Spina bifida in the Czech Republic – incidence and prenatal dia­gnostics


Authors: A. Šípek 1-4;  V. Gregor 1,3;  A. Šípek jr. 1,5;  N. Friedová 5;  J. Klaschka 6,7;  M. Malý 6,8;  J. Jírová 9
Authors‘ workplace: Oddělení lékařské genetiky, Thomayerova nemocnice, Praha 1;  Oddělení lékařské genetiky, Gennet, Praha 2;  Oddělení lékařské genetiky, Sanatorium Pronatal, Praha 3;  Ústav lékařské genetiky, 3. LF UK, Praha 4;  Ústav biologie a lékařské genetiky, 1. LF UK a VFN v Praze 5;  Ústav informatiky, AV ČR, Praha 6;  Ústav biofyziky a informatiky 1. LF UK, Praha 7;  Státní zdravotní ústav, Praha 8;  Ústav zdravotnických informací, a statistiky, ČR, Praha 9
Published in: Cesk Slov Neurol N 2019; 82(4): 410-414
Category: Original Paper
doi: 10.14735/amcsnn2019410

Overview

Aim: Retrospective epidemiological analysis of the incidence and prenatal dia­gnosis of spina bifida in the Czech Republic from 1994–2015 taken from the databases of the National Registry of Congenital Defects (NRVV) and data from the Czech Society of Medical Genetics and Genomics.

Materials and methods: We used the data from the NRVV kept in the Register of Reproductive Health at the Institute of Health Information and Statistics of Czech Republic from 1994–2015. The second source were data on prenatal dia­gnosis collected under the guidance of the Czech Society of Medical Genetics and Genomics. In our work, we analyzed the annual frequencies and their changes in both born children and prenatally-dia­gnosed cases. We also analyzed weeks of pregnancy in prenatally-dia­gnosed cases.

Results: From 1994–2015, 981 cases of spina bifida were dia­gnosed. Prenatally-dia­gnosed spina bifida and pregnancies that were prematurely terminated included 635 cases, while 346 cases were detected in infants. In relative numbers, the overall incidence rate was 4.36, the incidence of prenatally-dia­gnosed cases was 2.82, and 1.54 in newborns (per 10,000 live births). The effectiveness of prenatal dia­gnosis (P < 0.001) and the incidence of prenatally-dia­gnosed cases (P < 0.001) increased significantly. At the same time, there was a statistically significant decrease in the incidence in newborns (P < 0.001). Both of these trends went against each other, therefore the overall trend was not statistically significant (P = 0.082). There was no change in the pregnancy week during prenatal dia­gnosis.

Conclusion: Due to the successful prenatal dia­gnosis, there was a statically significant decrease in the dia­gnosis of spina bifida in children born during the observed period.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Keywords:

neural tube defects – congenital abnormalities – Czech Republic


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Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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