欧洲先天性异常病例中的遗传诊断:来自EUROCAT网络的数据
Jorieke E H Bergman1, Annie Perraud2, Ester Garne3
1Eurocat Northern Netherlands, Department of Genetics, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Paediatric and perinatal epidemiology
|November 24, 2025
概括
在先天性异常中,遗传诊断的比例从2013年到2022年略有增加. 遗传异常监测的这一趋势不太可能影响对非遗传原因的监测.
科学领域:
- 医学遗传学 医学遗传学
- 流行病学 流行病学
- 公共卫生监督 公共卫生监督
背景情况:
- 遗传异常监测跟踪患病率,以检测新的致病原体.
- 监测通常不包括已知遗传原因的异常.
- 了解基因诊断的趋势对于准确的监测至关重要.
研究的目的:
- 分析先天性异常病例中遗传诊断比例的时间变化.
- 评估遗传诊断对先天性异常监测的影响.
主要方法:
- 利用了来自20个EUROCAT先天性异常登记处 (2013-2022) 的数据.
- 包括所有怀孕结果.
- 采用多级二项式回归来估计遗传诊断比例的年度变化,有或没有三症13,18和21.
主要成果:
- 总体而言,在100,099例中,有20%的病例是基因诊断,每年增加1.4%.
- 除了三症外,10%的人有遗传诊断,每年增加1.2%.
- 在五个异常组 (不包括三症组) 中观察到注册表之间的变化和日益增加的遗传诊断.
结论:
- 预计遗传诊断的适度增加不会显著影响非遗传异常监测.
- 欧罗卡特网络将继续每五年监测基因诊断的比例.
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