Early neonatal universal ultrasound screening for developmental dysplasia of the hip: a single institution observational study

Treiber, Milena; Korpar, Bojan; Sirše, Mateja; Merc, Matjaž

doi:10.1007/s00264-020-04915-0

Cited by 15 publications

(41 citation statements)

References 23 publications

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“…The ICODE highlighted the effectiveness of a universal ultrasound screening campaign compared to other methods [16]. Treiber and colleagues performed a study on 21,676 newborns between 2006 and 2015 [14]. Additionally, in this study, the superiority of universal ultrasound screening was confirmed.…”

Section: Discussionmentioning

confidence: 57%

“…Sharing the national statistics could allow the researchers to compare different national screening programs (clinical exams, selective o universal ultrasound). Unfortunately, few studies reported the incidence of DDH hospitalizations worldwide, making it difficult to perform a direct comparison with the present study results [1,12,[14][15][16]. Kiung et al reported that a clinical exam, performed by an experienced clinician, must be obtained before the ultrasound assessment [25], reporting the efficacy of selective ultrasound screening in 2686 infants.…”

Section: Discussionmentioning

confidence: 96%

“…The most effective screening protocol for the early detection of DDH is still debated worldwide. Clinical assessment, selective ultrasound or early universal ultrasound screening are adopted as diagnosis methods in several countries [12][13][14]. However, few studies reported the results between countries, making it challenging to redact universal screening guidelines.…”

Section: Introductionmentioning

confidence: 99%

“…However, few studies reported the results between countries, making it challenging to redact universal screening guidelines. National health statistics for DDH are attractive for an international audience, as different screening strategies are reported between countries (type of screening, method of ultrasound, mean age at time of screening and diagnosis and subsequent treatment protocols) [12][13][14][15][16]. Sharing national statistics and correlating those to the individual screening systems and treatment protocols, however, could be helpful to compare outcomes for different screening systems internationally.…”

Section: Introductionmentioning

confidence: 99%

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Developmental Hip Dysplasia: An Epidemiological Nationwide Study in Italy from 2001 to 2016

Longo

Papalia

Salvatore

et al. 2021

IJERPH

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Developmental Dysplasia of the Hip (DDH) includes a broad spectrum of hip abnormalities. DDH requires early diagnosis and treatment; however, no international consensus on screening protocol and treatment is provided in the literature. Epidemiological studies are helpful to understand the national variation of a specific surgical procedure and compare it with that of other countries. Data provided by different countries could allow researchers to provide international guidelines for DDH screening and treatment. Limited data are reported regarding trends of hospitalization for DDH, and no public database is available. The purpose of this study was to estimate annual admissions for DDH in Italian patients from 2001 to 2016, based on the hospitalization reports. Data of this study were collected from the National Hospital Discharge Reports (SDO) reported at the Italian Ministry of Health. Descriptive statistical analyses were performed. From 2001 to 2016, 3103 hospitalizations for DDH were recorded in Italy, with a mean incidence of 2.33 (per 100,000 young inhabitants). Females of the 0–4 years old group represented the majority of patients hospitalized for DDH.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Developmental Hip Dysplasia: An Epidemiological Nationwide Study in Italy from 2001 to 2016

Longo

Papalia

Salvatore

et al. 2021

IJERPH

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“…The paper titled Early neonatal universal ultrasound screening for developmental dysplasia of the hip: a single institution observational study is a very valuable contribution to the problem of resolving developmental dysplasia of the hip [17], and the paper Reduction of spondylolisthesis and sagittal balance correction by anterior lumbar interbody fusion (ALIF) deserves special notice due to biomechanical explanations accompanied by appropriate drawings [18].…”

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confidence: 99%

Central and Eastern Europe actual orthopaedics profile

Antolič

Bumbaširević

Pećina

2021

International Orthopaedics (SICOT)

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The Central and Eastern European Special Issue of International Orthopaedics Journal comes from countries, nations and peoples which long ago were living in mighty powerful empires and for centuries there was a clash between opposing interests and ideas due to various religions, cultures and traditions. The majority of people were suffering poverty and lack of personal liberty, countless died due to various diseases or were killed in numerous wars. Brave people started the liberation process very soon after the French Revolution, went through many socioeconomic and political developments, some gained independence as early as the nineteenth century, still others had to wait until the end of the First World War, and the last ones until the fall of the Iron Curtain and the Berlin Wall. People from this part of the world are now all living and enjoying personal and economic freedom. This Special Issue, with a representative insight of the state of the art in orthopaedics, is a proof that orthopaedic practice, professional career, and scientific work of the majority of the countries from the region are becoming internationally recognisable and comparable with the rest of the world as well. In this Special Issue, we have included papers from Austria,

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Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy

et al. 2022

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ImportanceUniversal ultrasonographic screening for developmental dysplasia of the hip (DDH) has gained increasing popularity despite the lack of benefit in terms of reducing the rates of late-detected cases (age ≥12 weeks) in randomized clinical trials.ObjectiveTo report the reported incidence of DDH in the English scientific literature and compare rates of late-detected cases in settings with different DDH screening strategies.Data SourcesPubMed, Scopus, and Web of Science databases were searched on November 25 and 27, 2021. No time filters were used in the search.Study SelectionAll observational studies reporting the incidence of early-detected or late-detected (age ≥12 weeks) DDH were included. Non-English reports were excluded if the abstract did not include enough information to be included for analysis.Data Extraction and SynthesisThe number of newborns screened and the detection rates were extracted. Meta-analysis calculated the pooled incidence of DDH per 1000 newborns with 95% CIs using a random- or fixed-effects model. This study is reported according to the PRISMA and MOOSE guidelines.Main Outcomes and MeasuresThe main outcome measures were early detection, early treatment, late detection, and operative treatment incidences.ResultsA total of 1899 studies were identified, 203 full texts were assessed, and 76 studies with 16 901 079 infants were included in final analyses. The early detection rate was 8.4 (95% CI, 4.8-14.8) infants with DDH per 1000 newborns with clinical screening, 4.4 (95% CI, 2.4-8.0) infants with DDH per 1000 newborns with selective ultrasonographic screening, and 23.0 (95% CI, 15.7-33.4) infants with DDH per 1000 newborns with universal ultrasonographic screening. Rates for nonoperative treatment were 5.5 (95% CI, 2.1-14) treatments per 1000 newborns with clinical screening, 3.1 (95% CI, 2.0-4.8) treatments per 1000 newborns with selective ultrasonographic screening, and 9.8 (95% CI, 6.7-14.4) treatments per 1000 newborns with universal ultrasonographic screening. The incidence of late-detected DDH was 0.5 (95% CI, 0.2-1.5) infants with DDH per 1000 newborns with clinical screening, 0.6 (95% CI, 0.3-1.3) infants with DDH per 1000 newborns with selective ultrasonographic screening, and 0.2 (95% CI, 0.0-0.8) infants with DDH per 1000 newborns with universal ultrasonographic screening. The corresponding incidences of operative treatment were 0.2 (95% CI, 0.0-0.9) operations per 1000 newborns with clinical screening, 0.5 (95% CI, 0.4-0.7) operations per 1000 newborns with selective ultrasonographic screening, and 0.4 (95% CI, 0.2-0.7) operations per 1000 newborns with universal ultrasonographic screening.Conclusions and RelevanceThis meta-analysis found that early detection rates and nonoperative treatments were higher with universal screening. The late detection and operative treatment rates with universal screening were similar to those among selectively and clinically screened newborns. Based on these results, universal screening may cause initial overtreatment without reducing the rates of late detection and operative treatment.

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Early neonatal universal ultrasound screening for developmental dysplasia of the hip: a single institution observational study

Cited by 15 publications

References 23 publications

Developmental Hip Dysplasia: An Epidemiological Nationwide Study in Italy from 2001 to 2016

Developmental Hip Dysplasia: An Epidemiological Nationwide Study in Italy from 2001 to 2016

Central and Eastern Europe actual orthopaedics profile

Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy

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