Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health, Houston, Texas, USA.
Department of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston, Texas, USA.
Birth Defects Res. 2024 Jan;116(1):e2225. doi: 10.1002/bdr2.2225. Epub 2023 Jul 26.
Given the lack of a national, population-based birth defects surveillance program in the United States, the National Birth Defects Prevention Network (NBDPN) has facilitated important studies on surveillance, research, and prevention of major birth defects. We sought to summarize NBDPN peer-reviewed publications and their impact.
We obtained and reviewed a curated list of 49 NBDPN multistate collaborative publications during 2000-2022, as of December 31, 2022. Each publication was reviewed and classified by type (e.g., risk factor association analysis). Key characteristics of study populations and analytic approaches used, along with publication impact (e.g., number of citations), were tabulated.
NBDPN publications focused on prevalence estimates (N = 17), surveillance methods (N = 11), risk factor associations (N = 10), mortality and other outcomes among affected individuals (N = 6), and descriptive epidemiology of various birth defects (N = 5). The most cited publications were those that reported on prevalence estimates for a spectrum of defects and those that assessed changes in neural tube defects (NTD) prevalence following mandatory folic acid fortification in the United States.
Results from multistate NBDPN publications have provided critical information not available through other sources, including US prevalence estimates of major birth defects, folic acid fortification and NTD prevention, and improved understanding of defect trends and surveillance efforts. Until a national birth defects surveillance program is established in the United States, NBDPN collaborative publications remain an important resource for investigating birth defects and informing decisions related to health services planning of secondary disabilities prevention and care.
由于美国缺乏全国性的基于人群的出生缺陷监测计划,国家出生缺陷预防网络(NBDPN)促进了对主要出生缺陷的监测、研究和预防的重要研究。我们旨在总结 NBDPN 的同行评审出版物及其影响。
我们获取并审查了截至 2022 年 12 月 31 日,2000 年至 2022 年期间 NBDPN 多州合作出版的 49 篇同行评审出版物的精选清单。对每篇出版物进行了审查和分类,按类型(例如,危险因素关联分析)。列出了研究人群的主要特征和使用的分析方法,以及出版物的影响(例如,引用次数)。
NBDPN 出版物侧重于流行率估计(N=17)、监测方法(N=11)、危险因素关联(N=10)、受影响个体的死亡率和其他结局(N=6)以及各种出生缺陷的描述性流行病学(N=5)。被引用最多的出版物是那些报告各种缺陷的流行率估计值的出版物,以及评估美国强制性叶酸强化后神经管缺陷(NTD)流行率变化的出版物。
多州 NBDPN 出版物的结果提供了其他来源无法获得的关键信息,包括美国主要出生缺陷的流行率估计值、叶酸强化和 NTD 预防以及对缺陷趋势和监测工作的理解的提高。在美国建立国家出生缺陷监测计划之前,NBDPN 合作出版物仍然是调查出生缺陷并为与卫生服务规划相关的二级残疾预防和护理决策提供信息的重要资源。