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BMJ 2005;330 (1 January), doi:10.1136/bmj.330.7481.0-d
The National Congenital Anomaly System is not adequate for surveillance of congenital anomalies in England. Boyd and colleagues (p 27) compared the system with four local congenital anomaly registers, covering about 109 000 births annually, and found that the national system registers only 40% of congenital anomalies captured by the local registers. This varied considerably by defect, local register, and hospital catchment area. Also, the system does not include data on terminations of pregnancy after prenatal diagnosis of fetal anomaly.
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