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Gastroschisis prevalence patterns in 27 surveillance programs from 24 countries, International Clearinghouse for Birth Defects Surveillance and Research, 1980-2017
ML. Feldkamp, MA. Canfield, S. Krikov, D. Prieto-Merino, A. Šípek, N. LeLong, E. Amar, A. Rissmann, M. Csaky-Szunyogh, G. Tagliabue, A. Pierini, M. Gatt, JEH. Bergman, E. Szabova, E. Bermejo-Sánchez, D. Tucker, S. Dastgiri, MP. Bidondo, A....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
PubMed
38411327
DOI
10.1002/bdr2.2306
Knihovny.cz E-zdroje
- MeSH
- gastroschiza * epidemiologie MeSH
- lidé MeSH
- narození mrtvého plodu MeSH
- novorozenec MeSH
- prevalence MeSH
- pupeční kýla * epidemiologie MeSH
- těhotenství MeSH
- věk matky MeSH
- vrozené deformity končetin * MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Gastroschisis is a serious birth defect with midgut prolapse into the amniotic cavity. The objectives of this study were to evaluate the prevalence and time trends of gastroschisis among programs in the International Clearinghouse for Birth Defects Surveillance and Research (ICBDSR), focusing on regional variations and maternal age changes in the population. METHODS: We analyzed data on births from 1980 to 2017 from 27 ICBDSR member programs, representing 24 countries and three regions (Europe+ (includes Iran) , Latin America, North America). Cases were identified using diagnostic codes (i.e., 756.7, 756.71, or Q79.3). We excluded cases of amniotic band syndrome, limb-body wall defect, and ruptured omphalocele. Programs provided annual counts for gastroschisis cases (live births, stillbirths, and legally permitted pregnancy terminations for fetal anomalies) and source population (live births, stillbirths), by maternal age. RESULTS: Overall, gastroschisis occurred in 1 of every 3268 births (3.06 per 10,000 births; 95% confidence intervals [CI]: 3.01, 3.11), with marked regional variation. European+ prevalence was 1.49 (95%CI: 1.44, 1.55), Latin American 3.80 (95%CI: 3.69, 3.92) and North American 4.32 (95%CI: 4.22, 4.42). A statistically significant increasing time trend was observed among six European+ , four Latin American, and four North American programs. Women <20 years of age had the highest prevalence in all programs except the Slovak Republic. CONCLUSIONS: Gastroschisis prevalence increased over time in 61% of participating programs, and the highest increase in prevalence was observed among the youngest women. Additional inquiry will help to assess the impact of the changing maternal age proportions in the birth population on gastroschisis prevalence.
Costa Rican Birth Defects Register Center Cartago Costa Rica
Czech Republic Department of Medical Genetics Thomayer Hospital Prague Czech Republic
Department of Pediatrics The University of Utah Salt Lake City Utah USA
ECEMC Instituto de Salud Carlos 3 Madrid Spain
ECLAMC Center for Medical Education and Clinical Research Buenos Aires Argentina
Facultad de Ciencias de la Salud Pontificia Universidad Javeriana Cali Cali Colombia
Faculty of Medicine Universidad de Alcalá Madrid Spain
Faculty of Public Health Slovak Medical University in Bratislava Bratislava Slovak Republic
France REMERA Registre des malformations en Rhône Alpes Hospices Civils de Lyon Lyon France
Health Services Management Research Centre Tabriz University of Medical Sciences Tabriz Iran
Instituto de Genética Humana Pontificia Universidad Javeriana Bogotá Bogotá Colombia
Malta Congenital Anomalies Registry Directorate for Health Information and Research Pieta Malta
Mexico ReDeCo Monterrey Nuevo Leon Mexico
Regional Register Congenital Malformation Maule Health Service Maule Chile
Université Paris Cité Centre of Research in Epidemiology and StatisticS INSERM INRA Paris France
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