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Low and decreased prevalence of congenital abdominal wall defect in Taiwan

  • Author Footnotes
    1 Ming-Chun Chen and Jian-Han Chen contributed equally to first authorship.
    Ming-Chun Chen
    Footnotes
    1 Ming-Chun Chen and Jian-Han Chen contributed equally to first authorship.
    Affiliations
    Department of Pediatrics, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

    School of Medicine, Tzu Chi University, Hualien, Taiwan
    Search for articles by this author
  • Author Footnotes
    1 Ming-Chun Chen and Jian-Han Chen contributed equally to first authorship.
    Jian-Han Chen
    Footnotes
    1 Ming-Chun Chen and Jian-Han Chen contributed equally to first authorship.
    Affiliations
    Department of General Surgery, E-Da Hospital, Kaohsiung, Taiwan

    School of Medicine, I-Shou University, Kaohsiung, Taiwan
    Search for articles by this author
  • Yun Chen
    Affiliations
    Department of Surgery, Far Eastern Memorial Hospital, Pan-Chiao, New Taipei, Taiwan

    Department of Chemical Engineering and Materials Science, Yuan Ze University, Chung-Li, Taoyuan, Taiwan
    Search for articles by this author
  • Ya-Hui Tsai
    Affiliations
    Department of Surgery, Far Eastern Memorial Hospital, Pan-Chiao, New Taipei, Taiwan

    Department of Chemical Engineering and Materials Science, Yuan Ze University, Chung-Li, Taoyuan, Taiwan
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  • Cheng-Hung Lee
    Correspondence
    Corresponding author at: Department of General Surgery, Buddhist Dalin Tzu Chi Hospital, Chia-Yi, Taiwan.
    Affiliations
    Department of General Surgery, Buddhist Dalin Tzu Chi Hospital, Chia-Yi, Taiwan

    School of Medicine, Tzu Chi University, Hualien, Taiwan
    Search for articles by this author
  • Author Footnotes
    1 Ming-Chun Chen and Jian-Han Chen contributed equally to first authorship.
Published:February 01, 2019DOI:https://doi.org/10.1016/j.jpedsurg.2018.11.011

      Abstract

      Purpose

      This study aims to identify the prevalence of Congenital abdominal wall defects (AWD), hospital outcomes, and related congenital abnormalities in Taiwan by using the National Health Insurance Research Database (NHIRD).

      Materials and methods

      From 1998 through 2013, all pediatric patients with AWD were collected via ICD-9-CM diagnostic code 756.7x (“congenital anomalies of abdominal wall”) or procedure codes (54.71, 54.72 for Gastroschisis repair (GS-repair); 54.63, 53.41, 53.49 for other abdominal wall repair (O-AWD)) recoded in NHIRD. We used public national birth data for calculating the prevalence. We used CDC/BPA coding rubrics to identify accompanying congenital abnormalities.

      Results

      A total 594 babies with AWD, including 179 patients in GS-repair group and 326 patients in O-AWD-repair group, are identified with 113.5 months median followed-up. The overall prevalence for AWD was 1.65 in 10,000 births and decreased over time. The prevalences of GS-repaired and O-AWD-repaired are 0.50 and 0.90 in 10,000 births. The 1-year-mortality rates of GS-repair and O-AWD-repair are 6.15% and 7.23%. 24.58% GS-repair patients and 30.06% O-AWD-repair patients have congenital abnormalities. 8.38% GS-repair patients and 6.44% O-AWD-repair patients received the following groin hernia-repair procedures.

      Conclusion

      Our results showed that the prevalence of AWD was low and decreased over time in Taiwan.

      Level of evidence

      Level II: Prognosis Study, Retrospective study.

      Key words

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      References

        • Christison-Lagay E.R.
        • Kelleher C.M.
        • Langer J.C.
        Neonatal abdominal wall defects.
        Semin Fetal Neonatal Med. 2011; 16: 164-172
        • Gamba P.
        • Midrio P.
        Abdominal wall defects: prenatal diagnosis, newborn management, and long-term outcomes.
        Semin Pediatr Surg. 2014; 23: 283-290
        • Allman R.
        • Sousa J.
        • Walker M.W.
        • et al.
        The epidemiology, prevalence and hospital outcomes of infants with gastroschisis.
        J Perinatol. 2016; 36: 901-905
        • Kong J.Y.
        • Yeo K.T.
        • Abdel-Latif M.E.
        • et al.
        Outcomes of infants with abdominal wall defects over 18years.
        J Pediatr Surg. 2016; 51: 1644-1649
        • Saller Jr., D.N.
        • Canick J.A.
        • Palomaki G.E.
        • et al.
        Second-trimester maternal serum alpha-fetoprotein, unconjugated estriol, and hCG levels in pregnancies with ventral wall defects.
        Obstet Gynecol. 1994; 84: 852-855
        • Joó J.G.
        • Csatlós É.
        • Rigó J.
        Abdominal wall malformations in a 15-year fetopathological study: accuracy of prenatal ultrasonography diagnosis.
        Prenat Diagn. 2010; 30: 1015-1018
        • Tan K.H.
        • Kilby M.D.
        • Whittle M.J.
        • et al.
        Congenital anterior abdominal wall defects in England and Wales 1987-93: retrospective analysis of OPCS data.
        BMJ. 1996; 313: 903-906
        • Suita S.
        • Okamatsu T.
        • Yamamoto T.
        • et al.
        Changing profile of abdominal wall defects in Japan: results of a national survey.
        J Pediatr Surg. 2000; 35 ([discussion 2]): 66-71
        • Tan K.B.
        • Tan K.H.
        • Chew S.K.
        • et al.
        Gastroschisis and omphalocele in Singapore: a ten-year series from 1993 to 2002.
        Singap Med J. 2008; 49: 31-36
        • Prefumo F.
        • Izzi C.
        Fetal abdominal wall defects.
        Best Pract Res Clin Obstet Gynaecol. 2014; 28: 391-402
        • Kirby R.S.
        • Marshall J.
        • Tanner J.P.
        • et al.
        Prevalence and correlates of gastroschisis in 15 states, 1995 to 2005.
        Obstet Gynecol. 2013; 122: 275-281
        • Marshall J.
        • Salemi J.L.
        • Tanner J.P.
        • et al.
        Prevalence, correlates, and outcomes of omphalocele in the United States, 1995–2005.
        Obstet Gynecol. 2015; 126: 284-293
        • Jones A.M.
        • Isenburg J.
        • Salemi J.L.
        • et al.
        Increasing prevalence of gastroschisis—14 states, 1995–2012.
        MMWR Morb Mortal Wkly Rep. 2016; 65: 23-26
        • Srivastava V.
        • Mandhan P.
        • Pringle K.
        • et al.
        Rising incidence of gastroschisis and exomphalos in New Zealand.
        J Pediatr Surg. 2009; 44: 551-555
        • Zhou G.X.
        • Zhu J.
        • Dai L.
        • et al.
        An epidemiological investigation on gastroschisis in China during 1996 to 2000.
        Zhonghua Yu Fang Yi Xue Za Zhi. 2005; 39: 257-259
        • Mastroiacovo P.
        • Lisi A.
        • Castilla E.E.
        The incidence of gastroschisis: research urgently needs resources.
        BMJ. 2006; 332: 423-424
        • Rankin J.
        • Dillon E.
        • Wright C.
        Congenital anterior abdominal wall defects in the north of England, 1986–1996: occurrence and outcome.
        Prenat Diagn. 1999; 19: 662-668
        • Salihu H.M.
        • Pierre-Louis B.J.
        • Druschel C.M.
        • et al.
        Omphalocele and gastroschisis in the state of New York, 1992–1999.
        Birth Defects Res A Clin Mol Teratol. 2003; 67: 630-636
        • Castilla E.E.
        • Mastroiacovo P.
        • Orioli I.M.
        Gastroschisis: international epidemiology and public health perspectives.
        Am J Med Genet C Semin Med Genet. 2008; 148c: 162-179
        • Kaiser M.
        • Kahl F.
        • Von Schwabe C.
        • et al.
        Omphalocele and gastroschisis. Outcome–complications–follow-up–quality of life.
        Chirurg. 2000; 71: 1256-1262
        • Hsu C.C.
        • Lin S.P.
        • Chen C.H.
        • et al.
        Omphalocele and gastroschisis in Taiwan.
        Eur J Pediatr. 2002; 161: 552-555
        • Chiu C.Y.
        • Chen P.H.
        • Chan C.F.
        • et al.
        Biliary atresia in preterm infants in Taiwan: a nationwide survey.
        J Pediatr. 2013; 163: 100-103.e1
        • Lee Y.K.
        • Lee C.C.
        • Chen C.C.
        • et al.
        High risk of 'failure' among emergency physicians compared with other specialists: a nationwide cohort study.
        Emerg Med J. 2013; 30: 620-622
        • Ministry of the Interior of Taiwan
        Historical data of Taiwan life tables.
        https://www.moi.gov.tw/stat/english/node.aspx?sn=7132
        Date: 2018
        Date accessed: October 29, 2018
        • Wu C.Y.
        • Chen Y.J.
        • Ho H.J.
        • et al.
        Association between nucleoside analogues and risk of hepatitis B virus-related hepatocellular carcinoma recurrence following liver resection.
        JAMA. 2012; 308: 1906-1914
      1. Teratology. 2002; 66: S129-S211
        • Chen J.H.
        • Wu J.C.
        • Yin W.Y.
        • et al.
        Bilateral primary inguinal hernia repair in Taiwanese adults: a nationwide database analysis.
        Formos J Surg. 2017; 50: 89
        • Lee C.H.
        • Chen Y.
        • Cheng C.F.
        • et al.
        Incidence of and risk factors for pediatric metachronous contralateral inguinal hernia: analysis of a 17-year nationwide database in Taiwan.
        PLoS One. 2016; 11e0163278
        • Lindham S.
        Omphalocele and gastroschisis in Sweden 1965–1976.
        Acta Paediatr Scand. 1981; 70: 55-60
        • Hemminki K.
        • Saloniemi I.
        • Kyyronen P.
        • et al.
        Gastroschisis and omphalocele in Finland in the 1970s: prevalence at birth and its correlates.
        J Epidemiol Community Health. 1982; 36: 289-293
        • Ethen M.K.
        • Canfield M.A.
        Impact of including elective pregnancy terminations before 20 weeks gestation on birth defect rates.
        Teratology. 2002; 66: S32-S35
        • Murphy F.L.
        • Mazlan T.A.
        • Tarheen F.
        • et al.
        Gastroschisis and exomphalos in Ireland 1998–2004. Does antenatal diagnosis impact on outcome?.
        Pediatr Surg Int. 2007; 23: 1059-1063
        • Arnaoutoglou C.
        • Pasquini L.
        • Abel R.
        • et al.
        Outcome of antenatally diagnosed fetal anterior abdominal wall defects from a single tertiary centre.
        Fetal Diagn Ther. 2008; 24: 416-419
        • Lin J.S.
        • Chen S.C.
        • Lu C.L.
        • et al.
        Reduction of the ages at diagnosis and operation of biliary atresia in Taiwan: a 15-year population-based cohort study.
        World J Gastroenterol. 2015; 21: 13080-13086
        • Corey K.M.
        • Hornik C.P.
        • Laughon M.M.
        • et al.
        Frequency of anomalies and hospital outcomes in infants with gastroschisis and omphalocele.
        Early Hum Dev. 2014; 90: 421-424
        • Kronfli R.
        • Bradnock T.J.
        • Sabharwal A.
        Intestinal atresia in association with gastroschisis: a 26-year review.
        Pediatr Surg Int. 2010; 26: 891-894
        • Timberlake M.D.
        • Sukhu T.A.
        • Herbst K.W.
        • et al.
        Laparoscopic percutaneous inguinal hernia repair in children: review of technique and comparison with open surgery.
        J Pediatr Urol. 2015; 11: 262.e1-262.e6
        • Chang S.J.
        • Chen J.Y.
        • Hsu C.K.
        • et al.
        The incidence of inguinal hernia and associated risk factors of incarceration in pediatric inguinal hernia: a nation-wide longitudinal population-based study.
        Hernia. 2016; 20: 559-563