title: [A systematic review of epidemiological cohort studies based on the Italian Medical Birth Register. Is it time to think of a multicentric birth cohort?]
abstract: BACKGROUND
  birth cohorts are a necessary tool for the study of the effects of exposures which can occur during pregnancy and early life on the development and health status in paediatric and adult life. The Italian Medical Birth Register (CeDAP), linked with other health administrative data, allows to build population based births cohorts to be followed over time.
  
  
  OBJECTIVE
  to sistematically review all published scientific papers using data extracted from the (CeDAP) in order to give a picture of their current use for epidemiological aims; to describe advantages and limits of these data and possible future developments for epidemiological purposes.
  
  
  METHODS
  a systematic review was conducted using PubMed, identifying all peer-reviewed research papers in English or Italian published by November 2015, by combining of free text and MeSH terms, where available. Features of included papers have been double checked and possible disagreements have been discussed to reach consensus.
  
  
  RESULTS
  the research strategy found 720 papers, 35 of which fulfilling the required criteria. Only few Italian regions used CeDAP data for epidemiological studies, particularly Lazio and Umbria (Central Italy) and Emilia-Romagna and Friuli Venezia Giulia (Northern Italy). About half of the included papers were analytical, while the others were descriptive. Occurrence of caesarean deliveries and the prevalence of malformations were the most recurrent topics. Almost all papers used only data at delivery, whereas 5 papers used a longitudinal design with follow-up after birth.
  
  
  CONCLUSIONS
  the Italian CeDAP registry is an important source of information for epidemiological research and its use for both aetiological aims and health services assessment should be enhanced. Furthermore, its characteristics, in particular its homogeneity among all Italian regions, might allow to create a multiregional birth cohort to be regularly followed up.
authors.affiliation: Dipartimento di medicina molecolare, Università degli Studi di Padova.
authors.forename: Cristina
authors.initials: C
authors.lastname: Canova
authors.affiliation: Scuola di specializzazione in igiene e medicina preventiva, Università degli Studi di Padova.
authors.forename: Gisella
authors.initials: G
authors.lastname: Pitter
authors.affiliation: Dipartimento di epidemiologia del Servizio sanitario regionale, Regione Lazio, ASL RM1.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Schifano
mesh_terms: D001719:Birth Certificates; D002585:Cesarean Section / Q000706:statistics & numerical data; D015331:Cohort Studies; D000013:Congenital Abnormalities / Q000453:epidemiology*; D006753:Hospital Records / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy / Q000453:epidemiology; D012042:Registries / Q000706:statistics & numerical data