Lower Childhood Opportunity Index is Associated With Delayed Diagnosis of Anorectal Malformations

In brief

This study examines how social determinants of health, particularly the Childhood Opportunity Index, correlate with delayed diagnosis of anorectal malformations in children. The research focuses on perineal and rectovestibular fistulas, which are more easily missed during physical examination, to identify clinical and socioeconomic factors contributing to diagnostic delays.

• Perineal and rectovestibular fistulas are the ARM subtypes most commonly missed on initial newborn examination.
• Lower Childhood Opportunity Index scores correlate with delayed ARM diagnosis, highlighting healthcare access disparities.
• Delayed ARM diagnosis increases risk of adverse events including bowel perforation and sepsis in neonates.
• Social determinants of health significantly impact timely detection of congenital anorectal anomalies.
• Systematic perineal examination protocols may reduce missed ARM diagnoses in underserved populations.

Written by the GCMD Library team from the article.