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spelling Maternal risk factors for the VACTERL association: a EUROCAT case-control studyAssisted Reproductive TechniquesEtiologyMaternal FactorsPregestational DiabetesRespiratory DisordersAnomalias CongénitasEstados de Saúde e de DoençaObservação em Saúde e VigilânciaRegisto Nacional de Anomalias CongénitasRENACEuropean Surveillance of Congenital AnomaliesEUROCATRegistos EpidemiológicosEuropePortugalThe data that support the findings of this study are available from the EUROCAT registries.Background: The VACTERL association (VACTERL) is the nonrandom occurrence of at least three of these congenital anomalies: vertebral, anal, cardiac, tracheoesophageal, renal, and limb anomalies. Despite suggestions for involvement of several genes and nongenetic risk factors from small studies, the etiology of VACTERL remains largely unknown. Objective: To identify maternal risk factors for VACTERL in offspring in a large European study. Methods: A case-control study was performed using data from 28 EUROCAT registries over the period 1997-2015 with case and control ascertainment through hospital records, birth and death certificates, questionnaires, and/or postmortem examinations. Cases were diagnosed with VACTERL, while controls had a genetic syndrome and/or chromosomal abnormality. Data collected included type of birth defect and maternal characteristics, such as age, use of assisted reproductive techniques (ART), and chronic illnesses. Multivariable logistic regression analyses were performed to estimate confounder adjusted odds ratios (aOR) with 95% confidence intervals (95% CI). Results: The study population consisted of 329 VACTERL cases and 49,724 controls with recognized syndromes or chromosomal abnormality. For couples who conceived through ART, we found an increased risk of VACTERL (aOR 2.3 [95% CI 1.3, 3.9]) in offspring. Pregestational diabetes (aOR 3.1 [95% CI 1.1, 8.6]) and chronic lower obstructive pulmonary diseases (aOR 3.9 [95% CI 2.2, 6.7]) also increased the risk of having a child with VACTERL. Twin pregnancies were not associated with VACTERL (aOR 0.6 [95% CI 0.3, 1.4]). Conclusion: We identified several maternal risk factors for VACTERL in offspring befitting a multifactorial etiology.WileyRepositório Científico do Instituto Nacional de Saúdevan de Putte, Romyvan Rooij, Iris A.L.M.Haanappel, Cynthia P.Marcelis, Carlo L.M.Brunner, Han G.Addor, Marie‐ClaudeCavero‐Carbonell, ClaraMatias Dias, CarlosDraper, Elizabeth S.Etxebarriarteun, LarraitzGatt, MiriamKhoshnood, BabakKinsner‐Ovaskainen, AgnieszkaKlungsoyr, KariKurinczuk, Jenny J.Latos‐Bielenska, AnnaLuyt, KarenO'Mahony, Mary T.Miller, NicolaMullaney, CarmelNelen, VeraNeville, Amanda J.Perthus, IsabellePierini, AnnaRandrianaivo, HanitraRankin, JudithRissmann, AnkeRouget, FlorenceSchaub, BrunoTucker, DavidWellesley, DianaWiesel, AwiZymak‐Zakutnia, NatalyaLoane, MariaBarisic, IngeborgWalle, Hermien E.K.Bergman, Jorieke E.H.Roeleveld, Nel2021-03-06T16:26:41Z2020-05-152020-05-15T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/7350engBirth Defects Res. 2020 May 15;112(9):688-698. doi: 10.1002/bdr2.1686. Epub 2020 Apr 22.2472-172710.1002/bdr2.1686info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:41:54Zoai:repositorio.insa.pt:10400.18/7350Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:41:56.299366Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Maternal risk factors for the VACTERL association: a EUROCAT case-control study
title Maternal risk factors for the VACTERL association: a EUROCAT case-control study
spellingShingle Maternal risk factors for the VACTERL association: a EUROCAT case-control study
van de Putte, Romy
Assisted Reproductive Techniques
Etiology
Maternal Factors
Pregestational Diabetes
Respiratory Disorders
Anomalias Congénitas
Estados de Saúde e de Doença
Observação em Saúde e Vigilância
Registo Nacional de Anomalias Congénitas
RENAC
European Surveillance of Congenital Anomalies
EUROCAT
Registos Epidemiológicos
Europe
Portugal
title_short Maternal risk factors for the VACTERL association: a EUROCAT case-control study
title_full Maternal risk factors for the VACTERL association: a EUROCAT case-control study
title_fullStr Maternal risk factors for the VACTERL association: a EUROCAT case-control study
title_full_unstemmed Maternal risk factors for the VACTERL association: a EUROCAT case-control study
title_sort Maternal risk factors for the VACTERL association: a EUROCAT case-control study
author van de Putte, Romy
author_facet van de Putte, Romy
van Rooij, Iris A.L.M.
Haanappel, Cynthia P.
Marcelis, Carlo L.M.
Brunner, Han G.
Addor, Marie‐Claude
Cavero‐Carbonell, Clara
Matias Dias, Carlos
Draper, Elizabeth S.
Etxebarriarteun, Larraitz
Gatt, Miriam
Khoshnood, Babak
Kinsner‐Ovaskainen, Agnieszka
Klungsoyr, Kari
Kurinczuk, Jenny J.
Latos‐Bielenska, Anna
Luyt, Karen
O'Mahony, Mary T.
Miller, Nicola
Mullaney, Carmel
Nelen, Vera
Neville, Amanda J.
Perthus, Isabelle
Pierini, Anna
Randrianaivo, Hanitra
Rankin, Judith
Rissmann, Anke
Rouget, Florence
Schaub, Bruno
Tucker, David
Wellesley, Diana
Wiesel, Awi
Zymak‐Zakutnia, Natalya
Loane, Maria
Barisic, Ingeborg
Walle, Hermien E.K.
Bergman, Jorieke E.H.
Roeleveld, Nel
author_role author
author2 van Rooij, Iris A.L.M.
Haanappel, Cynthia P.
Marcelis, Carlo L.M.
Brunner, Han G.
Addor, Marie‐Claude
Cavero‐Carbonell, Clara
Matias Dias, Carlos
Draper, Elizabeth S.
Etxebarriarteun, Larraitz
Gatt, Miriam
Khoshnood, Babak
Kinsner‐Ovaskainen, Agnieszka
Klungsoyr, Kari
Kurinczuk, Jenny J.
Latos‐Bielenska, Anna
Luyt, Karen
O'Mahony, Mary T.
Miller, Nicola
Mullaney, Carmel
Nelen, Vera
Neville, Amanda J.
Perthus, Isabelle
Pierini, Anna
Randrianaivo, Hanitra
Rankin, Judith
Rissmann, Anke
Rouget, Florence
Schaub, Bruno
Tucker, David
Wellesley, Diana
Wiesel, Awi
Zymak‐Zakutnia, Natalya
Loane, Maria
Barisic, Ingeborg
Walle, Hermien E.K.
Bergman, Jorieke E.H.
Roeleveld, Nel
author2_role author
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author
author
author
author
author
author
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author
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dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv van de Putte, Romy
van Rooij, Iris A.L.M.
Haanappel, Cynthia P.
Marcelis, Carlo L.M.
Brunner, Han G.
Addor, Marie‐Claude
Cavero‐Carbonell, Clara
Matias Dias, Carlos
Draper, Elizabeth S.
Etxebarriarteun, Larraitz
Gatt, Miriam
Khoshnood, Babak
Kinsner‐Ovaskainen, Agnieszka
Klungsoyr, Kari
Kurinczuk, Jenny J.
Latos‐Bielenska, Anna
Luyt, Karen
O'Mahony, Mary T.
Miller, Nicola
Mullaney, Carmel
Nelen, Vera
Neville, Amanda J.
Perthus, Isabelle
Pierini, Anna
Randrianaivo, Hanitra
Rankin, Judith
Rissmann, Anke
Rouget, Florence
Schaub, Bruno
Tucker, David
Wellesley, Diana
Wiesel, Awi
Zymak‐Zakutnia, Natalya
Loane, Maria
Barisic, Ingeborg
Walle, Hermien E.K.
Bergman, Jorieke E.H.
Roeleveld, Nel
dc.subject.por.fl_str_mv Assisted Reproductive Techniques
Etiology
Maternal Factors
Pregestational Diabetes
Respiratory Disorders
Anomalias Congénitas
Estados de Saúde e de Doença
Observação em Saúde e Vigilância
Registo Nacional de Anomalias Congénitas
RENAC
European Surveillance of Congenital Anomalies
EUROCAT
Registos Epidemiológicos
Europe
Portugal
topic Assisted Reproductive Techniques
Etiology
Maternal Factors
Pregestational Diabetes
Respiratory Disorders
Anomalias Congénitas
Estados de Saúde e de Doença
Observação em Saúde e Vigilância
Registo Nacional de Anomalias Congénitas
RENAC
European Surveillance of Congenital Anomalies
EUROCAT
Registos Epidemiológicos
Europe
Portugal
description The data that support the findings of this study are available from the EUROCAT registries.
publishDate 2020
dc.date.none.fl_str_mv 2020-05-15
2020-05-15T00:00:00Z
2021-03-06T16:26:41Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/7350
url http://hdl.handle.net/10400.18/7350
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Birth Defects Res. 2020 May 15;112(9):688-698. doi: 10.1002/bdr2.1686. Epub 2020 Apr 22.
2472-1727
10.1002/bdr2.1686
dc.rights.driver.fl_str_mv info:eu-repo/semantics/embargoedAccess
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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