Global prevalence of congenital anencephaly: a comprehensive systematic review and meta-analysis

被引:0
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作者
Nader Salari
Behnaz Fatahi
Reza Fatahian
Payam Mohammadi
Adibeh Rahmani
Niloofar Darvishi
Mona Keivan
Shamarina Shohaimi
Masoud Mohammadi
机构
[1] Kermanshah University of Medical Sciences,Department of Biostatistics, School of Health
[2] Kermanshah University of Medical Sciences,Student Research Committee
[3] Kermanshah University of Medical Sciences,Department of Neurosurgery, School of Medicine
[4] Kermanshah University of Medical Sciences,Department of Neurology, School of Medicine
[5] Julius Wolff Institute,Student Research Committee, School of Medicine
[6] Chatite,Department of Biology, Faculty of Science
[7] Kermanshah University of Medical Sciences,Cellular and Molecular Research Center
[8] University Putra Malaysia,undefined
[9] Gerash University of Medical Sciences,undefined
来源
Reproductive Health | / 19卷
关键词
Prevalence; Neural tube defects; Anencephaly; Systematic review and meta-analysis;
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学科分类号
摘要
Anencephaly is a fatal congenital anomaly characterized by the absence of brain hemispheres and cranial arch. Cochran’s seven-step instructions were used as the guideline. Having determined the research question and inclusion and exclusion criteria, we studied MagIran, SID, Science Direct, WoS, Web of Science, Medline (PubMed), Scopus, and Google Scholar databases. Moreover, the search strategy in each database included using all possible keyword combinations with the help of “AND” and “OR” operators with no time limit to 2021. Out of 1141 initial articles found, and after excluding repetitive ones in various databases and those irrelevant to inclusion criteria, 360 studies with a sample size of 207,639,132 people were considered for the meta-analysis. Overall estimate of the prevalence, incidence and attenuation of anencephaly worldwide were 5.1 per ten thousand births (95% confidence interval 4.7–5.5 per ten thousand births), 8.3 per ten thousand births (95% confidence interval 5.5–9.9 per ten thousand births), 5.5 per ten thousand births (95% confidence interval 1.8–15 per ten thousand births) respectively the highest of which according to the subgroup analysis, belonged to the Australian continent with 8.6 per ten thousand births (95% confidence interval 7.7–9.5 per ten thousand births). The overall prevalence of anencephaly in the world is significant, indicating the urgent need for preventive and treating measures.
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