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Outcome of isolated fetal talipes: A systematic review and meta-analysis

Di M. D., Buca D., Khalil A., Ritstso D., Makatsariya A. D., Sileo F., Liberati M., Benedetti P. P., Acharya G., D'Antonio F.
Acta Obstetricia Et Gynecologica Scandinavica
Vol.98, Issue11, P. 1367-1377
Опубликовано: 2019
Тип ресурса: Обзор

DOI:10.1111/aogs.13637

Аннотация:
Introduction: The aim of this systematic review was to explore the outcome of fetuses with a prenatal diagnosis of isolated talipes. Material and methods: Medline, Embase, Cinahl, and Clinicaltrials.gov databases were searched. The outcomes explored were: associated anomalies detected at follow-up ultrasound examination; fetal magnetic resonance imaging (MRI) and birth; chromosomal abnormalities detected with standard and chromosomal microarray analysis, intrauterine, neonatal, and perinatal death, and termination of pregnancy; rate of surgical and nonsurgical treatment; neurodevelopmental outcome; and false-positive rate of prenatal diagnosis. Meta-analyses of proportions were used to combine data. Results: Twenty-five studies (1567 fetuses) were included. Associated anomalies were detected in 7.8[%] (95[%] CI 0.1[%]-29.3[%]) of cases at follow-up ultrasound, and in 4.0[%] (95[%] CI 0.1[%]-13.2[%]) of cases, fetal MRI identified anomalies not detected at ultrasound assessment. Similarly, 7.0[%] (95[%] CI
Ключевые слова:
clubfoot; fetal MRI; karyotype; talipes equinovarus; ultrasound
cause of death; chromosome aberration; chromosome analysis; Cinahl; Embase; fetus death; fetus echography; fetus outcome; follow up; foot malformation; human; incidence; Medline; meta analysis; microarray analysis; newborn death; Newcastle-Ottawa scale; nuclear magnetic resonance imaging; perinatal death; prenatal diagnosis; prevalence; priority journal; Review; systematic review
Язык текста: Английский
ISSN: 1600-0412
Di M. D. Mascio D.
Buca D.
Khalil A.
Ritstso D. Dzhuzeppe 1958-
Makatsariya A. D. Aleksandr Davidovich 1944-
Sileo F.
Liberati M.
Benedetti P. P. Panici P.
Acharya G.
D'Antonio F.
Ди М. Д. Масcио Д.
Буcа Д.
Халил А.
Риццо Д. Джузеппе 1958-
Макацария А. Д. Александр Давидович 1944-
Силео Ф.
Либерати М.
Бенедетти П. П. Паниcи П.
Ачаря Г.
Д'Антонио Ф.
Outcome of isolated fetal talipes: A systematic review and meta-analysis
Текст визуальный непосредственный
Acta Obstetricia Et Gynecologica Scandinavica
Munksgaard International Publishers
Vol.98, Issue11 P. 1367-1377
2019
Обзор
clubfoot fetal MRI karyotype talipes equinovarus ultrasound
cause of death chromosome aberration chromosome analysis Cinahl Embase fetus death fetus echography fetus outcome follow up foot malformation human incidence Medline meta analysis microarray analysis newborn death Newcastle-Ottawa scale nuclear magnetic resonance imaging perinatal death prenatal diagnosis prevalence priority journal Review systematic review
Introduction: The aim of this systematic review was to explore the outcome of fetuses with a prenatal diagnosis of isolated talipes. Material and methods: Medline, Embase, Cinahl, and Clinicaltrials.gov databases were searched. The outcomes explored were: associated anomalies detected at follow-up ultrasound examination; fetal magnetic resonance imaging (MRI) and birth; chromosomal abnormalities detected with standard and chromosomal microarray analysis, intrauterine, neonatal, and perinatal death, and termination of pregnancy; rate of surgical and nonsurgical treatment; neurodevelopmental outcome; and false-positive rate of prenatal diagnosis. Meta-analyses of proportions were used to combine data. Results: Twenty-five studies (1567 fetuses) were included. Associated anomalies were detected in 7.8[%] (95[%] CI 0.1[%]-29.3[%]) of cases at follow-up ultrasound, and in 4.0[%] (95[%] CI 0.1[%]-13.2[%]) of cases, fetal MRI identified anomalies not detected at ultrasound assessment. Similarly, 7.0[%] (95[%] CI