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European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
,
Maria Loane,
Joachim Tan,
Elisa Ballardini,
Joanna Brigden,
Clara Cavero‐Carbonell,
Alessio Coi,
Mads Damkjær,
Laura Garcia‐Villodre,
Mika Gissler,
Joanne Given,
Anna Heino,
Sue Jordan,
Elizabeth Limb,
Amanda Neville,
Anke Rissmann ,
Michele Santoro,
Ieuan Scanlon,
Stine Kjaer Urhoj ,
Diana Wellesley,
Joan Morris
Acta Paediatrica, Volume: 112, Issue: 6, Pages: 1304 - 1311
Swansea University Authors: Sue Jordan, Ieuan Scanlon
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DOI (Published version): 10.1111/apa.16726
Abstract
AimChildren with congenital anomalies often require surgery but data on the burden of surgery for these children are limited.MethodsA population-based record-linkage study in Finland, Wales and regions of Denmark, England, Italy and Spain. A total of 91 504 children with congenital anomalies born in...
| Published in: | Acta Paediatrica |
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| ISSN: | 0803-5253 1651-2227 |
| Published: |
Wiley
2023
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa63011 |
| Abstract: |
AimChildren with congenital anomalies often require surgery but data on the burden of surgery for these children are limited.MethodsA population-based record-linkage study in Finland, Wales and regions of Denmark, England, Italy and Spain. A total of 91 504 children with congenital anomalies born in 1995–2014 were followed to their tenth birthday or the end of 2015. Electronic linkage to hospital databases provided data on inpatient surgical procedures and meta-analyses of surgical procedures were performed by age groups.ResultsThe percentage of children having surgery in the first year was 38% with some differences across regions and 14% also underwent surgery at age 1–4 years. Regional differences in age at the time of their first surgical procedure were observed for children with cleft palate, hydronephrosis, hypospadias, clubfoot and craniosynostosis. The children had a median of 2.0 (95% CI 1.98, 2.02) surgical procedures before age 5 years with children with oesophageal atresia having the highest median number of procedures (4.5; 95% CI 3.3, 5.8).ConclusionA third of children with congenital anomalies required surgery during infancy and often more than one procedure was needed before age 5 years. There was no European consensus on the preferred age for surgery for some anomalies. |
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| Keywords: |
congenital anomaly; median age; paediatric surgery; population-based record-linkage |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
Horizon 2020 Framework Programme. Grant Number: 733001 |
| Issue: |
6 |
| Start Page: |
1304 |
| End Page: |
1311 |