Samuel Ricardo Batista Moura, Luis Renato Nakachima, João Baptista Gomes Dos Santos, João Carlos Belloti, Carlos Henrique Fernandes, Flavio Faloppa, Vinicius Ynoe de Moraes, Rodrigo Guerra Sabongi
{"title":"巴西先天性上肢畸形的发病率：一项描述性横断面研究。","authors":"Samuel Ricardo Batista Moura, Luis Renato Nakachima, João Baptista Gomes Dos Santos, João Carlos Belloti, Carlos Henrique Fernandes, Flavio Faloppa, Vinicius Ynoe de Moraes, Rodrigo Guerra Sabongi","doi":"10.1590/1516-3180.2023.0349.R1.08042024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Congenital Anomalies of the Upper Limb (CAUL) are a group of structural or functional abnormalities that develop during intrauterine life and can lead to limb dysfunction.</p><p><strong>Objectives: </strong>To analyze the prevalence of congenital anomalies of the upper limbs in Brazil and assess maternal and neonatal variables.</p><p><strong>Design and setting: </strong>A cross-sectional, descriptive study was conducted on congenital upper limb malformations among live births across Brazil.</p><p><strong>Methods: </strong>The study spanned from 2010 to 2019. Data were sourced from the Department of Informatics of the Unified Health System (DATASUS) and the Live Birth Information System (SINASC) portal. Analyses focused on the information reported in field 41 of the Live Birth Declaration Form entered into the computerized system.</p><p><strong>Results: </strong>The most common anomaly in Brazil was supernumerary fingers, classified as ICD-Q69.0, affecting 11,708 children, with a prevalence of 4.02 per 10,000 live births. Mothers aged over 40 years had a 36% higher prevalence of having children with CAUL than mothers under 40 years old (OR = 1.36; 95% CI 1.19-1.56). Newborns weighing ≥ 2,499 g were 2.64 times more likely to have CAUL compared to those weighing ≥ 2,500 g (OR = 2.64; 95% CI 2.55-2.73).</p><p><strong>Conclusion: </strong>There was an observed increase in the reporting of CAUL cases over the decade studied. This trend serves as an alert for health agencies, as understanding the prevalence of CAUL and its associated factors is crucial for preventive medicine.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 6","pages":"e2023349"},"PeriodicalIF":1.3000,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185865/pdf/","citationCount":"0","resultStr":"{\"title\":\"Prevalence of Congenital Anomalies of the Upper Limbs in Brazil: a descriptive cross-sectional study.\",\"authors\":\"Samuel Ricardo Batista Moura, Luis Renato Nakachima, João Baptista Gomes Dos Santos, João Carlos Belloti, Carlos Henrique Fernandes, Flavio Faloppa, Vinicius Ynoe de Moraes, Rodrigo Guerra Sabongi\",\"doi\":\"10.1590/1516-3180.2023.0349.R1.08042024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Congenital Anomalies of the Upper Limb (CAUL) are a group of structural or functional abnormalities that develop during intrauterine life and can lead to limb dysfunction.</p><p><strong>Objectives: </strong>To analyze the prevalence of congenital anomalies of the upper limbs in Brazil and assess maternal and neonatal variables.</p><p><strong>Design and setting: </strong>A cross-sectional, descriptive study was conducted on congenital upper limb malformations among live births across Brazil.</p><p><strong>Methods: </strong>The study spanned from 2010 to 2019. Data were sourced from the Department of Informatics of the Unified Health System (DATASUS) and the Live Birth Information System (SINASC) portal. Analyses focused on the information reported in field 41 of the Live Birth Declaration Form entered into the computerized system.</p><p><strong>Results: </strong>The most common anomaly in Brazil was supernumerary fingers, classified as ICD-Q69.0, affecting 11,708 children, with a prevalence of 4.02 per 10,000 live births. Mothers aged over 40 years had a 36% higher prevalence of having children with CAUL than mothers under 40 years old (OR = 1.36; 95% CI 1.19-1.56). Newborns weighing ≥ 2,499 g were 2.64 times more likely to have CAUL compared to those weighing ≥ 2,500 g (OR = 2.64; 95% CI 2.55-2.73).</p><p><strong>Conclusion: </strong>There was an observed increase in the reporting of CAUL cases over the decade studied. This trend serves as an alert for health agencies, as understanding the prevalence of CAUL and its associated factors is crucial for preventive medicine.</p>\",\"PeriodicalId\":49574,\"journal\":{\"name\":\"Sao Paulo Medical Journal\",\"volume\":\"142 6\",\"pages\":\"e2023349\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-06-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185865/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sao Paulo Medical Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1516-3180.2023.0349.R1.08042024\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sao Paulo Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1516-3180.2023.0349.R1.08042024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Prevalence of Congenital Anomalies of the Upper Limbs in Brazil: a descriptive cross-sectional study.
Background: Congenital Anomalies of the Upper Limb (CAUL) are a group of structural or functional abnormalities that develop during intrauterine life and can lead to limb dysfunction.
Objectives: To analyze the prevalence of congenital anomalies of the upper limbs in Brazil and assess maternal and neonatal variables.
Design and setting: A cross-sectional, descriptive study was conducted on congenital upper limb malformations among live births across Brazil.
Methods: The study spanned from 2010 to 2019. Data were sourced from the Department of Informatics of the Unified Health System (DATASUS) and the Live Birth Information System (SINASC) portal. Analyses focused on the information reported in field 41 of the Live Birth Declaration Form entered into the computerized system.
Results: The most common anomaly in Brazil was supernumerary fingers, classified as ICD-Q69.0, affecting 11,708 children, with a prevalence of 4.02 per 10,000 live births. Mothers aged over 40 years had a 36% higher prevalence of having children with CAUL than mothers under 40 years old (OR = 1.36; 95% CI 1.19-1.56). Newborns weighing ≥ 2,499 g were 2.64 times more likely to have CAUL compared to those weighing ≥ 2,500 g (OR = 2.64; 95% CI 2.55-2.73).
Conclusion: There was an observed increase in the reporting of CAUL cases over the decade studied. This trend serves as an alert for health agencies, as understanding the prevalence of CAUL and its associated factors is crucial for preventive medicine.
期刊介绍：
Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.
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