Incidence of Congenital Limb Reduction Defects: A Systematic Review

Background: Congenital limb reduction defects (CLRDs) are missing or hypoplastic whole or part of limbs that occur in utero and cause significant functional impairment. This systematic review aims to describe the incidence of CLRDs published to date in the English literature. Methods: A systematic r...

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Main Authors: Gabrielle Levesque, Renitha Reddi, Harpreet Chhina, Alison M. Elliott, Colleen Pawliuk, Jeffrey Bone, Anthony Cooper
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Limb Lengthening & Reconstruction
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Online Access:https://journals.lww.com/10.4103/jllr.jllr_17_24
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author Gabrielle Levesque
Renitha Reddi
Harpreet Chhina
Alison M. Elliott
Colleen Pawliuk
Jeffrey Bone
Anthony Cooper
author_facet Gabrielle Levesque
Renitha Reddi
Harpreet Chhina
Alison M. Elliott
Colleen Pawliuk
Jeffrey Bone
Anthony Cooper
author_sort Gabrielle Levesque
collection DOAJ
description Background: Congenital limb reduction defects (CLRDs) are missing or hypoplastic whole or part of limbs that occur in utero and cause significant functional impairment. This systematic review aims to describe the incidence of CLRDs published to date in the English literature. Methods: A systematic review was performed using Ovid Medline, Ovid Embase, Web of Science, and Google Scholar in April 2021. Two independent reviewers performed title and abstract screening, full-text review, and data extraction. Conflicts were resolved by a third independent reviewer. The pooled incidence rate per 10,000 was calculated. Results: Search results were performed on April 10, 2021. 2076 articles were screened, 288 studies underwent full-text review, and 100 papers were included for final data analysis. The average pooled incidence of CLRDs was 4.48/10,000 (95% confidence interval = 3.89–5.16) with the highest incidence in Western Asia and the lowest in Eastern Asia. There was a higher incidence of upper limbs, males, and left-sided defects. Incidence has decreased over time (−0.0103, 95% CI = −0.203–−0.003, P = 0.04). Conclusions: The incidence of CLRDs published in the English literature to date was calculated, outlining the importance of screening, standardized classification system, and healthcare resource requirements.
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institution Kabale University
issn 2455-3719
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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series Journal of Limb Lengthening & Reconstruction
spelling doaj-art-e4e5d12e7d1e4042bcffbc3cde5cefbb2025-01-07T07:00:09ZengWolters Kluwer Medknow PublicationsJournal of Limb Lengthening & Reconstruction2455-37192024-12-01102315410.4103/jllr.jllr_17_24Incidence of Congenital Limb Reduction Defects: A Systematic ReviewGabrielle LevesqueRenitha ReddiHarpreet ChhinaAlison M. ElliottColleen PawliukJeffrey BoneAnthony CooperBackground: Congenital limb reduction defects (CLRDs) are missing or hypoplastic whole or part of limbs that occur in utero and cause significant functional impairment. This systematic review aims to describe the incidence of CLRDs published to date in the English literature. Methods: A systematic review was performed using Ovid Medline, Ovid Embase, Web of Science, and Google Scholar in April 2021. Two independent reviewers performed title and abstract screening, full-text review, and data extraction. Conflicts were resolved by a third independent reviewer. The pooled incidence rate per 10,000 was calculated. Results: Search results were performed on April 10, 2021. 2076 articles were screened, 288 studies underwent full-text review, and 100 papers were included for final data analysis. The average pooled incidence of CLRDs was 4.48/10,000 (95% confidence interval = 3.89–5.16) with the highest incidence in Western Asia and the lowest in Eastern Asia. There was a higher incidence of upper limbs, males, and left-sided defects. Incidence has decreased over time (−0.0103, 95% CI = −0.203–−0.003, P = 0.04). Conclusions: The incidence of CLRDs published in the English literature to date was calculated, outlining the importance of screening, standardized classification system, and healthcare resource requirements.https://journals.lww.com/10.4103/jllr.jllr_17_24congenital limb reduction defectsincidencelimb deficiencieslimb reduction defects
spellingShingle Gabrielle Levesque
Renitha Reddi
Harpreet Chhina
Alison M. Elliott
Colleen Pawliuk
Jeffrey Bone
Anthony Cooper
Incidence of Congenital Limb Reduction Defects: A Systematic Review
Journal of Limb Lengthening & Reconstruction
congenital limb reduction defects
incidence
limb deficiencies
limb reduction defects
title Incidence of Congenital Limb Reduction Defects: A Systematic Review
title_full Incidence of Congenital Limb Reduction Defects: A Systematic Review
title_fullStr Incidence of Congenital Limb Reduction Defects: A Systematic Review
title_full_unstemmed Incidence of Congenital Limb Reduction Defects: A Systematic Review
title_short Incidence of Congenital Limb Reduction Defects: A Systematic Review
title_sort incidence of congenital limb reduction defects a systematic review
topic congenital limb reduction defects
incidence
limb deficiencies
limb reduction defects
url https://journals.lww.com/10.4103/jllr.jllr_17_24
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AT alisonmelliott incidenceofcongenitallimbreductiondefectsasystematicreview
AT colleenpawliuk incidenceofcongenitallimbreductiondefectsasystematicreview
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