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. 2014 Jul 15;349:g4294. doi: 10.1136/bmj.g4294

Table 1.

 Recurrence of cerebral palsy (CP) among relatives. Singletons and twins born in Norway 1967-2002 surviving first three years of life

Relatives Prevalence of CP (per 1000) Relative risk (95% CI)
Crude Adjusted
Twins
Prevalence in twin population 228/45 116 (5.1) 1 (reference)
Proband-wise concordance rate 18/228 (78.9) 15.6 (9.8 to 24.8)
First degree
Full siblings:
 Sibling without CP 1929/1 226 413 (1.6) 1 (reference) 1 (reference)
 Sibling with CP 30/2014 (14.9) 9.5 (6.6 to 13.5) 9.2 (6.4 to 13.1)*
Parent-offspring:
 Parent without CP 813/622 480 (1.3) 1 (reference)
 Parent with CP 2/237 (8.5) 6.5 (1.6 to 25.6)
Second degree
Half siblings:
 Half sibling without CP 762/354 163 (2.2) 1 (reference) 1 (reference)
 Half sibling with CP 5/774 (6.5) 3.0 (1.2 to 7.2) 3.0 (1.1 to 8.6)†
Aunt/uncle-niece/nephew:
 Aunt/uncle without CP 1930/1 342 559 (1.4) 1 (reference)
 Aunt/uncle with CP 3/2360 (1.3) 0.9 (0.3 to 2.7)
Third degree
First cousin with CP 8472/5 156 811 (1.6) 1 (reference)
First cousin without CP 23/9157 (2.5) 1.5 (0.9 to 2.7)

*Adjusted for maternal age at birth of older sibling (<20, 20-24, 25-29, 30-34, ≥35), maternal educational level (below high school, high school, above high school), and period of first birth (1967-71, 1972-77, 1978-84, 1985-91, 1992-2002).

†Adjusted for parental age at birth of older sibling (<20, 20-24, 25-29, 30-34, ≥35 for mothers, extended to 35-39, 40-44, ≥45 for fathers), parental educational level (below high school, high school, above high school), and period of first birth (1967-71, 1972-77, 1978-84, 1985-91, 1992-2002).