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Published on: October 20, 2019
[Epidemiological analysis of polydactylies in Chinese perinatals]
Guang-xuan Zhou1, Lia Dai, Jun Zhu
1National Center for Birth Defects Monitoring, West China Second Hospital, Sichuan University, Chengdu 610041, China.
Insights
Polydactyly, a congenital condition affecting limbs, is more common in males and shows geographic variations in China. Isolated polydactyly is frequent, but cases with other defects have higher fatality rates.
Area of Science:
- Medical Genetics
- Epidemiology
- Public Health
Context:
- Polydactyly is a common congenital limb malformation.
- Understanding its epidemiological characteristics is crucial for public health initiatives.
- Data from the Chinese Birth Defects Monitoring Network (CBDMN) provide insights into prevalence and trends.
Purpose:
- To investigate the epidemiological characteristics of polydactyly in Chinese perinatals.
- To determine prevalence rates, identify demographic variations, and analyze trends.
- To examine the association of polydactyly with other defects and its impact on perinatal outcomes.
Summary:
- A hospital-based surveillance study identified 2097 cases of polydactyly among 2,218,616 perinatals (1996-2000), yielding a prevalence of 9.45 per 10,000.
- Prevalence was higher in males and showed geographic variations between urban and rural areas, with a significant increasing time trend observed.
- Most cases were isolated (88.4%), but those with co-occurring defects (11.6%) exhibited a higher perinatal fatality rate.
Impact:
- Provides essential epidemiological data on polydactyly in a large Chinese perinatal population.
- Highlights the need for targeted interventions and further research into the etiology and management of polydactyly.
- Informs public health strategies for congenital anomaly surveillance and prevention.
Objective:
To investigate the epidemiologyical characteristics of polydactyly.
Methods:
The method of Hospital-based surveillance within Chinese Birth Defects Monitoring Network (CBDMN) was adopted. All perinatals (from 28 weeks of gestation to a period of 7 days after birth) in the participating hospitals were investigated from 1996 to 2000.
Results:
A total of 2097 cases were identified in 2218616 perinates, the prevalence was 9.45 per 10000. The prevalence of male was significantly higher than the female's. The urban prevalence was 9.60 per 10000, and the rural prevalence was 9.05 per 10000. Significant difference and increasing time trend were observed in annual prevalence rate during 1996-2000. Of the 2097 cases, 1853 (88.4%) were in the isolated form, and the rest (11.6%) of them were combined with other defects. Among 1942 perinatals affected by polydactyly, 679 (34.96%) cases occurred in the left limbs, 886 (45.62%) cases occurred in the right limbs, and 377 (19.41%) cases occurred bilaterally.
Conclusion:
The prevalence rates of polydactylies in Chinese perinatals show male predominance and geographic variations. Most of the polydactyly cases were in the from of single defect; however, those accompanied by other defects had a higher perinatal fatality rate.
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