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  Česky / Czech version Čes.Gynek. 67,2002,č.3 s.131 137
 
Congenital Renal Disease in 1961 –2000:Incidence, Prenatal Diagnosis and Prevalence according to Maternal Age 
Šípek A.1 ,Gregor V.2 ,Horáček J.2 ,Mašátová D.3 

1 Ústav pro péči o matku a dítě,Praha-Podolí,ředitel doc.MUDr.J.Feyereisl,CSc. 2 Oddělení lékařské genetiky,Fakultní Thomayerova nemocnice,Praha,ředitel ing.J.Pubrdle 3Ústav zdravotnických informací a statisticky České republiky,Praha,ředitelka Mgr.V.Mazánková
 


Summary:

       Objective:Presentation of agenesis/hypoplasia of kidneys and cystic kidneys in the Czech Republic during 1961 –2000.Analysis of prevalence of these defects in different groups by maternal age.Design:Retrospective demographic-epidemiological study. Setting:Institute for the Care of Mother and Child,Prague. Method:The author used data from the nationwide register o birth defects in neonates,kept by the Institute of Health Information and Statistics in the CR during 1990 –2000.Epidemiological analysis of the incidence of agenesis/hypoplasia of the kidneys and cystic kidneys in the CR during 1961 to 2000 in cases diagnosed prenatally and in born children.The authors made a mathematical-statistical analysis of the prevalence of these defects by maternal age,using the method of calculation of the 95%confidence interval of probability. Results:In the CR there were during the period from 1961 –2000 1093 registred cases of agenesis/hypoplasia o the kidneys and 1370 cases of cystic kidneys.The mean incidence during the entire period was 1.81 in agenesis/hypoplasia of the kidneys and 2.26 in cystic kidneys per 10 000 live born infants.After adding prenatally diagnosed cases and pregnancies terminated on that account it was 2.05 a 2.58 per 10 000 live born infants. Conclusion:The investigation of these inborn defects did not confirm nor rule out statistically a higher risk of women older than the population average.

        Key words: inborn defect,agenesis/hypoplasia of kidneys,cystic kidneys,incidence,Czech Republic,prenatal diagnosis,maternal age
       

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