Source:http://linkedlifedata.com/resource/pubmed/id/21281327
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2011-2-1
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pubmed:abstractText |
The aim of this study was to report the birth prevalence and short-term outcome of congenital diaphragmatic hernia (CDH) in a large geographically defined population, and to assess the feasibility of performing a randomised control trial (RCT) in this population. Data were collected on all cases of CDH reported to the East Midlands and South Yorkshire Congenital Anomalies Register between 1997 and 2005. A total of 194 cases of CDH were identified from 547,025 births; a birth prevalence of 3.5/10,000. Overall 1-year survival was 42%. In total, 69% of cases resulted in a live birth, of these 61% survived to 1 year; 73% were diagnosed antenatally and 22% postnatally, with 1-year survivals 30% and 71%, respectively. A total of 54% were isolated cases and 46% associated with another anomaly, with more live births (80% vs. 56%) and better 1-year survival (62% vs. 19%) with isolated CDH. Overall, only 83 babies were born alive with an isolated CDH: the only group suitable for inclusion in a RCT. In conclusion, given the small numbers of live isolated CDH cases it is impossible that any network alone would be able to perform a valid RCT of treatments, highlighting the need for collaborative international trials to address this complex condition.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1365-3016
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pubmed:author | |
pubmed:copyrightInfo |
© 2010 Blackwell Publishing Ltd.
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pubmed:issnType |
Electronic
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
144-9
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pubmed:meshHeading |
pubmed-meshheading:21281327-England,
pubmed-meshheading:21281327-Female,
pubmed-meshheading:21281327-Fetal Death,
pubmed-meshheading:21281327-Hernia, Diaphragmatic,
pubmed-meshheading:21281327-Humans,
pubmed-meshheading:21281327-Infant,
pubmed-meshheading:21281327-Infant, Newborn,
pubmed-meshheading:21281327-Male,
pubmed-meshheading:21281327-Pregnancy,
pubmed-meshheading:21281327-Pregnancy Outcome,
pubmed-meshheading:21281327-Prenatal Diagnosis
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pubmed:year |
2011
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pubmed:articleTitle |
Epidemiology and outcome of congenital diaphragmatic hernia: a 9-year experience.
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pubmed:affiliation |
Department of Neonatology, University Hospitals of Leicester, Leicester, UK. joannawright@doctors.net.uk
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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