Low vertebral ano-rectal cardiac tracheo-esophageal renal limb screening rates in children with anorectal malformations.
J Surg Res
; 203(2): 398-406, 2016 06 15.
Article
en En
| MEDLINE
| ID: mdl-27363649
ABSTRACT
BACKGROUND:
The aim of this study was to establish the rate of screening for associated cardiac, vertebral, spinal cord, urologic, and limb anomalies vertebral ano-rectal cardiac tracheo-esophageal renal limb (VACTERL) in children with anorectal malformation (ARM).METHODS:
We performed a retrospective cohort study using the Medicaid Analytic eXtract database which contains enrollment and utilization claims and demographic information from all Medicaid enrollees. Patients born between January 2005 and December 2008 with International Classification of Diseases, Ninth Revision codes for a diagnosis of ARM within 30 days of life, an ARM procedure code during the first year of life, and a minimum of 12 months of continuous enrollment were included. VACTERL screening was determined using International Classification of Diseases, Ninth Revision and Current Procedural Terminology codes for diagnostic tests used to detect these anomalies.RESULTS:
A total of 406 patients were identified (231 males). Evaluation of the spinal vertebrae was performed in 94% of patients (381 of 406). Spinal cord evaluation was performed in 57% (231 of 406) 52% (121 of 231) received spinal ultrasound (US), 24% (56 of 231) received spinal magnetic resonance imaging, and 23% (54 of 231) received both. Sacral radiographs were performed in 8% (32 of 406) and 77% (313 of 406) underwent an echocardiogram. Genitourinary evaluation was performed in 84% (341 of 406) 67% (229 of 341) received renal US, 8% (27 of 341) received abdominal US, and 25% (85 of 341) received both. Limb evaluation was recorded in 19% (76 of 406). Multiple screening including an echocardiogram, spinal radiograph, spinal cord evaluation, and renal evaluation was performed in 45% (181 of 406); 2% (7 of 406) did not receive any screening tests.CONCLUSIONS:
Low VACTERL screening in children with ARM suggests that associated anomalies may be undiagnosed which may lead to increased long-term morbidity.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Canal Anal
/
Columna Vertebral
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Tráquea
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Anomalías Múltiples
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Pautas de la Práctica en Medicina
/
Tamizaje Neonatal
/
Deformidades Congénitas de las Extremidades
/
Esófago
/
Malformaciones Anorrectales
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Cardiopatías Congénitas
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Female
/
Humans
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Male
/
Newborn
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Surg Res
Año:
2016
Tipo del documento:
Article