The incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, 1982–95
AIMS To determine the incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, in the period 1982–95. METHODS Examination of information in a register, analysing the patients' addresses by indices of deprivation. RESULTS A total of 122 white children were diagnosed as having...
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| Veröffentlicht in: | Archives of disease in childhood 2001-04, Vol.84 (4), p.351-354 |
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| creator | Margetts, B M Perry, C A Taylor, J F Dangerfield, P H |
| description | AIMS To determine the incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, in the period 1982–95. METHODS Examination of information in a register, analysing the patients' addresses by indices of deprivation. RESULTS A total of 122 white children were diagnosed as having Perthes' disease during the study, whereas black and minority groups form 5.8% of the population. The incidence rate in inner Liverpool had decreased to 10.5 in the period 1990–95. Simple Spearman correlations revealed an association between the disease incidence in electoral wards and deprivation. Regression analysis showed that for the period 1990–95 the most powerful effects on incidence were increases in ward deprivation since 1976, the percentage free school meals in 1986, the ward Health Index in 1981, and the percentage low birth weight in 1981. CONCLUSIONS We suggest that environmental influences may come into play some years before a child presents with pain in the hip. There may be a genetic predisposition to the disease. |
| doi_str_mv | 10.1136/adc.84.4.351 |
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METHODS Examination of information in a register, analysing the patients' addresses by indices of deprivation. RESULTS A total of 122 white children were diagnosed as having Perthes' disease during the study, whereas black and minority groups form 5.8% of the population. The incidence rate in inner Liverpool had decreased to 10.5 in the period 1990–95. Simple Spearman correlations revealed an association between the disease incidence in electoral wards and deprivation. Regression analysis showed that for the period 1990–95 the most powerful effects on incidence were increases in ward deprivation since 1976, the percentage free school meals in 1986, the ward Health Index in 1981, and the percentage low birth weight in 1981. CONCLUSIONS We suggest that environmental influences may come into play some years before a child presents with pain in the hip. There may be a genetic predisposition to the disease.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.84.4.351</identifier><identifier>PMID: 11259241</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adolescent ; African Americans ; African Continental Ancestry Group ; Analysis. Health state ; Attrition (Research Studies) ; Biological and medical sciences ; Birth weight ; Body Weight ; Causes of ; Census Figures ; Child ; Child, Preschool ; Children ; deprivation ; Developmental Delays ; Disease Incidence ; Diseases ; Diseases of the osteoarticular system ; Dysplasia ; England - epidemiology ; Environmental Influences ; Epidemiology ; Female ; General and Specialist Paediatrics ; General aspects ; Health aspects ; Health Status ; Hip joint ; Humans ; Incidence ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Inner city ; Legg-Calve-Perthes disease ; Legg-Calve-Perthes Disease - epidemiology ; Legg-Calve-Perthes Disease - ethnology ; Male ; Mann-Whitney U test ; Medical sciences ; Minority & ethnic groups ; Miscellaneous. Osteoarticular involvement in other diseases ; Mortality ; Multiple Regression Analysis ; Northern Ireland - ethnology ; Osteochondritis ; osteochondroses ; Osteochondrosis ; Ownership ; Patients ; Pediatric diseases ; Perthes' disease ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regression Analysis ; Socioeconomic Background ; Socioeconomic Factors ; Urban Areas</subject><ispartof>Archives of disease in childhood, 2001-04, Vol.84 (4), p.351-354</ispartof><rights>Royal College of Paediatrics and Child Health</rights><rights>2001 INIST-CNRS</rights><rights>COPYRIGHT 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2001 Royal College of Paediatrics and Child Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b651t-888072467ac54bdf0b69d453aee52c0ee74307e087e9108241570c62cfcaae843</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1718709/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1718709/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=950412$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11259241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Margetts, B M</creatorcontrib><creatorcontrib>Perry, C A</creatorcontrib><creatorcontrib>Taylor, J F</creatorcontrib><creatorcontrib>Dangerfield, P H</creatorcontrib><title>The incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, 1982–95</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>AIMS To determine the incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, in the period 1982–95. METHODS Examination of information in a register, analysing the patients' addresses by indices of deprivation. RESULTS A total of 122 white children were diagnosed as having Perthes' disease during the study, whereas black and minority groups form 5.8% of the population. The incidence rate in inner Liverpool had decreased to 10.5 in the period 1990–95. Simple Spearman correlations revealed an association between the disease incidence in electoral wards and deprivation. Regression analysis showed that for the period 1990–95 the most powerful effects on incidence were increases in ward deprivation since 1976, the percentage free school meals in 1986, the ward Health Index in 1981, and the percentage low birth weight in 1981. CONCLUSIONS We suggest that environmental influences may come into play some years before a child presents with pain in the hip. There may be a genetic predisposition to the disease.</description><subject>Adolescent</subject><subject>African Americans</subject><subject>African Continental Ancestry Group</subject><subject>Analysis. Health state</subject><subject>Attrition (Research Studies)</subject><subject>Biological and medical sciences</subject><subject>Birth weight</subject><subject>Body Weight</subject><subject>Causes of</subject><subject>Census Figures</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>deprivation</subject><subject>Developmental Delays</subject><subject>Disease Incidence</subject><subject>Diseases</subject><subject>Diseases of the osteoarticular system</subject><subject>Dysplasia</subject><subject>England - epidemiology</subject><subject>Environmental Influences</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General and Specialist Paediatrics</subject><subject>General aspects</subject><subject>Health aspects</subject><subject>Health Status</subject><subject>Hip joint</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Inner city</subject><subject>Legg-Calve-Perthes disease</subject><subject>Legg-Calve-Perthes Disease - epidemiology</subject><subject>Legg-Calve-Perthes Disease - ethnology</subject><subject>Male</subject><subject>Mann-Whitney U test</subject><subject>Medical sciences</subject><subject>Minority & ethnic groups</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Mortality</subject><subject>Multiple Regression Analysis</subject><subject>Northern Ireland - ethnology</subject><subject>Osteochondritis</subject><subject>osteochondroses</subject><subject>Osteochondrosis</subject><subject>Ownership</subject><subject>Patients</subject><subject>Pediatric diseases</subject><subject>Perthes' disease</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Regression Analysis</subject><subject>Socioeconomic Background</subject><subject>Socioeconomic Factors</subject><subject>Urban Areas</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp90kFv0zAUAOAIgdgY3DijSEiMQ1PsxI7tC9JUwUAKbEKDoV0sx3lJ3aVxsZNq3PgP_Ap-B_-EX4KrVt2KKpRDIvvL83vPL4qeYjTGOMtfqUqPORmTcUbxvegQk5wnKSLkfnSIEMoSwTk_iB55P0MIp5xnD6MDjFMqUoIPo6uLKcSm06aCTkOsuiqujO-dKYfe2C62dVxA0_z58XOi2uXvX-HjHFw_BX-8gqD86ve4MEtwC2vbUYwFT4MS9HH0oFathyeb91H0-e2bi8m7pDg7fT85KZIyp7hPQnqIpSRnSlNSVjUqc1ERmikAmmoEwEiGGCDOQGDEQ9aUIZ2nutZKASfZUfR6HXcxlHOoNHS9U61cODNX7ru0ysjdnc5MZWOXEjPMGRIhwItNAGe_DeB7OTdeQ9uqDuzgJcsFx0KgAJ__A2d2cF0oLsRioQySizSo0Vo1qgVputqGU3UDHYTDbQe1CcsnjLJwexkNPNnDw1PB3Oh9_uWOD6SHm75Rg_eSnxY7dLSPatu20IAMtzA528e1s947qLc9xEiuZk2GWZOcSCLDrAX-7G7fb_FmuO60S3mt2tqpMGd-6wRFBKe39Yexg5vtrnLXMmcZo_Ljl4n8cHn-9dNVcSlZ8MdrX85n_0_wLynL940</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>Margetts, B M</creator><creator>Perry, C A</creator><creator>Taylor, J F</creator><creator>Dangerfield, P H</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20010401</creationdate><title>The incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, 1982–95</title><author>Margetts, B M ; Perry, C A ; Taylor, J F ; Dangerfield, P H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b651t-888072467ac54bdf0b69d453aee52c0ee74307e087e9108241570c62cfcaae843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>African Americans</topic><topic>African Continental Ancestry Group</topic><topic>Analysis. Health state</topic><topic>Attrition (Research Studies)</topic><topic>Biological and medical sciences</topic><topic>Birth weight</topic><topic>Body Weight</topic><topic>Causes of</topic><topic>Census Figures</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>deprivation</topic><topic>Developmental Delays</topic><topic>Disease Incidence</topic><topic>Diseases</topic><topic>Diseases of the osteoarticular system</topic><topic>Dysplasia</topic><topic>England - epidemiology</topic><topic>Environmental Influences</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General and Specialist Paediatrics</topic><topic>General aspects</topic><topic>Health aspects</topic><topic>Health Status</topic><topic>Hip joint</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Inner city</topic><topic>Legg-Calve-Perthes disease</topic><topic>Legg-Calve-Perthes Disease - epidemiology</topic><topic>Legg-Calve-Perthes Disease - ethnology</topic><topic>Male</topic><topic>Mann-Whitney U test</topic><topic>Medical sciences</topic><topic>Minority & ethnic groups</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Mortality</topic><topic>Multiple Regression Analysis</topic><topic>Northern Ireland - ethnology</topic><topic>Osteochondritis</topic><topic>osteochondroses</topic><topic>Osteochondrosis</topic><topic>Ownership</topic><topic>Patients</topic><topic>Pediatric diseases</topic><topic>Perthes' disease</topic><topic>Public health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Regression Analysis</topic><topic>Socioeconomic Background</topic><topic>Socioeconomic Factors</topic><topic>Urban Areas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Margetts, B M</creatorcontrib><creatorcontrib>Perry, C A</creatorcontrib><creatorcontrib>Taylor, J F</creatorcontrib><creatorcontrib>Dangerfield, P H</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Margetts, B M</au><au>Perry, C A</au><au>Taylor, J F</au><au>Dangerfield, P H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, 1982–95</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2001-04-01</date><risdate>2001</risdate><volume>84</volume><issue>4</issue><spage>351</spage><epage>354</epage><pages>351-354</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>AIMS To determine the incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, in the period 1982–95. METHODS Examination of information in a register, analysing the patients' addresses by indices of deprivation. RESULTS A total of 122 white children were diagnosed as having Perthes' disease during the study, whereas black and minority groups form 5.8% of the population. The incidence rate in inner Liverpool had decreased to 10.5 in the period 1990–95. Simple Spearman correlations revealed an association between the disease incidence in electoral wards and deprivation. Regression analysis showed that for the period 1990–95 the most powerful effects on incidence were increases in ward deprivation since 1976, the percentage free school meals in 1986, the ward Health Index in 1981, and the percentage low birth weight in 1981. CONCLUSIONS We suggest that environmental influences may come into play some years before a child presents with pain in the hip. There may be a genetic predisposition to the disease.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>11259241</pmid><doi>10.1136/adc.84.4.351</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent African Americans African Continental Ancestry Group Analysis. Health state Attrition (Research Studies) Biological and medical sciences Birth weight Body Weight Causes of Census Figures Child Child, Preschool Children deprivation Developmental Delays Disease Incidence Diseases Diseases of the osteoarticular system Dysplasia England - epidemiology Environmental Influences Epidemiology Female General and Specialist Paediatrics General aspects Health aspects Health Status Hip joint Humans Incidence Infant Infant, Low Birth Weight Infant, Newborn Inner city Legg-Calve-Perthes disease Legg-Calve-Perthes Disease - epidemiology Legg-Calve-Perthes Disease - ethnology Male Mann-Whitney U test Medical sciences Minority & ethnic groups Miscellaneous. Osteoarticular involvement in other diseases Mortality Multiple Regression Analysis Northern Ireland - ethnology Osteochondritis osteochondroses Osteochondrosis Ownership Patients Pediatric diseases Perthes' disease Public health Public health. Hygiene Public health. Hygiene-occupational medicine Regression Analysis Socioeconomic Background Socioeconomic Factors Urban Areas |
| title | The incidence and distribution of Legg–Calvé–Perthes' disease in Liverpool, 1982–95 |
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