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Bergman JEH, Perraud A, Barišić I, Kinsner-Ovaskainen A, Morris JK, Tucker D, Wellesley D, Garne E. Updated EUROCAT guidelines for classification of cases with congenital anomalies. Birth Defects Res 2024; 116:e2314. [PMID: 38361485 DOI: 10.1002/bdr2.2314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 01/18/2024] [Accepted: 01/26/2024] [Indexed: 02/17/2024]
Abstract
BACKGROUND Precise and correct classification of congenital anomalies is important in epidemiological studies, not only to classify according to etiology but also to group similar congenital anomalies together, to create homogeneous subgroups for surveillance and research. This paper presents the updated EUROCAT (European surveillance of congenital anomalies) subgroups of congenital anomalies and the updated multiple congenital anomaly (MCA) algorithm and provides the underlying arguments for the revisions. METHODS The EUROCAT methodology is described. In addition, we show how we validated the revised EUROCAT subgroups and MCA algorithm, which are both based on the International Classification of Diseases (ICD10/ICD9) codes. RESULTS The updated EUROCAT subgroups and the updated MCA algorithm are described in detail and the updated version is compared to the previous versions. CONCLUSION The EUROCAT subgroups and MCA algorithm provide a standardized and clear methodology for congenital anomaly research and epidemiological surveillance of congenital anomalies in order to facilitate the identification of teratogenic exposures and to assess the impact of primary prevention and prenatal screening policies. The EUROCAT subgroups and MCA algorithm are made freely available for other researchers via the EUROCAT Database Management Software.
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Affiliation(s)
- Jorieke E H Bergman
- University of Groningen, University Medical Center Groningen, department of Genetics, Groningen, The Netherlands
| | - Annie Perraud
- European Commission, Joint Research Centre (JRC), Ispra, Italy
| | - Ingeborg Barišić
- Children's Hospital Zagreb, Centre of Excellence for Reproductive and Regenerative Medicine, Medical School University of Zagreb, Zagreb, Croatia
| | | | - Joan K Morris
- Population Health Research Institute, St George's University of London, London, UK
| | - David Tucker
- Congenital Anomaly Register and Information Service for Wales (CARIS), Public Health Wales, Swansea, UK
| | | | - Ester Garne
- Department of Paediatrics and Adolescent Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark
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Taylor K, Thomas R, Mumme M, Golding J, Boyd A, Northstone K, Caputo M, A Lawlor D. Ascertaining and classifying cases of congenital anomalies in the ALSPAC birth cohort. Wellcome Open Res 2021; 5:231. [PMID: 33628950 PMCID: PMC7871361 DOI: 10.12688/wellcomeopenres.16339.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2021] [Indexed: 02/02/2023] Open
Abstract
Congenital anomalies (CAs) are structural or functional disorders that occur during intrauterine life. Longitudinal cohort studies provide unique opportunities to investigate potential causes and consequences of these disorders. In this data note, we describe how we identified cases of major CAs, with a specific focus on congenital heart diseases (CHDs), in the Avon Longitudinal Study of Parents and Children (ALSPAC). We demonstrate that combining multiple sources of data including data from antenatal, delivery, primary and secondary health records, and parent-reported information can improve case ascertainment. Our approach identified 590 participants with a CA according to the European Surveillance of Congenital Anomalies (EUROCAT) guidelines, 127 of whom had a CHD. We describe the methods that identified these cases and provide statistics on subtypes of anomalies. The data note contains details on the processes required for researchers to access these data.
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Affiliation(s)
- Kurt Taylor
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS8 2PS, UK
| | - Richard Thomas
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Mark Mumme
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Jean Golding
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Andy Boyd
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Kate Northstone
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Massimo Caputo
- Department of Translational Science, Bristol Medical School, University of Bristol, Bristol, BS2 8DZ, UK
- Bristol NIHR Biomedical Research Center, University of Bristol, Bristol, BS1 2NT, UK
| | - Deborah A Lawlor
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS8 2PS, UK
- Bristol NIHR Biomedical Research Center, University of Bristol, Bristol, BS1 2NT, UK
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Taylor K, Thomas R, Mumme M, Golding J, Boyd A, Northstone K, Caputo M, A Lawlor D. Ascertaining and classifying cases of congenital anomalies in the ALSPAC birth cohort. Wellcome Open Res 2020; 5:231. [PMID: 33628950 PMCID: PMC7871361 DOI: 10.12688/wellcomeopenres.16339.1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2020] [Indexed: 02/02/2023] Open
Abstract
Congenital anomalies (CAs) are structural or functional disorders that occur during intrauterine life. Longitudinal cohort studies provide unique opportunities to investigate potential causes and consequences of these disorders. In this data note, we describe how we identified cases of major CAs, with a specific focus on congenital heart diseases (CHDs), in the Avon Longitudinal Study of Parents and Children (ALSPAC). We demonstrate that combining multiple sources of data including data from antenatal, delivery, primary and secondary health records, and parent-reported information can improve case ascertainment. Our approach identified 590 participants with a CA according to the Euro Registers of Congenital Anomalies (EUROCAT) guidelines, 127 of whom had a CHD. We describe the methods that identified these cases and provide statistics on subtypes of anomalies. The data note contains details on the processes required for researchers to access these data.
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Affiliation(s)
- Kurt Taylor
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS8 2PS, UK
| | - Richard Thomas
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Mark Mumme
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Jean Golding
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Andy Boyd
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Kate Northstone
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- Avon Longitudinal Study of Parents and Children (ALSPAC), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
| | - Massimo Caputo
- Department of Translational Science, Bristol Medical School, University of Bristol, Bristol, BS2 8DZ, UK
- Bristol NIHR Biomedical Research Center, University of Bristol, Bristol, BS1 2NT, UK
| | - Deborah A Lawlor
- Department of Population Health Science, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS8 2PS, UK
- Bristol NIHR Biomedical Research Center, University of Bristol, Bristol, BS1 2NT, UK
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