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Paper 5 : Surveillance of multiple congenital anomalies: implementation of a computer algorithm in European registers for classification of cases (CROSBI ID 176167)

Prilog u časopisu | pregledni rad (znanstveni) | međunarodna recenzija

Garne, Ester ; Dolk, Helen ; Loane, Maria ; Wellesley, Diana ; Barišić, Ingeborg ; Calzolari, Elisa ; Densem, James ; EUROCAT Working Group Paper 5 : Surveillance of multiple congenital anomalies: implementation of a computer algorithm in European registers for classification of cases // Birth defects research. Part A. Clinical and molecular teratology, 91 (2011), Supp 1; S44-S50. doi: 10.1002/bdra.20777

Podaci o odgovornosti

Garne, Ester ; Dolk, Helen ; Loane, Maria ; Wellesley, Diana ; Barišić, Ingeborg ; Calzolari, Elisa ; Densem, James ; EUROCAT Working Group

engleski

Paper 5 : Surveillance of multiple congenital anomalies: implementation of a computer algorithm in European registers for classification of cases

Surveillance of multiple congenital anomalies is considered to be more sensitive for the detection of new teratogens than surveillance of all or isolated congenital anomalies. Current literature proposes the manual review of all cases for classification into isolated or multiple congenital anomalies. Multiple anomalies were defined as two or more major congenital anomalies, excluding sequences and syndromes. A computer algorithm for classification of major congenital anomaly cases in the EUROCAT database according to International Classification of Diseases (ICD)v10 codes was programmed, further developed, and implemented for 1 year's data (2004) from 25 registries. The group of cases classified with potential multiple congenital anomalies were manually reviewed by three geneticists to reach a final agreement of classification as "multiple congenital anomaly" cases. A total of 17, 733 cases with major congenital anomalies were reported giving an overall prevalence of major congenital anomalies at 2.17%. The computer algorithm classified 10.5% of all cases as "potentially multiple congenital anomalies". After manual review of these cases, 7% were agreed to have true multiple congenital anomalies. Furthermore, the algorithm classified 15% of all cases as having chromosomal anomalies, 2% as monogenic syndromes, and 76% as isolated congenital anomalies. The proportion of multiple anomalies varies by congenital anomaly subgroup with up to 35% of cases with bilateral renal agenesis. The implementation of the EUROCAT computer algorithm is a feasible, efficient, and transparent way to improve classification of congenital anomalies for surveillance and research.

congenital ; anomalies ; congenital ; anomalies ; multiple congenital anomaly ; computer algorithm ; classification ; surveillance ; etiology

Special Issue: EUROCAT Supplement Issue ; S1-S100 ; Patricia Boyd, Martin Haeusler, Ingeborg Barišić (ur.).

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Podaci o izdanju

91 (Supp 1)

2011.

S44-S50

objavljeno

1542-0752

1542-0760

10.1002/bdra.20777

Povezanost rada

Kliničke medicinske znanosti

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