Screening practices and associated anomalies in infants with anorectal malformations: Results from the Midwest Pediatric Surgery Consortium.

Document Type

Article

Publication Date

6-1-2018

Identifier

DOI: 10.1016/j.jpedsurg.2018.02.079

Abstract

Background: This study evaluates screening practices and the incidence of associated anomalies in infants with anorectal malformations (ARM).

Methods: We performed a multi-institutional retrospective cohort study of children born between 2007 and 2011 who underwent surgery for ARM at 10 children's hospitals. ARM type was classified based on the location of the distal rectum, and all screening studies were reviewed.

Results: Among 506 patients, the most common ARM subtypes were perineal fistula (40.7%), no fistula (11.5%), and vestibular fistula (10.1%). At least 1 screening test was performed in 96.6% of patients, and 11.3% of patients underwent all. The proportion of patients with ≥1 abnormal finding on any screening test varied by type of ARM (p

Conclusion: Screening practices and the incidence of associated anomalies varied by type of ARM. The rate of identifying at least one associated anomaly was high across all ARM subtypes. Screening for associated anomalies should be considered standard of care for all ARM patients.

Type of study: Multi-institutional retrospective cohort study.

Level of evidence: III.

Journal Title

Journal of pediatric surgery

Volume

53

Issue

6

First Page

1163

Last Page

1167

MeSH Keywords

Abnormalities, Multiple; Anorectal Malformations; Child; Child, Preschool; Female; Humans; Incidence; Infant; Male; Midwestern United States; Practice Patterns, Physicians'; Retrospective Studies

Keywords

Anorectal malformation; Associated anomalies; Congenital malformations; Screening rates; VACTERL

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