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Table 3 Bivariate associations of ART and plurality with risk of ARM

From: Assisted reproductive techniques and the risk of anorectal malformations: a German case-control study

Group

 

Population-based controls N (%)

All ARM cases

Prospectively collected ARM cases in 2009 to 2011

   

N (%)

ORcrude(95% CI)

P value

N (%)

ORcrude(95% CI)

P value

ART

No

9,940,004 (99%)

265 (90%)

1.0 (Reference)

-

121 (90%)

1.0 (Reference)

-

 

Yes

129,982 (1%)

30 (10%)

8.7 (5.9–12.6)

<0.0001

14 (10%)

8.8 (5.1–15.4)

<0.0001

Plurality of birth

Singletons

9,745,356 (97%)

265 (90%)

1.0 (Reference)

-

123 (91%)

1.0 (Reference)

-

 

Multiple births

324,630 (3%)

30 (10%)

3.4 (2.3–5.0)

<0.0001

12 (9%)

2.9 (1.6–5.3)

0.0002

   

Isolated ARM cases

ARM cases with associated anomalies

VATER/VACTERL association

Group

 

Population-based controls N (%)

N (%)

OR crude (95% CI)

P value

N (%)

OR crude (95% CI)

P value

N (%)

OR crude (95% CI)

P value

ART

No

9,940,004 (99%)

124 (94%)

1.0 (Reference)

-

141 (87%)

1.0 (Reference)

-

58 (91%)

1.0 (Reference)

-

 

Yes

129,982 (1%)

8 (6%)

4.9 (2.4–10.1)

<0.0001

22 (14%)

11.9 (7.6–18.7)

<0.0001

6 (9%)

7.9 (3.4–18.3)

<0.0001

Plurality of birth

Singletons

9,745,356 (97%)

117 (89%)

1.0 (Reference)

-

148 (91%)

1.0 (Reference)

-

58 (91%)

1.0 (Reference)

-

 

Multiple births

324,630 (3%)

15 (11%)

3.8 (2.2–6.6)

<0.0001

15 (9%)

3.0 (1.8–5.2)

<0.0001

6 (9%)

3.1 (1.3–7.2)

0.005

  1. ART = assisted reproductive techniques, OR = odds ratio, CI = confidence interval.