An aetiological classification of birth defects for epidemiological research


Wellesley, D., Boyd, P., Dolk, H. and Pattenden, S. (2005) An aetiological classification of birth defects for epidemiological research. Journal of Medical Genetics, 42, (1), 54-57. (doi:10.1136/jmg.2004.023309).

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Original Publication URL: http://dx.doi.org/10.1136/jmg.2004.023309

Description/Abstract

BACKGROUND: Congenital anomaly registers collect data on antenatally and postnatally detected anomalies for surveillance, research, and public health purposes. Each anomaly is coded using the International Statistical Classification of Diseases and Related Health Problems (ICD-9/ICD-10) based on body systems, allowing accurate comparisons between registers for individual anomalies. When commencing an environmental, epidemiological study, it became clear to us that there is no standard classification that takes aetiology into account. This paper describes a new classification for use in studies addressing aetiology.

METHOD: A classification system was evolved and piloted using cases in a study of geographical variation in congenital anomaly prevalence.1 Cases that were difficult to categorise were noted, and after discussion with a team of experts, the classification was adjusted accordingly.

Results and CONCLUSION: A robust, hierarchical method of classifying birth defects into eight categories has been produced, for use at source of data registration in conjunction with, but independent of, ICD coding.

Item Type: Article
ISSNs: 0022-2593 (print)
Related URLs:
Keywords: disease, environmental, birth, public health, health, classification, research, paper, congenital, genetics
Subjects: R Medicine
Q Science > QM Human anatomy
Divisions: University Structure - Pre August 2011 > School of Medicine > Human Genetics
ePrint ID: 60410
Date Deposited: 04 Sep 2008
Last Modified: 27 Mar 2014 18:42
URI: http://eprints.soton.ac.uk/id/eprint/60410

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