A multidisciplinary and structured ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
A multidisciplinary and structured investigation of three suspected clusters of transverse upper limb reduction defects in France
Author(s) :
Boudet-Berquier, J. [Auteur]
Demattei, C. [Auteur]
Guldner, L. [Auteur]
Gallay, A. [Auteur]
Manouvrier, Sylvie [Auteur]
Maladies RAres du DEveloppement embryonnaire et du MEtabolisme : du Phénotype au Génotype et à la Fonction - ULR 7364 [RADEME]
Botton, J. [Auteur]
Philippat, C. [Auteur]
Delva, F. [Auteur]
Bloch, J. [Auteur]
Semaille, C. [Auteur]
Odent, S. [Auteur]
Perthus, I. [Auteur]
Randrianaivo, H. [Auteur]
Babajko, S. [Auteur]
Barjat, T. [Auteur]
Beneteau, C. [Auteur]
Brennetot, N. [Auteur]
Garne, E. [Auteur]
Haddad, G. [Auteur]
Hocine, M. [Auteur]
Lacroix, I. [Auteur]
Leuraud, K. [Auteur]
Mench, M. [Auteur]
Morris, J. [Auteur]
Patrier, S. [Auteur]
Sartelet, A. [Auteur]
Verloes, A. [Auteur]
Bonaldi, C. [Auteur]
Le Barbier, M. [Auteur]
Gagnière, B. [Auteur]
Pépin, P. [Auteur]
Ollivier, R. [Auteur]
Bitoun, M. [Auteur]
King, L. [Auteur]
Guajardo-Villar, A. [Auteur]
Gomes, E. [Auteur]
Desenclos, J. C. [Auteur]
Regnault, N. [Auteur]
Benachi, A. [Auteur]
Demattei, C. [Auteur]
Guldner, L. [Auteur]
Gallay, A. [Auteur]
Manouvrier, Sylvie [Auteur]

Maladies RAres du DEveloppement embryonnaire et du MEtabolisme : du Phénotype au Génotype et à la Fonction - ULR 7364 [RADEME]
Botton, J. [Auteur]
Philippat, C. [Auteur]
Delva, F. [Auteur]
Bloch, J. [Auteur]
Semaille, C. [Auteur]
Odent, S. [Auteur]
Perthus, I. [Auteur]
Randrianaivo, H. [Auteur]
Babajko, S. [Auteur]
Barjat, T. [Auteur]
Beneteau, C. [Auteur]
Brennetot, N. [Auteur]
Garne, E. [Auteur]
Haddad, G. [Auteur]
Hocine, M. [Auteur]
Lacroix, I. [Auteur]
Leuraud, K. [Auteur]
Mench, M. [Auteur]
Morris, J. [Auteur]
Patrier, S. [Auteur]
Sartelet, A. [Auteur]
Verloes, A. [Auteur]
Bonaldi, C. [Auteur]
Le Barbier, M. [Auteur]
Gagnière, B. [Auteur]
Pépin, P. [Auteur]
Ollivier, R. [Auteur]
Bitoun, M. [Auteur]
King, L. [Auteur]
Guajardo-Villar, A. [Auteur]
Gomes, E. [Auteur]
Desenclos, J. C. [Auteur]
Regnault, N. [Auteur]
Benachi, A. [Auteur]
Journal title :
European Journal of Epidemiology
Abbreviated title :
Eur J Epidemiol
Publisher :
Springer Verlag
Publication date :
2024-04-27
ISSN :
0393-2990
English keyword(s) :
Birth defects
Cluster
Congenital anomalies
Limb reduction defects
Environment
Spatiotemporal analyses
Cluster
Congenital anomalies
Limb reduction defects
Environment
Spatiotemporal analyses
HAL domain(s) :
Sciences du Vivant [q-bio]
Sciences du Vivant [q-bio]/Santé publique et épidémiologie
Sciences du Vivant [q-bio]/Santé publique et épidémiologie
English abstract : [en]
Introduction: Between 2019–2021, facing public concern, a scientific expert committee (SEC) reanalysed suspected clusters of transverse upper limb reduction defects (TULRD) in three administrative areas in France, where ...
Show more >Introduction: Between 2019–2021, facing public concern, a scientific expert committee (SEC) reanalysed suspected clusters of transverse upper limb reduction defects (TULRD) in three administrative areas in France, where initial investigations had not identified any risk exposure. We share here the national approach we developed for managing suspicious clusters of the same group of congenital anomalies occurring in several areas. Methods: The SEC analysed the medical records of TURLD suspected cases and performed spatiotemporal analyses on confirmed cases. If the cluster was statistically significant and included at least three cases, the SEC reviewed exposures obtained from questionnaires, environmental databases, and a survey among farmers living near to cases’ homes concerning their plant product use. Results: After case re-ascertainment, no statistically significant cluster was observed in the first administrative areas. In the second area, a cluster of four children born in two nearby towns over two years was confirmed, but as with the initial investigations, no exposure to a known risk factor explaining the number of cases in excess was identified. In the third area, a cluster including just two cases born the same year in the same town was confirmed. Discussion: Our experience highlights that in the event of suspicious clusters occurring in different areas of a country, a coordinated and standardised approach should be preferred.Show less >
Show more >Introduction: Between 2019–2021, facing public concern, a scientific expert committee (SEC) reanalysed suspected clusters of transverse upper limb reduction defects (TULRD) in three administrative areas in France, where initial investigations had not identified any risk exposure. We share here the national approach we developed for managing suspicious clusters of the same group of congenital anomalies occurring in several areas. Methods: The SEC analysed the medical records of TURLD suspected cases and performed spatiotemporal analyses on confirmed cases. If the cluster was statistically significant and included at least three cases, the SEC reviewed exposures obtained from questionnaires, environmental databases, and a survey among farmers living near to cases’ homes concerning their plant product use. Results: After case re-ascertainment, no statistically significant cluster was observed in the first administrative areas. In the second area, a cluster of four children born in two nearby towns over two years was confirmed, but as with the initial investigations, no exposure to a known risk factor explaining the number of cases in excess was identified. In the third area, a cluster including just two cases born the same year in the same town was confirmed. Discussion: Our experience highlights that in the event of suspicious clusters occurring in different areas of a country, a coordinated and standardised approach should be preferred.Show less >
Language :
Anglais
Peer reviewed article :
Oui
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Collections :
Submission date :
2024-06-26T21:11:20Z
2024-07-11T09:58:08Z
2024-07-11T09:58:08Z