载体查与囊性纤维化发病率之间的关联
Carlo Castellani1, Luigi Picci, Anna Tamanini
1Cystic Fibrosis Center, Verona Hospital, Piazzale Stefani 1, 37126 Verona, Italy. carlo.castellani@azosp.vr.it
JAMA
|December 17, 2009
概括
对囊性纤维化 (CF) 的载体查与意大利东北部CF出生率的下降有关. 增加的载体查工作与CF出生率的显著减少有关.
科学领域:
- 遗传学 是一个遗传学.
- 公共卫生 公共卫生
- 医学查 医学查
背景情况:
- 在某些地区观察到囊性纤维化 (CF) 出生率的下降趋势.
- 新生儿查计划对于监测CF发病率至关重要.
研究的目的:
- 调查载体查可用性和囊性纤维化出生发病率之间的关系.
- 为了比较不同携带者查策略对CF出生率的影响.
主要方法:
- 从1993年1月到2007年12月,在意大利东北部进行了回顾性分析.
- 在两个具有不同载体查协议的地区之间比较了CF出生发病率:西部 (有限的访问) 和东部 (广泛的访问).
- 分析了接受CF查的779,631名新生儿的数据.
主要成果:
- 随着时间的推移,CF出生发病率的统计显著下降被观察到 (每10,000名新生儿平均每年下降0.16).
- 东部地区,以更广泛的载体查,与西部地区 (0.04) 相比,CF出生率 (0.24) 的减少更大.
- 增加携带者查与CF出生发病率降低显著相关 (相关系数 = -0.53).
结论:
- 对囊性纤维化进行载体查与CF出生发病率的减少有关.
- 携带者查的更广泛的可用性可能有助于CF出生率大幅度下降.
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