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Winding, L; Loane, M; Wellesley, D; Addor, MC; Arriola, L; Bakker, MK; Bianchi, F; Calzolari, E; Gatt, M; Haeusler, M; Lelong, N; Mullaney, C; Scarano, G; Tucker, D; Wiesel, A; Garne, E.
Prenatal diagnosis and epidemiology of multicystic kidney dysplasia in Europe.
Prenat Diagn. 2014; 34(11):1093-1098
Doi: 10.1002/pd.4433
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Haeusler Martin
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- Abstract:
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The aim of this study is to describe the prenatal diagnosis and epidemiology of multicystic kidney dysplasia (MCKD).
The study is based on routinely collected data from a European database of major congenital anomalies including 13 registries with cases born in 1997-2006 and covering 1 458 552 births.
There were 601 MCKD cases giving an overall prevalence of 4.12 per 10 000 births with regional variation. In live births, 87% of cases had an isolated renal anomaly and 13% had associated major nonrenal anomalies (chromosomal, syndrome or other major anomalies). For the cases with isolated renal anomalies, 51/386 (11%) and 7/386 (2%) choose to terminate the pregnancy or resulted in an intrauterine fetal death, respectively. The prenatal detection rate was 88% in both unilateral and bilateral cases. Birth outcome differed with 92% of unilateral MCKD cases being liveborn compared with 33% of bilateral MCKD cases. For unilateral MCKD cases, 84% had an isolated renal anomaly compared with 51% of bilateral MCKD cases (p < 0.001).
Cases with unilateral MCKD are mainly liveborn, and only 16% have associated major malformations or a syndrome. Cases with bilateral MCKD are often associated with nonrenal major congenital anomalies or part of a syndrome, and only one third of bilateral MCKD cases in this study were liveborn. Prenatal detection rate of MCKD was high for both unilateral and bilateral cases. © 2014 John Wiley & Sons, Ltd.
© 2014 John Wiley & Sons, Ltd.
- Find related publications in this database (using NLM MeSH Indexing)
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Abnormalities, Multiple - epidemiology
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Abnormalities, Multiple - epidemiology
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Female -
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Fetal Death -
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Gestational Age -
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Humans -
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Infant, Newborn -
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Live Birth - epidemiology
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Male -
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Multicystic Dysplastic Kidney - diagnosis
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Multicystic Dysplastic Kidney - epidemiology
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Pregnancy -
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Prenatal Diagnosis - statistics & numerical data
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Prevalence -
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Registries - statistics & numerical data
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Stillbirth - epidemiology