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Epidemiology of congenital diaphragmatic hernia in Europe: a register-based study
MR. McGivern, KE. Best, J. Rankin, D. Wellesley, R. Greenlees, MC. Addor, L. Arriola, H. de Walle, I. Barisic, J. Beres, F. Bianchi, E. Calzolari, B. Doray, ES. Draper, E. Garne, M. Gatt, M. Haeusler, B. Khoshnood, K. Klungsoyr, A....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, práce podpořená grantem
NLK
ProQuest Central
od 1997-01-01 do Před 6 měsíci
Health & Medicine (ProQuest)
od 1997-01-01 do Před 6 měsíci
- MeSH
- analýza přežití MeSH
- dospělí MeSH
- gestační stáří MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mnohočetné abnormality epidemiologie MeSH
- novorozenec MeSH
- porodní hmotnost MeSH
- prevalence MeSH
- registrace MeSH
- surveillance populace MeSH
- věk matky MeSH
- vrozená brániční kýla epidemiologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
INTRODUCTION: Published prevalence rates of congenital diaphragmatic hernia (CDH) vary. This study aims to describe the epidemiology of CDH using data from high-quality, population-based registers belonging to the European Surveillance of Congenital Anomalies (EUROCAT). METHODS: Cases of CDH delivered between 1980 and 2009 notified to 31 EUROCAT registers formed the population-based case series. Prevalence over time was estimated using multilevel Poisson regression, and heterogeneity between registers was evaluated from the random component of the intercept. RESULTS: There were 3373 CDH cases reported among 12 155 491 registered births. Of 3131 singleton cases, 353 (10.4%) were associated with a chromosomal anomaly, genetic syndrome or microdeletion, 784 (28.2%) were associated with other major structural anomalies. The male to female ratio of CDH cases overall was 1:0.69. Total prevalence was 2.3 (95% CI 2.2 to 2.4) per 10 000 births and 1.6 (95% CI 1.6 to 1.7) for isolated CDH cases. There was a small but significant increase (relative risk (per year)=1.01, 95% credible interval 1.00-1.01; p=0.030) in the prevalence of total CDH over time but there was no significant increase for isolated cases (ie, CDH cases that did not occur with any other congenital anomaly). There was significant variation in total and isolated CDH prevalence between registers. The proportion of cases that survived to 1 week was 69.3% (1392 cases) for total CDH cases and 72.7% (1107) for isolated cases. CONCLUSIONS: This large population-based study found an increase in total CDH prevalence over time. CDH prevalence also varied significantly according to geographical location. No significant association was found with maternal age.
Centro Superior de Investigación en Salud Pública FISABIO Valencia Spain
Children's Hospital Zagreb University of Zagreb School of Medicine Zagreb Croatia
Department of de Genetique Medicale Hopital de Hautepierre Strasbourg France
Department of Health Information and Research Guardamangia Malta
Department of Health Sciences University of Leicester Leicester UK
Department of Medical Genetics ARNAS Garibaldi Nesima Catania Italy
Health Service Executive Cork Ireland
Health Service Executive Dublin Ireland
Hospital Lillebaelt Kolding Denmark
Institute of Health and Society Newcastle University Newcastle upon Tyne UK
Instituto Nacional de Saude Dr Ricardo Jorge Lisbon Portugal
Medical Genetics Unit of CHU Sud Réunion Ile de la Reunion France
Medical University of Graz Graz Austria
National Perinatal Epidemiology Unit University of Oxford Oxford UK
OMNI Net Ukraine Birth Defects Program Rivne Khmelnytskyy Ukraine
Paris Registry of Congenital Malformations INSERM U953 Paris France
Polish Registry of Congenital Malformations Poznan Poland
Provinciaal Instituut voor Hygiene Antwerp Belgium
Public Health Department HSE South Kilkenny Ireland
Service de Genetique Medicale Maternite CHUV Lausanne Switzerland
Citace poskytuje Crossref.org
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- $a INTRODUCTION: Published prevalence rates of congenital diaphragmatic hernia (CDH) vary. This study aims to describe the epidemiology of CDH using data from high-quality, population-based registers belonging to the European Surveillance of Congenital Anomalies (EUROCAT). METHODS: Cases of CDH delivered between 1980 and 2009 notified to 31 EUROCAT registers formed the population-based case series. Prevalence over time was estimated using multilevel Poisson regression, and heterogeneity between registers was evaluated from the random component of the intercept. RESULTS: There were 3373 CDH cases reported among 12 155 491 registered births. Of 3131 singleton cases, 353 (10.4%) were associated with a chromosomal anomaly, genetic syndrome or microdeletion, 784 (28.2%) were associated with other major structural anomalies. The male to female ratio of CDH cases overall was 1:0.69. Total prevalence was 2.3 (95% CI 2.2 to 2.4) per 10 000 births and 1.6 (95% CI 1.6 to 1.7) for isolated CDH cases. There was a small but significant increase (relative risk (per year)=1.01, 95% credible interval 1.00-1.01; p=0.030) in the prevalence of total CDH over time but there was no significant increase for isolated cases (ie, CDH cases that did not occur with any other congenital anomaly). There was significant variation in total and isolated CDH prevalence between registers. The proportion of cases that survived to 1 week was 69.3% (1392 cases) for total CDH cases and 72.7% (1107) for isolated cases. CONCLUSIONS: This large population-based study found an increase in total CDH prevalence over time. CDH prevalence also varied significantly according to geographical location. No significant association was found with maternal age.
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