One-Year Outcome for Congenital Diaphragmatic Hernia: Results From the French National Register

Barrière, F.; Michel, Fabrice; Loundou, Anderson; Fouquet, Virginie; Kermorvant, Elsa; Blanc, Sébastien; Carricaburu, E.; Desrumaux, Amélie; Pidoux, Odile; Arnaud, Alexis; Berte, Nicolas; Blanc, Thierry; Lavrand, F.; Levard, G.; Rayet, I; Sampériz, Sylvain; Schneider, Anne; Marcoux, Marie‐Odile; Winer, Norbert; Chaussy, Yann; Datin-Dorrière, Valérie; Ballouhey, Quentin; Binet, Aurélien; Muszynski, Charles; Bréaud, Jean; Garenne, Armelle; Storme, Laurent; Boubnova, Julia

doi:10.1016/j.jpeds.2017.09.074

Cited by 36 publications

(32 citation statements)

References 39 publications

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“…in the 2010s. 24 rates. The proportion of postnatally diagnosed cases of CDH that had a prenatal ultrasound could not be ascertained because of the statewide population-based nature of the study, but given the high uptake of antenatal ultrasound in Australia, we would consider almost all the postnatal diagnoses to have been missed on ultrasound.…”

Section: Discussionmentioning

confidence: 98%

“…In the last three decades, prenatal detection rates have significantly improved from 15% in the mid‐1980s to as high as 83% in the 2010s . This substantial increase in prenatal detection is likely due to a combination of high uptake of the midpregnancy fetal ultrasound anatomy survey, improvement in ultrasonographic skills, higher resolution ultrasound equipment, and improved knowledge of the ultrasound features of CDH such as presence of the fluid‐filled stomach within the thoracic cavity, right sided mediastinal shift, and Doppler interrogation of the umbilical vein and hepatic vessels.…”

Section: Discussionmentioning

confidence: 99%

“…For pregnancies with an antenatal diagnosis of CDH, 62.8% resulted in a live birth, with 73% of these surviving to surgery and a 91% postsurgery survival in the absence of prenatal fetal therapy such as fetoscopic tracheal occlusion (FETO). This is akin to the results from population‐based studies on CDH in the United Kingdom and France . In Western Australia, terminations of pregnancy are permitted on request or when the life, physical, or mental health of the woman is endangered, up to 20 weeks gestation.…”

Section: Discussionmentioning

confidence: 99%

“…This is akin to the results from population-based studies on CDH in the United Kingdom and France. 13,24,27,28 In Western Australia, terminations of pregnancy are nates with CDH in the mid-1990s. 35 Since then, there has been a progressive improvement in survival [36][37][38] and decreased need for ECMO.…”

Section: Discussionmentioning

confidence: 99%

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Congenital diaphragmatic hernia: Impact of contemporary management strategies on perinatal outcomes

et al. 2018

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Objective This study aims to review temporal changes in perinatal management and 1‐year survival outcomes of cases of congenital diaphragmatic hernia (CDH) from 1996 to 2015 in Western Australia (WA). Method This research is a retrospective study of all cases of CDH in WA from 1996 to 2015 identified from five independent databases within the WA health network. Detailed information pertaining to pregnancy and survival outcomes were obtained from review of maternal and infant medical records. Results There were 215 cases of CDH with 164 diagnosed prenatally. Between 1996 and 2010, a decline in live birth rates for CDH‐affected pregnancies was observed, reaching a nadir of 5.3 per 10 000 births before increasing to a peak of 9.73 per 10 000 births in 2011‐2015. A corresponding decline was seen in the number of pregnancies terminated in the same period from 8.3 to 4.6 per 10 000 births (P = 0.14) and an increase in survival of live births from 38.9% to 81.3% (P = 0.01). Conclusion The improved overall survival rate in infants with CDH over the last 20 years may have resulted in an increased tendency for women to continue their pregnancy with a concomitant decline in termination rates. Information from this study will help in the counselling of women following prenatal detection of CDH.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Congenital diaphragmatic hernia: Impact of contemporary management strategies on perinatal outcomes

et al. 2018

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“…A similar ‘population based’ contemporaneous study from France was published with data from 26 of the 34 centres that managed CDH during 2011 4. Unlike the UK and Ireland study, this used an online database (The French National CDH Registry) and included antenatal parameters and outcomes to 1 year.…”

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confidence: 99%

Challenge of determining true outcome of congenital diaphragmatic hernia

Davis

Walker

2018

Arch Dis Child Fetal Neonatal Ed

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Neurodevelopmental outcomes in children with isolated congenital diaphragmatic hernia: A systematic review and meta‐analysis

et al. 2021

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Background: Congenital diaphragmatic hernia (CDH) reportedly has neurologic consequences in childhood however little is known about the impact in isolated CDH.Aims: Herein we aimed to describe the risk of neurodevelopmental complications in children born with isolated CDH. Materials & Methods:We systematically reviewed literature for reports on the neurological outcome of infants born with isolated CDH. The primary outcome was neurodevelopmental delay. Secondary outcomes included, motor skills, intelligence, vision, hearing, language and behavior abnormalities.Results: Thirteen out of 87 (15%) studies reported on isolated CDH, including 2624 out of 24,146 children. Neurodevelopmental delay was investigated in four studies and found to be present in 16% (3-34%) of children. This was mainly attributed to motor problems in 13% (2-30%), whereas cognitive dysfunction only in 5% (0-20%) and hearing in 3% (1-7%). One study assessed the effect of fetal surgery. When both isolated and non-isolated children were included, these numbers were higher. Discussion: This systematic review demonstrates that only a minority of studies focused on isolated CDH, with neurodevelopmental delay present in 16% of children born with CDH. Conclusion:To accurately counsel patients, more research should focus on isolated CDH cases and examine children that underwent fetal surgery. Lennart Van der Veeken and Simen Vergote shared first authorship. #Jan Deprest and Matteo Bruschettini shared last authorship.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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One-Year Outcome for Congenital Diaphragmatic Hernia: Results From the French National Register

Cited by 36 publications

References 39 publications

Congenital diaphragmatic hernia: Impact of contemporary management strategies on perinatal outcomes

Congenital diaphragmatic hernia: Impact of contemporary management strategies on perinatal outcomes

Challenge of determining true outcome of congenital diaphragmatic hernia

Neurodevelopmental outcomes in children with isolated congenital diaphragmatic hernia: A systematic review and meta‐analysis

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