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EPIPAGE-2 IN THE BMJ
The recent BMJ paper on EPIPAGE-2 developmental outcomes (BMJ 2017;358:j3448) should be read in conjunction with the report from the EPIPAGE-2 study that appears in this edition (Providing active antenatal care depends on the place of birth for extremely preterm births), and the accompanying Editorial by Janvier et al. The BMJ paper reports outcomes at age 2 years for a creditably high proportion of babies of 22 to 34 weeks’ gestation but readers will note the absence of any data for babies below 24 weeks because there were no survivors to 2 years among babies born at 22–23 weeks, which contrasts with the EPICURE-2 data from the UK. On the other hand a useful aspect of the study was that they were able to compare the use of parental questionnaires with medically derived information. They suggest that at least from a clinical point of view, questionnaires might be used to identify those children who could benefit from professional assessment.
Diaphragmatic hernia: The long view
If you survive with an isolated diaphragmatic hernia there are two aspects that might be important …