Inequidades en el diagnóstico de anomalías congénitas mayores en recién nacidos en Cali, Colombia

Ruiz-Murcia, Fabián Andrés; Fandiño-Losada, Andrés; Ramírez-Cheyne, Julián; Isaza, Carolina; Saldarriaga, Wilmar

doi:10.4067/s0717-75262014000600005

Cited by 6 publications

(8 citation statements)

References 24 publications

(43 reference statements)

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“…This category included 11 references, nine from INS reports, and two articles resulting from indexed databases [ 72 , 91 , 94 , 129 , 162 , 168 , 178 , 191 , 219 , 276 , 277 ], reporting incidences of health conditions and early childhood illness as outcomes such as: underweight at birth, perinatal mortality, late neonatal mortality, and congenital malformations. Five studies showed the distribution of their population for the SS and CS [ 21 , 53 , 74 , 244 , 247 ].…”

Section: Resultsmentioning

confidence: 99%

Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis

Mora-Moreo

Estrada-Orozco

Espinosa

et al. 2023

Int J Equity Health

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Background Some reports suggest there are differences in health needs between the population affiliated to the subsidized health insurance scheme (SS) and those affiliated to the contributory health insurance scheme (CS) in Colombia. The objective of this study was to identify the epidemiological profile of the population affiliated to the SS in Colombia and to compare the main epidemiological features of the SS to the CS. Methods Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology, the search was carried out from 1993, with no other restriction. The information was synthesized into five categories according to the most important risk populations. We estimated combined incidences from epidemiological surveillance data, prevalence ratio, and other measures to estimate the difference between the studied groups. A 95% confidence interval was considered. A random effects model was used weighted by the inverse of the variance of the cumulative incidence calculated for each disease. The risk of bias was assessed using the Joanna Briggs Institute’s critical appraisal tools. Results A total of 16,236 articles were identified; 14,972 were excluded after title and abstract screening, 725 articles were verified as full text, and finally 268 articles were included. The relative risk of non-communicable and communicable diseases was lower in the SS than in the CS (RR: 0.37 and 0.72, respectively, p-value < 0.05). However, the risk of presenting obstetric and maternal conditions in the SS versus the CS was RR 1.55 for frequent conditions during early childhood, and for other diseases it was RR 1.28 with a p-value of < 0.05. The use of health services was different by scheme, with less demand, access, and provision being found in health services in the SS. Conclusions This study allowed us to conclude that there are differences in the incidence, prevalence, and use of health services between health affiliation schemes (SS and CS) in Colombia, thereby assisting in decision-making for stakeholders. Trial registration PROSPERO Registration number CRD42021279234.

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Section: Resultsmentioning

confidence: 99%

Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis

Mora-Moreo

Estrada-Orozco

Espinosa

et al. 2023

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…This category included 11 references, nine from INS reports, and two articles resulting from indexed databases (168,178,191,219,276,277,72,91,94,129,162), reporting incidences of health conditions and early childhood illness as outcomes such as: underweight at birth, perinatal mortality, late neonatal mortality and congenital malformations. Five studies showed the distribution of their population for SS and CS (40,46,70,218,221).…”

Section: Common Conditions In Early Childhoodmentioning

confidence: 99%

“…The details of the cumulative incidences by a liation scheme are presented in Table 3 and their graphic representation in the forest plot additional le 2 -Illustration 4. Of the studies that described the frequency distribution of non-communicable diseases according to the a liation scheme and that were published between 2014-2016, information was obtained on infant death and congenital malformations, with a ratio of 2.1 to 1 of cases in the SS with respect to the CS (70,218,221). Details are presented in table 6. from the literature.…”

Section: Maternal and Obstetric Conditionsmentioning

confidence: 99%

Characterization of the Population Affiliated to the Subsidized Health Insurance Scheme in Colombia. A Systematic Review and Meta Analysis.

Moreo¹,

Estrada-Orozco²,

Espinosa³

et al. 2022

Preprint

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Background: Some reports suggest differences regarding health needs between the population affiliated to subsidized health insurance scheme (SS) compared to the contributory health insurance scheme (CS) in Colombia. Therefore, the objective of this study was to identify the epidemiological profile of the population affiliated to the SS in Colombia, to establish if there are differences compared to CS in terms of: incident diseases, prevalent diseases, and use of health services and to estimate the magnitude of the differences from statistical analyzes of the data retrieved in a systematic review of data published in the literature and other sources of information. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology. The search was made from 1993, with none other restriction. The information was synthesized in five categories according to the most important risk populations. We estimated combined incidences from epidemiological surveillance data, prevalence ratio, and other measures to estimate the difference between the studied groups. A 95% interval confidence was considered. A random effects models were used weighted by the inverse of the variance of the cumulative incidence calculated for each disease. The risk of bias was assessed using Joanna Briggs Institute critical appraisal tools. Results: 16.236 we identified, 14.972 were exclude after the title and abstract screening, 725 articles were verified as full text and finally 268 articles were included. The relative risk for non-communicable and communicable diseases was lower in the SS than the RC (RR: 0,37 and 0,72 respectively, p-value <0,05), however, for the other three categories, differences were found, the risk of presenting obstetric and maternal conditions in the SS versus the CS was RR 1,55, for frequent conditions during early childhood and other diseases was RR 1,28 with p-value < 0,05 respectively. The use of health services was different by scheme, finding less demand, access, or provision in health services in the SS.Conclusions: This study allowed to conclude that there are differences in the incidence, prevalence, and use of health services between health affiliation scheme (SS and CS) in Colombia allowing to guide decision-making to stakeholders. Registration: PROSPERO Registration number CRD42021279234.

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“…This may suggest that there is less access to timely and quality ultrasound for the mothers in the latter, as previously reported. 15…”

Section: Quality Of Prenatal Carementioning

confidence: 99%

Caracterización de la exposición prenatal de un grupo de niños de 0 a 5 años con cardiopatía congénita atendidos en Cali, Colombia. La importancia del ácido fólico

Ramírez-Cheyne

2020

Rev. Fac. Med.

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Introduction:Congenital heart defects (CHD) have an estimated prevalence of 4 to 9 cases per 1 000 births, and they have a significant impact on child morbidity and mortality. This prevalence variability has been attributed to regional differences in terms of genetic and environmental factors, among others. Objective: To obtain data on prenatal exposure variables of patients with CHD treated in Cali, Colombia. Materials and methods: A survey was administered to the mothers of 30 children aged 0 to 5 years with CDH treated in 2 health institutions of Cali, Colombia. The instrument was oriented to collect data on multiple prenatal exposure variables, and data collected were entered into an Excel database in order to analyze them using descriptive statistics. Results: Several types of exposure potentially associated with having CHD were found, including altered body mass index, inadequate administration of folic acid, and being exposed to X-rays, vitamin A, alcohol and tobacco. Conclusion: Insufficient or untimely administration of folic acid could facilitate the development of teratogenic effects of oxidizing agents. Therefore, education programs on the importance of a proper intake of folic acid and the risks derived from exposure to teratogenic agents during pregnancy should be provided to all pregnant women in Cali to reduce the incidence rate of CHD in the city.Introducción. Con una prevalencia estimada de 4 a 9 casos por cada 1 000 nacimientos, las cardiopatías congénitas (CC) tienen gran impacto en la morbimortalidad pediátrica. La variabilidad de prevalencia se ha atribuido a diferencias regionales en cuanto a factores genéticos, ambientales, entre otros. Objetivo. Obtener datos sobre variables de exposición prenatales de pacientes con CC atendidos en Cali, Colombia. Materiales y métodos. Se aplicó una encuesta a las madres de 30 pacientes de 0 a 5 años con CC atendidos en 2 clínicas de alta complejidad (tercer y cuarto nivel) de Cali. La encuesta estaba orientada a múltiples variables de exposición y la información recolectada fue digitalizada en una base de datos en el programa Microsoft Excel para hacer un análisis estadístico descriptivo. Resultados. Se evidenciaron varias exposiciones potencialmente asociadas a CC, tales como índice de masa corporal alterado, administración inadecuada de suplementos de ácido fólico y exposición a vitamina A, rayos X, alcohol y cigarrillo. Conclusión. El consumo insuficiente o inoportuno de ácido fólico podría facilitar la generación de efectos teratogénicos de sustancias oxidantes. Por lo tanto, se debe educar a las mujeres de Cali sobre la importancia de una ingesta adecuada de ácido fólico y sobre los riesgos de la exposición a agentes teratogénicos durante el embarazo para reducir las tasas de incidencia de CC en esta ciudad. Palabras clave: Cardiopatías congénitas; Exposición a riesgos ambientales; Anomalías congénitas (DeCS).Characterization of prenatal exposure variables in a group of children aged 0-5 years with congenital heart defect treated in Cali, Colombia. ...

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Inequidades en el diagnóstico de anomalías congénitas mayores en recién nacidos en Cali, Colombia

Cited by 6 publications

References 24 publications

Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis

Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis

Characterization of the Population Affiliated to the Subsidized Health Insurance Scheme in Colombia. A Systematic Review and Meta Analysis.

Caracterización de la exposición prenatal de un grupo de niños de 0 a 5 años con cardiopatía congénita atendidos en Cali, Colombia. La importancia del ácido fólico

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