Evidence map›Paper›PMID 29621304›Full record

ArticlePloS one2018

Trends in congenital anomalies in Europe from 1980 to 2012.

Joan K Morris, Anna L Springett, Ruth Greenlees, Maria Loane, Marie-Claude Addor, Larraitz Arriola, Ingeborg Barisic, Jorieke E H Bergman, Melinda Csaky-Szunyogh, Carlos Dias and 20 more

Open access · goldAbstract readHistorical Article
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
21.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 2 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. The Burden of Lower Limb Deformities in Low- and Lower-Middle-Income Countries: A Scoping Review.Journal of the Pediatric Orthopaedic Society of North America · 2026
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 14 countries.

Joan K MorrisWolfson Institute of Preventive Medicine, Queen Mary University of London, London, United Kingdom.ORCID 0000-0002-7164-612X
Anna L SpringettWolfson Institute of Preventive Medicine, Queen Mary University of London, London, United Kingdom.
Ruth GreenleesFaculty Life & Health Sciences, University of Ulster, Newtownabbey, United Kingdom.
Maria LoaneFaculty Life & Health Sciences, University of Ulster, Newtownabbey, United Kingdom.
Marie-Claude AddorDepartment of Woman-Mother-Child, University Hospital Center CHUV, Lausanne, Switzerland.
Larraitz ArriolaPublic Health Division of, Biodonostia Research Institute, San Sebastián, Spain.
Ingeborg BarisicDepartment of Medical Genetics and Reproductive Health,Children's Hospital Zagreb, Medical School University of Zagreb, Zagreb, Croatia.
Jorieke E H BergmanDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Melinda Csaky-SzunyoghNational Public Health and Medical Officer Service, Hungarian Congenital Abnormality Registry, Budapest, Hungary.
Carlos DiasCentro de Estudos e registo de A C, Lisbon, Portugal.
Elizabeth S DraperDepartment of Health Sciences, University of Leicester, Leicester, United Kingdom.
Ester GarnePaediatric department, Hospital Lillebaelt, Kolding, Denmark.
Miriam GattDirectorate for Health Information and Research, Guardamangia, Malta.
Babak KhoshnoodParis Registry of Congenital Anomalies, Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Statistics Sorbonne Paris Cité, Paris Descartes University, Paris, France.
Kari KlungsoyrDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Catherine LynchDepartment of Public Health, Health Service Executive, Kilkenny, Ireland.
Robert McDonnellDepartment of Public Health, Health Service Executive, Dublin, Ireland.
Vera NelenProvincial Institute for Hygiene, Antwerp, Belgium.
Amanda J NevilleIMER Registry, Center for Clinical and Epidemiological Research, University of Ferrara, Ferrara, Italy.
Mary O'MahonyDepartment of Public Health, Health Service Executive, Cork, Ireland.
Anna PieriniCNR Institute of Clinical Physiology, Pisa, Italy.
Annette Queisser-LuftCenter for child and adolescence medicine, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Hanitra RandrianaivoRegistre des Malformations Congenitales de la Reunion, St Pierre, Ile de la Reunion, France.
Judith RankinInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, United Kingdom.
Anke RissmannMalformation Monitoring Centre Saxony-Anhalt, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Jennifer KurinczukNational Perinatal and Epidemiology Unit, University of Oxford, Oxford, United Kingdom.
David TuckerPublic Health Wales, Swansea, United Kingdom.
Christine Verellen-DumoulinCenter for Human Genetics,Institut de Pathologie at de Genetique, Charleroi, Belgium.
Diana WellesleyUniversity of Southampton and Wessex Clinical Genetics Service, Southampton, United Kingdom.
Helen DolkFaculty Life & Health Sciences, University of Ulster, Newtownabbey, United Kingdom.
Health Service Executive · IEUniversity of Ulster · GBQueen Mary University of London · GBBiogipuzkoa Health Research Institute · ESCentre Hospitalier Universitaire de La Réunion · FRInserm · FRInstitute of Pathology and Genetics · BEIstituto di Fisiologia Clinica · ITJohannes Gutenberg University Mainz · DELillebaelt Hospital · DKMinistry for Health · MTNational Public Health and Medical Officer Service · HUNewcastle University · GBNorwegian Institute of Public Health · NOOtto-von-Guericke-Universität Magdeburg · DEProvincial Institute for Hygiene · BEPublic Health Wales · GBUniversity Hospital of Lausanne · CHUniversity Medical Center Groningen · NLUniversity of Ferrara · IT

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundSurveillance of congenital anomalies is important to identify potential teratogens.

methodsThis study analysed the prevalence of 61 congenital anomaly subgroups (excluding chromosomal) in 25 population-based EUROCAT registries (1980-2012). Live births, fetal deaths and terminations of pregnancy for fetal anomaly were analysed with multilevel random-effects Poisson regression models.

resultsSeventeen anomaly subgroups had statistically significant trends from 2003-2012; 12 increasing and 5 decreasing.

conclusionsThe annual increasing prevalence of severe congenital heart defects, single ventricle, atrioventricular septal defects and tetralogy of Fallot of 1.4% (95% CI: 0.7% to 2.0%), 4.6% (1.0% to 8.2%), 3.4% (1.3% to 5.5%) and 4.1% (2.4% to 5.7%) respectively may reflect increases in maternal obesity and diabetes (known risk factors). The increased prevalence of cystic adenomatous malformation of the lung [6.5% (3.5% to 9.4%)] and decreased prevalence of limb reduction defects [-2.8% (-4.2% to -1.5%)] are unexplained. For renal dysplasia and maternal infections, increasing trends may be explained by increased screening, and deceases in patent ductus arteriosus at term and increases in craniosynostosis, by improved follow up period after birth and improved diagnosis. For oesophageal atresia, duodenal atresia/stenosis and ano-rectal atresia/stenosis recent changes in prevalence appeared incidental when compared with larger long term fluctuations. For microcephaly and congenital hydronephrosis trends could not be interpreted due to discrepancies in diagnostic criteria. The trends for club foot and syndactyly disappeared once registries with disparate results were excluded. No decrease in neural tube defects was detected, despite efforts at prevention through folic acid supplementation.

Indexed as

Congenital AbnormalitiesEuropeFemaleHistory, 20th CenturyHistory, 21st CenturyHumansMalePopulation SurveillancePregnancyPrevalenceRegistries

Identifiers

PMID29621304
PMCPMC5886482
OpenAlexW2796148031

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.