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European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe

Ester Garne Orcid Logo, 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 Orcid Logo, Michele Santoro, Ieuan Scanlon, Stine Kjaer Urhoj Orcid Logo, 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...

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Published in: Acta Paediatrica
ISSN: 0803-5253 1651-2227
Published: Wiley 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa63011
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A total of 91&#x2009;504 children with congenital anomalies born in 1995&#x2013;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&#x2013;4&#x2009;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&#x2009;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&#x2009;years. 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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by-nc/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2025-06-06T13:37:03.6997949 v2 63011 2023-03-23 European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe 24ce9db29b4bde1af4e83b388aae0ea1 Sue Jordan Sue Jordan true false 9fcb224c6bd804a4d41a2a8570a71185 Ieuan Scanlon Ieuan Scanlon true false 2023-03-23 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. Journal Article Acta Paediatrica 112 6 1304 1311 Wiley 0803-5253 1651-2227 congenital anomaly; median age; paediatric surgery; population-based record-linkage 1 6 2023 2023-06-01 10.1111/apa.16726 COLLEGE NANME COLLEGE CODE Swansea University Another institution paid the OA fee Horizon 2020 Framework Programme. Grant Number: 733001 2025-06-06T13:37:03.6997949 2023-03-23T14:49:06.5078243 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Ester Garne 0000-0003-0430-2594 1 Maria Loane 2 Joachim Tan 3 Elisa Ballardini 4 Joanna Brigden 5 Clara Cavero‐Carbonell 6 Alessio Coi 7 Mads Damkjær 8 Laura Garcia‐Villodre 9 Mika Gissler 10 Joanne Given 11 Anna Heino 12 Sue Jordan 13 Elizabeth Limb 14 Amanda Neville 15 Anke Rissmann 0000-0002-9437-2790 16 Michele Santoro 17 Ieuan Scanlon 18 Stine Kjaer Urhoj 0000-0002-2069-9723 19 Diana Wellesley 20 Joan Morris 21 63011__27189__802910ee46954b79b7ab176432c8e071.pdf 63011.pdf 2023-04-25T13:07:04.2667864 Output 650141 application/pdf Version of Record true © 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License. true eng http://creativecommons.org/licenses/by-nc/4.0/
title European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
spellingShingle European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
Sue Jordan
Ieuan Scanlon
title_short European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
title_full European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
title_fullStr European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
title_full_unstemmed European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
title_sort European study showed that children with congenital anomalies often underwent multiple surgical procedures at different ages across Europe
author_id_str_mv 24ce9db29b4bde1af4e83b388aae0ea1
9fcb224c6bd804a4d41a2a8570a71185
author_id_fullname_str_mv 24ce9db29b4bde1af4e83b388aae0ea1_***_Sue Jordan
9fcb224c6bd804a4d41a2a8570a71185_***_Ieuan Scanlon
author Sue Jordan
Ieuan Scanlon
author2 Ester Garne
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
format Journal article
container_title Acta Paediatrica
container_volume 112
container_issue 6
container_start_page 1304
publishDate 2023
institution Swansea University
issn 0803-5253
1651-2227
doi_str_mv 10.1111/apa.16726
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description 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.
published_date 2023-06-01T05:11:40Z
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