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 |
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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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