Hypospadias Prevalence and Trends in International Birth Defect Surveillance Systems, 1980–2010
| Autor: | David Tucker, Miriam Gatt, Barry Borman, Wendy N. Nembhard, A. J. Agopian, Jorieke E. H. Bergman, Giovanna Tagliabue, Margery Morgan, Karin Kallen, Natasha Nassar, M. Aaurora Canessa, Wei Luo, Pierpaolo Mastroiacovo, Eva Bermejo-Sánchez, Rosa Gajardo, Xiao Yu, Elena Szabova, Mark A. Canfield, Carol Bower, Juan Andrés León, Jocelyn Rouleau, Antonin Sipek, R. Brian Lowry, Charlotte A. Hobbs, Melinda Csáky-Szunyogh, Boris Groisman, Ignacio Zarante, Hermien E. K. de Walle, Janet D. Cragan, Sonja Kiuru-Kuhlefelt, Amy Nance, Annukka Ritvanen, Anke Rissmann, Emmanuelle Amar, Anna Pierini, Osvaldo M. Mutchinick, Nicolás Fernández, Saeed Dastgiri, Paolo Contiero, Dorit Goetz, Fabrizio Bianchi, Gareth Baynam, Adriana Benavides, Laura Elia Martínez-de-Villarreal |
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| Přispěvatelé: | Reproductive Origins of Adult Health and Disease (ROAHD) |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Joinpoint regression Urology 030232 urology & nephrology Global Health 03 medical and health sciences 0302 clinical medicine Epidemiology Prevalence Trend medicine Humans EPIDEMIOLOGY Statistical analysis Registries RATES International Clearinghouse for Birth Defects Surveillance and Research Patient summary Hypospadias Pregnancy business.industry Infant Newborn medicine.disease Confidence interval CONGENITAL-ANOMALIES Population Surveillance 030220 oncology & carcinogenesis Population study business Demography |
| Zdroj: | European Urology, 76(4), 482-490. ELSEVIER SCIENCE BV |
| ISSN: | 0302-2838 |
| DOI: | 10.1016/j.eururo.2019.06.027 |
| Popis: | Background: Hypospadias is a common male birth defect that has shown widespread variation in reported prevalence estimates. Many countries have reported increasing trends over recent decades.Objective: To analyze the prevalence and trends of hypospadias for 27 international programs over a 31-yr period.Design, setting, and participants: The study population included live births, stillbirths, and elective terminations of pregnancy diagnosed with hypospadias during 1980-2010 from 27 surveillance programs around the world.Outcome measurements and statistical analysis: We used joinpoint regression to analyze changes over time in international total prevalence of hypospadias across programs, prevalence for each specific program, and prevalence across different degrees of severity of hypospadias.Results and limitations: The international total prevalence of hypospadias for all years was 20.9 (95% confidence interval: 19.2-22.6) per 10 000 births. The prevalence for each program ranged from 2.1 to 39.1 per 10 000 births. The international total prevalence increased 1.6 times during the study period, by 0.25 cases per 10 000 births per year (p Conclusions: Although there have been changes in clinical practice and registry ascertainment over time in some countries, the consistency in the observed increasing trends across many programs and by degrees of severity suggests that the total prevalence of hypospadias may be increasing in many countries. This observation is contrary to some previous reports that suggested that the total prevalence of hypospadias was no longer increasing in recent decades.Patient summary: We report on the prevalence and trends of hypospadias among 27 birth defect surveillance systems, which indicate that the prevalence of hypospadias continues to increase internationally. (C) 2019 European Association of Urology. Published by Elsevier B.V. All rights reserved. |
| Databáze: | OpenAIRE |
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