Evidence map›Paper›PMID 37143205›Full record

ArticlePaediatric and perinatal epidemiology2023

Trends in prenatal diagnosis of congenital anomalies in Western Australia between 1980 and 2020: A population-based study.

Cassandra MacArthur, Michele Hansen, Gareth Baynam, Carol Bower, Erin Kelty

Open access · hybridAbstract read
In one paragraph

Article in Paediatric and perinatal epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  3. Impact of data sources and ascertainment methods on reporting paediatric genetic condition prevalence: A scoping review.Health information management : journal of the Health Information Management Association of Australia · 2026
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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

5 authors at 2 institutions in 1 country.

Cassandra MacArthurSchool of Population and Global Health, The University of Western Australia, Crawley, Western Australia, Australia.ORCID 0000-0002-6811-0551
Michele HansenTelethon Kids Institute, The University of Western Australia, Crawley, Western Australia, Australia.ORCID 0000-0002-6817-2031
Gareth BaynamWestern Australian Register of Developmental Anomalies, King Edward Memorial Hospital, Perth, Western Australia, Australia.ORCID 0000-0003-4920-9553
Carol BowerTelethon Kids Institute, The University of Western Australia, Crawley, Western Australia, Australia.ORCID 0000-0003-1138-2756
Erin KeltySchool of Population and Global Health, The University of Western Australia, Crawley, Western Australia, Australia.ORCID 0000-0002-0841-2216
The University of Western Australia · AUThe Kids Research Institute Australia · AU

Funding

National Health and Medical Research Council APP1172978
6 · The paper itself

Abstract

backgroundAdvances in screening and diagnostics have changed the way in which we identify and diagnose congenital anomalies.

objectiveTo examine changes in rates of prenatal diagnosis of congenital anomalies over time and by demographic characteristics.

methodsWe undertook a population-based retrospective cohort study of all children born in Western Australia between 1980 and 2020 and diagnosed with a congenital anomaly. Age at diagnosis (prenatal, neonatal, infancy, early childhood or childhood) prevalence (all-type and type-specific), and prevalence ratios (PR) were calculated. We fit joinpoint regression models to describe the average annual percentage change (APC) in prenatal diagnosis over time, and log-binomial regression models to estimate the association between prenatal diagnosis and demographic characteristics.

resultsPrenatal diagnosis prevalence between the first (1980-1989: 28.3 per 10,000 births) and last (2005-2014: 156.1 per 10,000 births) decades of the study increased 5.5-fold (95% confidence interval [CI] 5.0, 5.9). Substantial increases were observed for cardiovascular (PR 10.7, 95% CI 8.0, 14.6), urogenital (PR 10.5, 95% CI: 8.7, 12.6) and chromosomal anomalies (PR 7.0, 95% CI 5.9, 8.3). Prenatal diagnosis was positively associated with the birth year (adjusted risk ratio [RR] 1.04, 95% CI 1.03, 1.04), advanced maternal age (RR 1.14, 95% CI 1.11, 1.18), multiple anomalies (RR 2.86, 95% CI 2.77, 2.96) and major anomalies (RR 3.75, 95% CI 3.36, 4.19), and inversely associated with remoteness (RR 0.89, 95% CI: 0.83, 0.95) and Aboriginality (RR 0.90, 95% CI 0.83, 0.97).

conclusionsIncreases in prenatal diagnosis of congenital anomalies were observed in Western Australia from 1980 to 2020, reflecting advances in screening. Prenatal diagnosis was less common in remote regions and in Aboriginal children, strengthening calls for increased provision of antenatal care services for these populations.

Indexed as

Abnormalities, MultipleCongenital AbnormalitiesPrenatal DiagnosisChildChild, PreschoolFemaleHumansInfant, NewbornPregnancyPrenatal CarePrevalenceRetrospective StudiesWestern Australiacongenital abnormalitiespregnancyprenatal diagnosis

Identifiers

PMID37143205
PMCPMC10947594
OpenAlexW4372335704

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.