Document Detail


Trends in prenatal sonography use and subsequent urologic diagnoses and abortions in the United States.
MedLine Citation:
PMID:  19664960     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Prenatal sonography has enabled fetal diagnosis of urologic conditions and is now commonly used in the US. The impact of this technology on the incidence of pediatric urological diagnoses is unknown. We sought to assess trends in prenatal sonography and resulting urologic diagnoses and/or abortions.
METHODS: Using administrative codes in Ingenix, a claims database of individuals with employer-based insurance, we identified women undergoing prenatal ultrasounds (1998-2005). These were linked to claims for subsequent abortions, live births, and postnatal urologic diagnoses in resulting offspring.
RESULTS: 99.07% of women underwent ultrasound and childbirth. Ultrasound use among women whose pregnancies proceeded to birth increased from 90,568 to 96,866 per 100,000 mother-infant pairs from 1998 to 2005. Of women who did or did not undergo ultrasounds, 1.25% and 0.66% had infants with urologic diagnoses, respectively. The rates of prenatal ultrasound-detected urinary tract anomalies increased from 1032.26 per 100,000 live births in 1999 to 1225.71 per 100,000 live births in 2005.
CONCLUSIONS: Prenatal ultrasound is widely used, but increased utilization of this diagnostic modality did not seem to be associated with abortions. The rate of pediatric urologic diagnoses in infants who had received prenatal ultrasound did not rise significantly over time.
Authors:
Michael H Hsieh; Julie Lai; Christopher S Saigal;
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-08-06
Journal Detail:
Title:  Journal of pediatric urology     Volume:  5     ISSN:  1873-4898     ISO Abbreviation:  J Pediatr Urol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-16     Completed Date:  2010-02-02     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  101233150     Medline TA:  J Pediatr Urol     Country:  England    
Other Details:
Languages:  eng     Pagination:  490-4     Citation Subset:  IM    
Affiliation:
Department of Urology, Stanford University, Stanford, CA 94305, USA. mhhsieh@stanford.edu
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / statistics & numerical data*
Adult
Female
Fetal Diseases / epidemiology*,  ultrasonography*
Humans
Pregnancy
Ultrasonography, Prenatal / trends*,  utilization*
Urologic Diseases / epidemiology*,  ultrasonography*
Young Adult
Grant Support
ID/Acronym/Agency:
K08 DK087895-03/DK/NIDDK NIH HHS
Comments/Corrections
Comment In:
J Pediatr Urol. 2009 Dec;5(6):495   [PMID:  19647491 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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