{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T23:38:27Z","timestamp":1788219507500,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,5,20]],"date-time":"2016-05-20T00:00:00Z","timestamp":1463702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To provide in New Caledonian school children (i) the prevalence of rheumatic heart disease (RHD) detected by annual screening program using new World Heart Federation diagnostic criteria; (ii) the point prevalence of acute rheumatic fever (ARF); and (iii) to investigate socio\u2010demographic risk factors associated with RHD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study linked data from national ARF\/RHD programs by combining ARF incidence data from the register with RHD prevalence data from echocardiographic screening data for a single age year of the population for overall point prevalence ARF\/RHD rates. For the analysis, cases of echocardiographic detection of RHD are presumed to be synonymous with undiagnosed ARF. All results were weighted to minimise the bias introduced from absent pupils of each annual screening program. Incidence and prevalence were age\u2010standardised to the WHO World Standard Population. Each 2013 cumulative prevalence of definite and borderline RHD was studied using a multivariate logistic regression adjusted for socio\u2010demographic factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall age\u2010standardised incidence of clinical and undiagnosed ARF (i.e. echocardiographic\u2010detected RHD) was combined as point prevalence and estimated to be 99\/10\u2009000 cases in 2012 and 114\/10\u2009000 cases in 2013. This included 40\/10\u2009000 prevalent cases of asymptomatic RHD detected by screening each year. Being Melanesian, OR 23.2 (95% CI: 3.4\u2013157.3), or Polynesian, OR 21.5 (95% CI: 2.9\u2013157.7), was associated with a higher prevalence of having definite RHD compared with being Caucasian. Being a girl was associated with a higher risk of having borderline RHD, OR 1.9 (95% CI: 1.03\u20133.3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Without echocardiographic screening, ARF\/RHD burden is substantially underestimated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13185","type":"journal-article","created":{"date-parts":[[2016,5,22]],"date-time":"2016-05-22T04:05:00Z","timestamp":1463889900000},"page":"739-744","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["An epidemiological study to assess the true incidence and prevalence of rheumatic heart disease and acute rheumatic fever in New Caledonian school children"],"prefix":"10.1111","volume":"52","author":[{"given":"Philippe","family":"Corsenac","sequence":"first","affiliation":[{"name":"Department of Epidemiology ASSNC  Noumea New Caledonia"},{"name":"Health and Social Agency of New Caledonia (ASSNC)  Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel C","family":"Heenan","sequence":"additional","affiliation":[{"name":"The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Roth","sequence":"additional","affiliation":[{"name":"Public Health Agency of Sweden  171 82 Stockholm Sweden."},{"name":"Research Evidence and Information Programme Secretariat of the Pacific Community  Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Rouchon","sequence":"additional","affiliation":[{"name":"Health and Social Agency of New Caledonia (ASSNC)  Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Guillot","sequence":"additional","affiliation":[{"name":"Health and Social Agency of New Caledonia (ASSNC)  Noumea New Caledonia"},{"name":"Department of ARF and RHD ASSNC  Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damian","family":"Hoy","sequence":"additional","affiliation":[{"name":"Research Evidence and Information Programme Secretariat of the Pacific Community  Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61171-9"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/CLEP.S12977"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61689-4"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.114.002324"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.10.090"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12087"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio1185"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1586\/erc.09.145"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2010.01997.x"},{"key":"e_1_2_9_11_1","first-page":"327","article-title":"High prevalence of rheumatic heart disease by clinical and echocardiographic screening among children in Fiji [Discussion 36]","volume":"18","author":"Steer AC","year":"2009","journal-title":"J. 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