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Abdominal Wall Defects in Greenland 1989-2015
Merete Bugge1,2, Gitte Drachmann3, Peder Kern4
1Wilhelm Johannsen Centre for Functional Genome Research, Department of Cellular and Molecular Medicine, Panum Institute, University of Copenhagen, Copenhagen, Denmark.
Birth Defects Research
|May 3, 2017
Summary
Gastroschisis prevalence in Greenland significantly increased between 1989-2015, reaching the highest reported rate globally. This study highlights a concerning trend in abdominal wall defects among infants in Greenland.
Area of Science:
- Pediatric Surgery
- Public Health
- Epidemiology
Background:
- Gastroschisis rates are rising globally, unlike omphalocele.
- Greenland's unique demographics and limited research on birth defects.
- The occurrence of abdominal wall defects in Greenland remained uninvestigated.
Purpose of the Study:
- To investigate the prevalence and trends of gastroschisis and omphalocele in Greenland.
- To analyze demographic factors associated with these birth defects.
- To compare findings with global trends.
Main Methods:
- Utilized 27 years of data (1989-2015) from Greenlandic health registries.
- Included nationwide and local health data.
- Classified and analyzed cases of abdominal wall defects.
Main Results:
- Identified 33 infants with abdominal wall defects; 28 gastroschisis, 4 omphalocele.
- Gastroschisis prevalence increased significantly from 8 to 35 per 10,000 births (average 10.7).
- High perinatal mortality (18%) for gastroschisis; 1-year survival 71%. Maternal age under 20 showed higher prevalence.
Conclusions:
- Confirms a significant increase in gastroschisis prevalence in Greenland (1989-2015).
- The reported average prevalence of 10.7 per 10,000 births is the highest known globally.
- Highlights potential etiological differences between gastroschisis and omphalocele.
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