Cost-effectiveness of Alternative Screening Strategies for Developmental Dysplasia of the Hip

Twenty years experience of selective secondary ultrasound screening for congenital dislocation of the hip

“…There are several economic analyses of screening with ultrasound for DDH in the literature,12 22–27 but the overall effectiveness of both comprehensive and selective screening programmes remains controversial.…”

Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening

“…7,10,18 Geiting et al 18 did not find any cost benefit for general screening. However, Grill and Müller,7 accepted higher costs for the screening programme itself, but calculated an enormous cost reduction by avoiding expensive treatment for the late sequelae of DDH.…”

Developmental dysplasia of the hip: Risk markers, clinical screening and outcome

“…The Canadian task force issued in 2001 an update on screening and management of DDH in newborns and recommended including serial clinical evaluation while excluding general or selective ultrasound screening 3 . Cost‐effectiveness analysis indicates that ultrasonography is costly, time‐consuming and might raise unnecessary parental anxiety due to the high percentage of either false positive results or of findings reflecting normal developmental delay of the hips 28 . The best accurate age for DDH screening after the neonatal period is probably as early as possible, and seemingly the age of 13 weeks for clinical evaluation is somewhat late.…”