Prevalence, Incidence, and Surgical Treatment Trends of Cerebral Palsy across Türkiye: A Nationwide Cohort Study.

Autor:	Subaşi İÖ; Department of Orthopedics and Traumatology, Faculty of Medicine, Erzincan University, Erzincan 24002, Türkiye., Bingöl İ; Department of Orthopedics and Traumatology, Oncology Training and Research Hospital, Ankara 06230, Türkiye., Yaşar NE; Department of Orthopedics and Traumatology, Ankara Bilkent City Hospital, Ankara 06800, Türkiye., Dumlupinar E; Department of Biostatistics, Faculty of Medicine, Ankara University, Ankara 06230, Türkiye., Ata N; Ministry of Health, Ankara 06430, Türkiye., Ülgü MM; Ministry of Health, Ankara 06430, Türkiye., Birinci Ş; Ministry of Health, Ankara 06430, Türkiye., Ayvali MO; Ministry of Health, Ankara 06430, Türkiye., Erkuş S; Department of Orthopedics and Traumatology, Medifema Hospital, İzmir 35860, Türkiye., Söylemez MS; Department of Orthopedics and Traumatology, Umraniye Training and Research Hospital, Istanbul 34764, Türkiye., Özdemir G; Department of Orthopedics and Traumatology, Ankara Bilkent City Hospital, Ankara 06800, Türkiye.
Jazyk:	angličtina
Zdroj:	Children (Basel, Switzerland) [Children (Basel)] 2023 Jul 07; Vol. 10 (7). Date of Electronic Publication: 2023 Jul 07.
DOI:	10.3390/children10071182
Abstrakt:	Background: Cerebral Palsy (CP) is the most prevalent neurodevelopmental disorder in childhood. Our aim is to identify the demographics of CP in Turkish children in addition to clinical associations and surgical preferences. Methods: Based on national health system data and the International Classification of Diseases (ICD)-10 code for CP, data were evaluated from a total of 53,027 children with CP born between 2016 and 2022, and 9658 of them underwent orthopedic surgery in those years. The incidence and frequency of CP were assessed for the parameters of age and gender. Age at the time of surgery; codes pertaining to surgical interventions; and regions, cities, and hospitals where diagnoses and surgical procedures were performed were also evaluated. Results: There were 29,606 male (55.8%) and 23,421 (44.2%) female patients. The diagnoses of the patients were mostly (76.1%) performed in secondary and tertiary hospitals. The prevalence of CP among children in 2016-2022 was estimated to be 7.74/1000 children. The minimum and maximum incidence rates of cerebral palsy among children between 2016 and 2022 were calculated to be 0.45 and 1.05 per 1000, respectively. Tenoplasty-myoplasty tendon transfer operations were the most common surgeries (47.1%). Conclusion: CP remains a significant health challenge, underpinning a considerable proportion of childhood motor dysfunction. A dedicated national registry system for CP focused on classifying the condition, streamlining treatment, and tracking outcomes would be a valuable tool in our collective efforts to address this critical issue more effectively.
Databáze:	MEDLINE
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