Sex differences in surgically correctable congenital anomalies: A systematic review

Space: StayCurrentMD Author: Anna J Black, Daphne YD Lu, Leeor S Yefet, Robert Baird Published:

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Anna J Black, Daphne YD Lu, Leeor S Yefet, Robert Baird

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Abstract

Purpose

This study aims to compare the prevalence and outcomes of surgically correctable congenital anomalies between sexes.

Methods

Upon registration on PROSPERO (CRD42019120165), a librarian aided in conducting a systematic review using PRISMA guidelines. The five largest relevant studies were included for each anomaly. Cumulative prevalence differences and confidence intervals were calculated, and the Cochran–Mantel–Haenszel test was performed.

Results

Of 42,722 identified studies, 68 were included in our analysis. All included anomalies had greater than 1000 patients except duodenal atresia (n = 787) and intestinal duplication (n = 148). Males had a significantly higher prevalence than females in 10/14 anomalies (Hirschsprung's disease, omphalomesenteric duct, congenital diaphragmatic hernia, anorectal malformation, malrotation, esophageal atresia, congenital pulmonary airway malformation, intestinal atresia, omphalocele, and gastroschisis; p 

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