Epidemiological characterization of clubfoot: a population-based study of a surveillance program in Colombia.
J Pediatr Orthop B
; 2024 Apr 25.
Article
em En
| MEDLINE
| ID: mdl-38687624
ABSTRACT
Clubfoot is a common musculoskeletal congenital abnormality, with a prevalence of 5-20 cases per 10â
000 live births in low to middle-income countries. If left untreated, clubfoot causes severe consequences for the child gait disturbances, reduced quality of life, and limited work opportunities. Our objective was to characterize clubfoot and determine its prevalence and associated risk factors in Bogotá and Cali, Colombia, from 2002 to 2020. A retrospective case-control study design was employed, analyzing data from birth defect reports provided by the Program for the Prevention and Follow-up of Congenital Defects and Orphan Diseases surveillance system. Cases included live births or stillbirths with clubfoot, while controls consisted of infants without congenital abnormalities, matched in terms of birth date and hospital. Prevalence was calculated considering a 95% confidence interval using Poisson distribution, and risk factors were assessed through adjusted odds ratios obtained by logistic regression model. Of 558â
255 births, 861 cases of clubfoot were identified, 48.20% were postural clubfoot, and 15 cases were syndromic clubfoot. In Bogota, prevalence rate was 15.1 per 10â
000 live births, whereas in Cali it was 17.29 per 10â
000 live births. Family history of clubfoot within first-degree relatives was identified as a risk factor for clubfoot. Investigating risk factors for clubfoot holds significant importance in terms of preventing and reducing morbidity within this population. Helping to drive government and healthcare initiatives aimed at providing timely and effective treatment.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
País/Região como assunto:
America do sul
/
Colombia
Idioma:
En
Revista:
J Pediatr Orthop B
Assunto da revista:
ORTOPEDIA
/
PEDIATRIA
Ano de publicação:
2024
Tipo de documento:
Article