sex, and Age of Onset
Kasiman K; Lundholm C; Sandin S; Malki N; Sparen P; Ingelsson E
Article: THE BMJ. 2012;344:e900
Screening and cervical cancer cure: population based cohort study.
Andrae B; Andersson TM-L; Lambert PC; Kemetli L; Silfverdal L; Strander B; Ryd W; Dillner J; Törnberg S; Sparén P
Article: INTERNATIONAL JOURNAL OF CANCER. 2012;130(4):937-947
Cervical screening participation and risk among Swedish-born and immigrant women in Sweden
Azerkan F; Sparen P; Sandin S; Tillgren P; Faxelid E; Zendehdel K
Article: JOURNAL OF ADOLESCENT HEALTH. 2012;50(2):204-206
Awareness and Knowledge of Human Papillomavirus in the Swedish Adult Population
Dahlstrom LA; Sundstrom K; Young C; Lundholm C; Sparen P; Tran TN
Article: EUROPEAN JOURNAL OF EPIDEMIOLOGY (EJE). 2012;27(2):101-108
Cancer incidence among priests: 45 years of follow-up in four Nordic countries
Stang A; Martinsen JI; Kjaerheim K; Weiderpass E; Sparen P; Tryggvadottir L; Pukkala E
Article: INTERNATIONAL JOURNAL OF CANCER. 2011;129(6):1450-1458
Risk of invasive cervical cancer in relation to clinical investigation and treatment after abnormal cytology: a population-based case-control study
Silfverdal L; Kemetli L; Sparen P; Andrae B; Strander B; Ryd W; Dillner J; Tornberg S
Article: INTERNATIONAL JOURNAL OF CANCER. 2011;129(4):948-955
Endometriosis as a prognostic factor for cancer survival
Melin A; Lundholm C; Malki N; Swahn M-L; Sparen P; Bergqvist A
Article: SEXUALLY TRANSMITTED DISEASES. 2011;38(8):727-734
Genital Chlamydia, Genital Herpes, Trichomonas vaginalis and Gonorrhea Prevalence, and Risk Factors Among Nearly 70,000 Randomly Selected Women in 4 Nordic Countries
Faber MT; Nielsen A; Nygard M; Sparen P; Tryggvadottir L; Hansen BT; Liaw K-L; Kjaer SK
Article: THE BMJ. 2011;343:d3908
Guillain-Barre syndrome and adjuvanted pandemic influenza A (H1N1) 2009 vaccine: multinational case-control study in Europe.
Dieleman J; Romio S; Johansen K; Weibel D; Bonhoeffer J; Sturkenboom M; VAESCO-GBS Case-Control Study Group
Article: INTERNATIONAL JOURNAL OF EATING DISORDERS. 2011;44(4):304-310
Mortality of Eating Disorders: A Follow-Up Study of Treatment in a Specialist Unit 1974-2000
Rosling AM; Sparen P; Norring C; von Knorring A-L
Article: PAEDIATRIC AND PERINATAL EPIDEMIOLOGY. 2011;25(3):298-305
Age at diagnosis and disease progression of cystic fibrosis in an area without newborn screening
de Monestrol I; Klint A; Sparen P; Hjelte L
Article: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. 2011;90(5):459-467
Women's sexual behavior. Population-based study among 65 000 women from four Nordic countries before introduction of human papillomavirus vaccination
Jensen KE; Munk C; Sparen P; Tryggvadottir L; Liaw K-L; Dasbach E; Nygard M; Kjaer SK
Article: SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES. 2011;43(2):115-121
Pre-vaccination prevalence of human papillomavirus types in the genital tract of 15-23-year-old women attending a youth health clinic in Stockholm, Sweden
Ramqvist T; Du J; Lunden M; Ahrlund-Richter S; Ferreira J; Marions L; Sparen P; Andersson S; Dalianis T
Article: CANCER RESEARCH. 2011;71(1):116-122
Risk of Infection-Related Cancers after the Loss of a Child: A Follow-up Study in Sweden
Fang F; Fall K; Sparen P; Adami H-O; Valdimarsdottir HB; Lambe M; Valdimarsdottir U
Article: PLOS ONE. 2011;6(6):e20624
Assessing Perceived Risk and STI Prevention Behavior: A National Population-Based Study with Special Reference to HPV
Leval A; Sundstrom K; Ploner A; Dahlstrom LA; Widmark C; Sparen P
Article: VACCINE. 2010;28(47):7492-7500
Acceptability of HPV vaccination among young adults aged 18-30 years-a population based survey in Sweden
Sundstrom K; Tran TN; Lundholm C; Young C; Sparen P; Dahlstrom LA
Article: EPIDEMIOLOGY. 2010;21(6):805-808
Parental Autoimmune Diseases Associated With Autism Spectrum Disorders in Offspring
Keil A; Daniels JL; Forssen U; Hultman C; Cnattingius S; Soderberg KC; Feychting M; Sparen P
Article: INTERNATIONAL JOURNAL OF CANCER. 2010;127(8):1923-1930
Prospective study of human papillomavirus and risk of cervical adenocarcinoma
Dahlstrom LA; Ylitalo N; Sundstrom K; Palmgren J; Ploner A; Eloranta S; Sanjeevi CB; Andersson S; Rohan T; Dillner J; Adami H-O; Sparen P
Article: CANCER EPIDEMIOLOGY. 2010;34(5):644-647
Hospitalization for osteoarthritis and prostate cancer specific mortality among Swedish men with prostate cancer
Fang F; Valdimarsdottir U; Mucci L; Sparen P; Ye W; Fall K
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2010;19(10):2469-2478
Prospective Study of Human Papillomavirus (HPV) Types, HPV Persistence, and Risk of Squamous Cell Carcinoma of the Cervix
Sundstrom K; Eloranta S; Sparen P; Dahlstrom LA; Gunnell A; Lindgren A; Palmgren J; Ploner A; Sanjeevi CB; Melbye M; Dillner J; Adami H-O; Ylitalo N
Article: EUROPEAN JOURNAL OF CANCER. 2010;46(14):2545-2554
Effects of occupation on risks of avoidable cancers in the Nordic countries
Kjaerheim K; Martinsen JI; Lynge E; Gunnarsdottir HK; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Article: JOURNAL OF PSYCHIATRIC RESEARCH. 2010;44(12):741-747
Suicide and hospitalization for mental disorders in Sweden: A population-based case-control study
Reutfors J; Brandt L; Ekbom A; Isacsson G; Sparen P; Osby U
Article: SEXUALLY TRANSMITTED INFECTIONS. 2010;86(4):258-262
Association between smoking and genital warts: longitudinal analysis
Hansen BT; Hagerup-Jenssen M; Kjaer SK; Munk C; Tryggvadottir L; Sparen P; Liaw K-L; Nygard M
Article: PREVENTIVE MEDICINE. 2010;51(1):68-72
Early smoking initiation, sexual behavior and reproductive health - a large population-based study of Nordic women
Hansen BT; Kjaer SK; Munk C; Tryggvadottir L; Sparen P; Hagerup-Jenssen M; Liaw K-L; Nygard M
Article: INTERNATIONAL JOURNAL OF CANCER. 2010;126(2):500-507
Attitudes to HPV vaccination among parents of children aged 12-15 years-a population-based survey in Sweden
Dahlstrom LA; Tran TN; Lundholm C; Young C; Sundstrom K; Sparen P
Article: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH. 2009;63(12):1016-1021
Risk of suicide among operated and non-operated patients hospitalised for peptic ulcers
Bahmanyar S; Sparen P; Rutz EM; Hultman CM
Article: PLOS MEDICINE. 2009;6(12):e1000197
Immediate Risk for Cardiovascular Events and Suicide Following a Prostate Cancer Diagnosis: Prospective Cohort Study
Fall K; Fang F; Mucci LA; Ye W; Andren O; Johansson J-E; Andersson S-O; Sparen P; Klein G; Stampfer M; Adami H-O; Valdimarsdottir U
Article: PEDIATRICS. 2009;124(5):e817-e825
Can Association Between Preterm Birth and Autism be Explained by Maternal or Neonatal Morbidity?
Buchmayer S; Johansson S; Johansson A; Hultman CM; Sparen P; Cnattingius S
Article: EUROPEAN JOURNAL OF CANCER. 2009;45(15):2659-2670
Process performance of cervical screening programmes in Europe
Ronco G; van Ballegooijen M; Becker N; Chil A; Fender M; Giubilato P; Kurtinaitis J; Lancucki L; Lynge E; Morais A; O'Reilly M; Sparen P; Suteu O; Rebolj M; Veerus P; Zakelj MP; Anttila A
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2009;19(4):378-382
The relationship between age at drinking onset and subsequent binge drinking among women
Eliasen M; Kjaer SK; Munk C; Nygard M; Sparen P; Tryggvadottir L; Liaw K-L; Gronbaek M
Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2009;201(2):188.e1-188.e7
Risk of invasive cervical cancer in relation to management of abnormal Pap smear results
Silfverdal L; Kemetli L; Andrae B; Sparen P; Ryd W; Dillner J; Strander B; Tornberg S
Article: INTERNATIONAL JOURNAL OF CANCER. 2009;125(2):362-366
Incidence of human papillomavirus (HPV) positive tonsillar carcinoma in Stockholm, Sweden: An epidemic of viral-induced carcinoma?
Nasman A; Attner P; Hammarstedt L; Do J; Eriksson M; Giraud G; Ahrlund-Richter S; Marklund L; Romanitan M; Lindquist D; Ramqvist T; Lindholm J; Sparen P; Ye W; Dahistrand H; Munck-Wikland E; Dalianis T
Article: ANNALS OF NEUROLOGY. 2009;66(1):94-99
Familial Aggregation of Amyotrophic Lateral Sclerosis
Fang F; Kamel F; Lichtenstein P; Bellocco R; Sparen P; Sandler DP; Ye W
Article: JOURNAL OF AFFECTIVE DISORDERS. 2009;115(3):315-322
Psychiatric admissions and hospitalization costs in bipolar disorder in Sweden
Osby U; Tiainen A; Backlund L; Edman G; Adler M; Hallgren J; Sennfalt K; van Baardewijk M; Sparen P
Article: ARCHIVES OF NEUROLOGY. 2009;66(4):515-519
Amyotrophic Lateral Sclerosis in Sweden, 1991-2005
Fang F; Valdimarsdottir U; Bellocco R; Ronnevi L-O; Sparen P; Fall K; Ye W
Article: SCHIZOPHRENIA RESEARCH. 2009;108(1-3):231-237
Risk factors for suicide in schizophrenia: Findings from a Swedish population-based case-control study
Reutfors J; Brandt L; Jonsson EG; Ekbom A; Sparen P; Osby U
Article: PLOS MEDICINE. 2009;6(2):e13-201
Psychotic Illness in First-Time Mothers with No Previous Psychiatric Hospitalizations: A Population-Based Study
Valdimarsdottir U; Hultman CM; Harlow B; Cnattingius S; Sparen P
Article: BIOSTATISTICS. 2009;10(1):70-79
Combining data from 2 nested case-control studies of overlapping cohorts to improve efficiency
Salim A; Hultman C; Sparen P; Reilly M
Article: INTERNATIONAL JOURNAL OF CANCER. 2008;123(11):2664-2670
Risk of cervical cancer among immigrants by age at immigration and follow-up time in Sweden, from 1968 to 2004
Azerkan F; Zendehdel K; Tillgren P; Faxelid E; Sparen P
Article: REPRODUCTIVE TOXICOLOGY. 2008;26(3-4):298-302
Infection with Parvovirus B19 and Herpes viruses in early pregnancy and risk of second trimester miscarriage or very preterm birth
Johansson S; Buchmayer S; Harlid S; Iliadou A; Sjoholm M; Grillner L; Norman M; Sparen P; Dillner J; Cnattingius S
Article: BRAIN. 2008;131(Pt 10):2729-2733
Suicide among patients with amyotrophic lateral sclerosis
Fang F; Valdimarsdottir U; Furst CJ; Hultman C; Fall K; Sparen P; Ye W
Article: DIABETES CARE. 2008;31(8):1536-1540
Risks of nontraumatic lower-extremity amputations in patients with type 1 diabetes -: A population-based cohort study in Sweden
Jonasson JM; Ye W; Sparen P; Apelqvist J; Nyren O; Brismar K
Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2008;167(11):1305-1311
Risk of oral clefts in relation to prepregnancy weight change and interpregnancy interval
Villamor E; Sparen P; Cnattingius S
Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2008;167(11):1281-1286
Maternal age, exposure to siblings, and risk of amyotrophic lateral sclerosis
Fang F; Kamel F; Sandler DP; Sparen P; Ye W
Article: JOURNAL OF THE NATIONAL CANCER INSTITUTE. 2008;100(9):622-629
Screening-preventable cervical cancer risks:: Evidence from a nationwide audit in Sweden
Andrae B; Kemetli L; Sparen P; Silfverdal L; Strander B; Ryd W; Dillner J; Tornberg S
Article: FERTILITY AND STERILITY. 2008;89(5):1240-1244
Interpregnancy weight gain and the male-to-female sex ratio of the second pregnancy:: a population-based cohort study
Villamor E; Sparen P; Cnattingius S
Article: PEDIATRICS. 2008;121(5):E1357-E1362
Parental psychiatric disorders associated with autism spectrum disorders in the offspring
Daniels JL; Forssen U; Hultman CM; Cnattingius S; Savitz DA; Feychting M; Sparen P
Article: VIOLENCE AGAINST WOMEN. 2008;14(4):483-495
Risk factors for intimate partner violence against women in St. Petersburg, Russia
Stickley A; Timofeeva I; Sparen P
Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2008;167(2):203-210
Loss of a child and the risk of amyotrophic lateral sclerosis
Fang F; Ye W; Fall K; Lekander M; Wigzell H; Sparen P; Adami H-O; Valdimarsdottir U
Article: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. 2008;87(10):1048-1054
Awareness of human papillomavirus in a cohort of nearly 70,000 women from four Nordic countries
Nohr B; Munk C; Tryggvadottir L; Sparen P; Tran TN; Nygard M; Skare GB; Dasbach E; Liaw KL; Kjaer SK
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2007;16(12):2641-2648
A longitudinal Swedish study on screening for squamous cell carcinoma and adenocarcinoma: Evidence of effectiveness and overtreatment
Gunnell AS; Ylitalo N; Sandin S; Sparen P; Adami H-O; Ripatti S
Article: THE BMJ. 2007;335(7629):1077
Long term risk of invasive cancer after treatment for cervical intraepithelial neoplasia grade 3:: population based cohort study
Strander B; Andersson-Ellstrom A; Milsom I; Sparen P
Article: JOURNAL OF INFECTIOUS DISEASES. 2007;196(10):1447-1454
The burden of genital warts:: A study of nearly 70,000 women from the general female population in the 4 Nordic countries
Kjaer SK; Tran TN; Sparen P; Tryggvadottir L; Munk C; Dasbach E; Liaw K-L; Nygard J; Nygard M
Article: HUMAN REPRODUCTION. 2007;22(11):3021-3026
The risk of cancer and the role of parity among women with endometriosis
Melin A; Sparen P; Bergqvist A
Article: BJOG: AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. 2007;114(10):1208-1214
Risk factors for uterine rupture and neonatal consequences of uterine rupture:: a population-based study of successive pregnancies in Sweden
Kaczmarczyk M; Sparen P; Terry P; Cnattingius S
Article: DIABETES CARE. 2007;30(9):2271-2276
Fertility in women with type 1 diabetes -: A population-based cohort study in Sweden
Jonasson JM; Brismar K; Sparen P; Lambe M; Nyren O; Ostenson C-G; Ye W
Article: THE LANCET ONCOLOGY. 2007;8(4):311-316
Risk of anogenital cancer after diagnosis of cervical intraepithelial neoplasia:: a prospective population-based study
Edgren G; Sparen P
Article: ARCHIVES OF GENERAL PSYCHIATRY. 2007;64(1):42-48
Incidence of hospitalization for postpartum psychotic and bipolar episodes in women with and without prior prepregnancy or prenatal psychiatric hospitalizations
Harlow BL; Vitonis AF; Sparen P; Cnattingius S; Joffe H; Hultman CM
Article: EUROPEAN JOURNAL OF EPIDEMIOLOGY (EJE). 2007;22(4):223-234
Blood pressure, hypertension and mortality from circulatory disease in men and women who survived the siege of Leningrad
Koupil I; Shestov DB; Sparen P; Plavinskaja S; Parfenova N; Vagero D
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2006;15(11):2141-2147
Synergy between cigarette smoking and human papillomavirus type 16 in cervical cancer in situ development
Gunnell AS; Tran TN; Torrang A; Dickman PW; Sparen P; Palmgren J; Ylitalo N
Article: HUMAN REPRODUCTION. 2006;21(5):1237-1242
Endometriosis and the risk of cancer with special emphasis on ovarian cancer
Melin A; Sparén P; Persson I; Bergqvist A
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2005;14(1):280-282
Germ-cell testicular cancer in offspring of Finnish immigrants to Sweden
Montgomery SM; Granath F; Ehlin A; Sparén P; Ekbom A
Article: ANNALS OF THE RHEUMATIC DISEASES. 2004;63(10):1307-1311
Urinary bladder cancer in Wegener's granulomatosis: risks and relation to cyclophosphamide
Knight A; Askling J; Granath F; Sparen P; Ekbom A
Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2004;191(4):1225-1231
Previous pregnancy loss:: Risks related to severity of preterm delivery
Buchmayer SM; Sparén P; Cnattingius S
Article: SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY. 2004;39(8):743-747
Association between sigmoid diverticulitis and left-sided colon cancer:: a nested, population-based, case control study
Stefánsson T; Ekbom A; Sparèn P; Påhlman L
Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2004;13(3):346-354
A large population-based randomized controlled trial to increase attendance at screening for cervical cancer
Eaker S; Adami HO; Granath F; Wilander E; Sparén P
Article: THE BMJ. 2004;328(7430):11-14A
Long term mortality after severe starvation during the siege of Leningrad:: prospective cohort study
Sparén P; Vågerö D; Shestov DB; Plavinskaja S; Parfenova N; Hoptiar V; Paturot D; Galanti MR
Article: PAEDIATRIC AND PERINATAL EPIDEMIOLOGY. 2003;17(4):340-346
Signs of infection in Pap smears and risk of adverse pregnancy outcome
Buchmayer S; Sparén P; Cnattingius S
Article: JOURNAL OF THE NATIONAL CANCER INSTITUTE. 2003;95(16):1238-1240
Age at immigration and duration of stay in relation to risk for testicular cancer among Finnish immigrants in Sweden
Ekbom A; Richiardi L; Akre O; Montgomery SM; Sparén P
Article: BRITISH JOURNAL OF CANCER. 2002;87(9):989-993
Childhood indicators of susceptibility to subsequent cervical cancer
Montgomery SM; Ehlin AGC; Sparén P; Björkstén B; Ekbom A
Article: EPIDEMIOLOGY. 2002;13(4):417-423
Perinatal risk factors for infantile autism
Hultman CM; Sparén P; Cnattingius S
Article: ARCHIVES OF GENERAL PSYCHIATRY. 2001;58(9):844-850
Excess mortality in bipolar and unipolar disorder in Sweden
Ösby U; Brandt L; Correia N; Ekbom A; Sparén P
Article: CANCER CAUSES AND CONTROL. 2001;12(6):519-528
Attitudes to screening for cervical cancer:: a population-based study in Sweden
Eaker S; Adami HO; Sparén P
Article: PREVENTIVE MEDICINE. 2001;32(6):482-491
Reasons women do not attend screening for cervical cancer:: A population-based study in Sweden
Eaker S; Adami HO; Sparén P
Article: SCHIZOPHRENIA RESEARCH. 2001;47(2-3):247-254
Time trends in first admissions for schizophrenia and paranoid psychosis in Stockholm County, Sweden
Ösby U; Hammar N; Brandt L; Wicks S; Thinsz Z; Ekbom A; Sparén P
Article: CANCER RESEARCH. 2000;60(21):6027-6032
A prospective study showing long-term infection with human papillomavirus 16 before the development of cervical carcinoma in situ
Ylitalo N; Josefsson A; Melbye M; Sörensen P; Frisch M; Anderson PK; Sparén P; Gustafsson M; Magnusson P; Pontén J; Gyllensten U; Adami HO
Article: PREVENTIVE MEDICINE. 2000;31(4):417-428
Attitudes, beliefs, and knowledge as predictors of nonattendance in a Swedish population-based mammography screening program
Lagerlund M; Hedin A; Sparén P; Thurfjell E; Lambe M
Article: SCHIZOPHRENIA RESEARCH. 2000;45(1-2):21-28
Mortality and causes of death in schizophrenia in Stockholm County, Sweden
Ösby U; Correia N; Brandt L; Ekbom A; Sparén P
Article: THE BMJ. 2000;321(7259):483-484
Time trends in schizophrenia mortality in Stockholm County, Sweden:: cohort study
Ösby U; Correia N; Brandt L; Ekbom A; Sparén P
Article: JOURNAL OF THE NATIONAL CANCER INSTITUTE. 2000;92(13):1093-1096
Body size and testicular cancer
Akre O; Ekbom A; Sparén P; Tretli S
Article: EUROPEAN JOURNAL OF CANCER PREVENTION. 2000;9(1):25-33
Predictors of non-attendance in a population-based mammography screening programme;: socio-demographic factors and aspects of health behaviour
Lagerlund M; Sparén P; Thurfjell E; Ekbom A; Lambe M
Article: SOCIOLOGISK FORSKNING. 2000;37(1):127-149
Stagnation, break-down and a new social order -: the roots of the Russian public health crisis
Sparén P; Vågerö D
Article: THE LANCET. 1999;354(9184):1093-1094
Causes of increasing cancer prevalence in Sweden
Stenbeck M; Rosén M; Sparén P
Article: ANNALS OF SURGERY. 1999;230(2):162-169
Survival in stomach cancer is improving -: Results of a nationwide population-based Swedish study
Hansson LE; Sparén P; Nyrén O
Article: EPIDEMIOLOGY. 1999;10(4):364-369
Risk factor patterns for cryptorchidism and hypospadias
Akre O; Lipworth L; Cnattingius S; Sparén P; Ekbom A
Article: ARCHIVES OF GENERAL PSYCHIATRY. 1999;56(7):634-638
Very preterm birth, birth trauma, and the risk of anorexia nervosa among girls
Cnattingius S; Hultman CM; Dahl M; Sparén P
Article: INTERNATIONAL JOURNAL OF CANCER. 1999;81(3):357-365
Smoking and oral contraceptives as risk factors for cervical carcinoma in situ
Ylitalo N; Sorensen P; Josefsson A; Frisch M; Sparén P; Pontén J; Gyllensten U; Melbye M; Adami HO
Article: THE BMJ. 1999;318(7181):421-426
Prenatal and perinatal risk factors for schizophrenia, affective psychosis, and reactive psychosis of early onset:: case-control study
Hultman CM; Sparén P; Takei N; Murray RM; Cnattingius S
Article: THE BMJ. 1998;317(7152):180-181
Disease activity and risk of lymphoma in patients with rheumatoid arthritis:: nested case-control study
Baecklund E; Ekbom A; Sparén P; Feltelius N; Klareskog L
Article: SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY. 1998;33(5):540-543
Stomach leiomyosarcoma:: Secular trends in incidence and survival in Sweden, 1960-1989
Hansson LE; Sparén P; Nyrén O
Article: CANCER CAUSES AND CONTROL. 1998;9(2):145-152
Trends in colorectal cancer incidence in Sweden 1959-93 by gender, localization, time period, and birth cohort
Thorn M; Bergstrom R; Kressner U; Sparen P; Zack M; Ekbom A
Article: UROLOGY. 1997;50(4):562-566
The sextant protocol for ultrasound-guided core biopsies of the prostate underestimates the presence of cancer
Norberg M; Egevad L; Holmberg L; Sparen P; Norlen BJ; Busch C
Article: MELANOMA RESEARCH. 1996;6(2):147-153
Malignant melanoma: Reduced risk associated with early childbearing and multiparity
Lambe M; Thorn M; Sparen P; Bergstrom R; Adami HO
Article: INTERNATIONAL JOURNAL OF CANCER. 1995;63(6):804-809
Low efficiency of cytologic screening for cancer in situ of the cervix in older women.
Gustafsson L; Sparén P; Gustafsson M; Pettersson B; Wilander E; Bergström R; Adami HO
Article: BRITISH JOURNAL OF SURGERY. 1995;161(10):755-760
Cancers among patients diagnosed as having diverticular disease of the colon.
Stefánsson T; Ekbom A; Sparén P; Påhlman L
Article: BRITISH JOURNAL OF CANCER. 1995;72(2):498-505
Efficiency of organised and opportunistic cytological screening for cancer in situ of the cervix.
Gustafsson L; Sparén P; Gustafsson M; Wilander E; Bergström R; Adami HO
Article: CANCER. 1995;76(3):442-452
Second primary cancer after treatment for cervical cancer. An international cancer registries study.
Kleinerman RA; Boice JD; Storm HH; Sparen P; Andersen A; Pukkala E; Lynch CF; Hankey BF; Flannery JT
Article: INTERNATIONAL JOURNAL OF CANCER. 1995;61(5):615-621
IS RESIDENCE IN AREAS OF ENDEMIC GOITER A RISK FACTOR FOR THYROID-CANCER
GALANTI MR; SPAREN P; KARLSSON A; GRIMELIUS L; EKBOM A
Article: JOURNAL OF CLINICAL ONCOLOGY. 1995;13(3):715-725
Improved control of invasive cervical cancer in Sweden over six decades by earlier clinical detection and better treatment.
Sparén P; Gustafsson L; Friberg LG; Pontén J; Bergström R; Adami HO
Article: EUROPEAN JOURNAL OF CANCER. 1995;31A(4):435-443
BIOCHEMICAL-EVIDENCE FOR A MATURE PHENOTYPE IN MORPHOLOGICALLY POORLY DIFFERENTIATED NEUROBLASTOMAS WITH A FAVORABLE OUTCOME
HEDBORG F; BJELFMAN C; SPAREN P; SANDSTEDT B; PAHLMAN S
Article: CANCER CAUSES AND CONTROL. 1995;6(1):37-44
PARITY AND RISK OF THYROID-CANCER - A NESTED CASE-CONTROL STUDY OF A NATIONWIDE SWEDISH COHORT
GALANTI MR; LAMBE M; EKBOM A; SPAREN P; PETTERSSON B
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Letter: BREAST. 2020;50:151-152
RE: "Comment on: "Occupational exposures and male breast cancer: A nested case-control study in the Nordic countries""
Talibov M; Hansen J; Heikkinen S; Martinsen J-I; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E
Letter: ACTA ONCOLOGICA. 2020;59(1):112-115
Smoking-adjusted risk of renal pelvis cancer by occupation: a population-based cohort study of Nordic men
Michalek IM; Kjaerheim K; Martinsen JI; Sparen P; Tryggvadottir L; Weiderpass E; Pukkala E; Lynge E
Review: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. 2018;97(7):795-807
An overview of cervical cancer epidemiology and prevention in Scandinavia
Pedersen K; Fogelberg S; Thamsborg LH; Clements M; Nygard M; Kristiansen IS; Lynge E; Sparen P; Kim JJ; Burger EA
Corrigendum: PLOS ONE. 2018;13(7):e0200554
The economic burden of human papillomavirus-related precancers and cancers in Sweden (vol 12, e0179520, 2017)
Ostensson E; Silfverschiold M; Greiff L; Asciutto C; Wennerberg J; Lydrup M-L; Hakansson U; Sparen P; Borgfeldt C
Letter: INTERNATIONAL JOURNAL OF CANCER. 2017;141(2):416-418
Untitled Reply
Sundstrom K; Herweijer E; Sparen P; Ploner A
Review: ACTA ONCOLOGICA. 2014;53(4):445-451
Interventions to improve cervical cancer screening uptake amongst young women: A systematic review
Albrow R; Blomberg K; Kitchener H; Brabin L; Patnick J; Tishelman C; Tornberg S; Sparen P; Widmark C
Review: ACTA ONCOLOGICA. 2009;48(5):646-790
Occupation and cancer - follow-up of 15 million people in five Nordic countries
Pukkala E; Martinsen JI; Lynge E; Gunnarsdottir HK; Sparen P; Tryggvadottir L; Weiderpass E; Kjaerheim K
Letter: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2008;168(9):1093
RE: "RISK OF ORAL CLEFTS IN RELATION TO PREPREGNANCY WEIGHT CHANGE AND INTERPREGNANCY INTERVAL" REPLY
Villamor E; Sparen P; Cnattingius S
Meeting abstract: EUROPEAN PSYCHIATRY. 2008;23:S135-S136
Increasing cardiovascular mortality trends in schizophrenia in Sweden
Osby U; Alfredsson L; Edman G; Reutfors J; Isacsson G; Hennekens C; Sparen P
Meeting abstract: EUROPEAN PSYCHIATRY. 2008;23:S227-S228
Psychiatric hospitalization in bipolar disorder in Sweden
Edman G; Backlund L; Adler M; Hallgren J; Sparen P; Osby U
Meeting abstract: EUROPEAN PSYCHIATRY. 2008;23:S338
Forensic toxicology of 16,937 suicides in Sweden 1995-2005 indicates that the increased use of antidepressants caused the decrease in suicide
Isacsson G; Holmgren A; Osby U; Sparen P; Ahlner J
Letter: BJOG: AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. 2008;115(3):415-416
Risk factors for uterine rupture and neonatal consequences of uterine rupture:: a population-based study of successive pregnancies in Sweden -: Reply
Kaczmarczyk M; Sparen P; Terry P; Cnattingius S
Editorial comment: THE LANCET. 2004;364(9433):485-487
Autism -: prenatal insults or an epiphenomenon of a strongly genetic disorder?
Hultman CM; Sparén P
Letter: THE BMJ. 2004;328(7435):346-347
Long term mortality after starvation during the Leningrad siege -: No evidence that starvation around puberty causes later cardiovascular disease -: Reply
Vågerö D; Shestov D; Galanti R; Sparén P
Meeting abstract: SCHIZOPHRENIA RESEARCH. 2003;60(1):48
Excess mortality in schizophrenia in Stockholm County, Sweden
Ösby U; Correia N; Brandt L; Ekbom A; Sparen P
Meeting abstract: SCHIZOPHRENIA RESEARCH. 2000;41(1):68-69
Intra-uterine growth and risk of schizophrenia, affective psychosis, reactive psychosis, infantile autism and anorexia nervosa
Hultman CM; Cnattingius S; Sparén P
Editorial comment: BRITISH JOURNAL OF CANCER. 1999;81(1):159-166
Trends in cancer of the cervix uteri in Sweden following cytological screening
Bergström R; Sparén P; Adami HO
Letter: NATURE. 1999;400(6739):29-30
Genetic link to cervical tumours
Magnusson PKE; Sparén P; Gyllensten UB
Letter: INTERNATIONAL JOURNAL OF CANCER. 1995;63(2):317
HPV and cervical cancer.
Pontén J; Adami HO; Friberg LG; Gustafsson L; Miller AB; Parkin M; Sparén P; Trichopoulos D
Meeting abstract: GASTROENTEROLOGY. 1995;108(4):a37
THE ASSOCIATION BETWEEN SIGMOID DIVERTICULITIS AND LEFT-SIDED COLON-CANCER
STEFANSSON T; EKBOM A; SPAREN P; PAHLMAN L
Review: INTERNATIONAL JOURNAL OF CANCER. 1995;60(1):1-26
STRATEGIES FOR GLOBAL CONTROL OF CERVICAL-CANCER
PONTEN J; ADAMI HO; BERGSTROM R; DILLNER J; FRIBERG LG; GUSTAFSSON L; MILLER AB; PARKIN DM; SPAREN P; TRICHOPOULOS D
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