Comparison in the incidence of anorectal malformations between a first- and third-world referral center
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  • 作者:Andre P. Theron ; Giulia Brisighelli ; Anne E. Theron…
  • 关键词:Anorectal malformation ; Incidence ; South Africa ; Italy
  • 刊名:Pediatric Surgery International
  • 出版年:2015
  • 出版时间:August 2015
  • 年:2015
  • 卷:31
  • 期:8
  • 页码:759-764
  • 全文大小:378 KB
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  • 作者单位:Andre P. Theron (1)
    Giulia Brisighelli (2)
    Anne E. Theron (3)
    Ernesto Leva (2)
    Alp Numanoglu (1)

    1. Department of Pediatric Surgery, Red Cross War Memorial Children鈥檚 Hospital, University of Cape Town, 6th Floor ICH Building, Klipfontein Road, Rondebosch, 7700, Cape Town, Republic of South Africa
    2. Department of Pediatric Surgery, Fondazione IRCCS Ca鈥?Granda Ospedale Maggiore Policlinico, Milan, Italy
    3. Department of Physiology, University of Pretoria, Pretoria, Republic of South Africa
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Pediatrics
    Surgery
    Pediatric Surgery
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1437-9813
文摘
Purpose Aim of study was to evaluate the differences in incidence and presentation of anorectal malformations (ARMs) between selected Pediatric Surgery Divisions in the Republic of South Africa (ZAR) and Italy. Methods A retrospective cohort study involved analysis of clinical records of patients with ARM born between 2005 and 2012. Type of ARM, maternal age, birth weight, gestational age, presence of associated anomalies and delayed diagnosis were analyzed. Results 335 patients were included in this study. Of note, statistically significant differences between the African and European patient groups were observed in a male predominance in the ZAR patient population. In addition, female recto-perineal fistulas were diagnosed in significantly more Italian patients than in ZAR. Furthermore, a more advanced maternal age and a lower gestational age was noted in the European cohort with a minimal delay in initial diagnosis as opposed to the African counterpart. Both centers reported recto-perineal fistula as the most common malformation in male patients. Conclusion With the exception of perineal fistulas in females, the incidence of specific subtypes of ARMs was similar in the two groups. This may be of importance when extrapolating European study conclusion to the South African setting.

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