Effect of ultrasound screening on the rate of first operative procedures for developmental hip dysplasia in Germany

Kries, Rüdiger von; Ihme, N.; Oberle, Doris; Lorani, A.; Stark, Renée; Altenhofen, L; Niethard, Fritz U.

doi:10.1016/s0140-6736(03)14957-4

Cited by 146 publications

(119 citation statements)

References 17 publications

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“…Clinical examination is a universally standard practice for DDH screening in all newborns. Many European countries have also adopted universal ultrasound screening to confirm clinical findings [5,16,33,34,37]. In North America, however, selective ultrasound screening is used only for infants with defined risk factors such as breech presentation, family history, or a clinical history of hip instability [25,29,30,34,35].…”

Section: Introductionmentioning

confidence: 99%

What Risk Factors and Characteristics Are Associated With Late-presenting Dislocations of the Hip in Infants?

Mulpuri

Schaeffer

Andrade

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Most infants with developmental dysplasia of the hip (DDH) are diagnosed within the first 3 months of life. However, late-presenting DDH (defined as a diagnosis after 3 months of age) does occur and often results in more complex treatment and increased long-term complications. Specific risk factors involved in late-presenting DDH are poorly understood, and clearly defining an associated set of factors will aid in screening, detection, and prevention of this condition. Questions/purposes Using a multicenter database of patients with DDH, we sought to determine whether there were differences in (1) risk factors or (2) the nature of the dislocation (laterality and joint laxity) when comparing patients with early versus late presentation. Methods A retrospective review of prospectively collected data from a multicenter database of patients with dislocated hips was conducted from 2010 to 2014. Baseline demographics for fetal presentation (cephalic/breech), birth presentation (vaginal/cesarean), birth weight, maternal age, maternal parity, gestational age, family history, and swaddling history of patients were compared among nine different sites for patients who were enrolled at age younger than 3 months and those enrolled between 3 and 18 months of age. A total of 392 patients were enrolled at baseline between 0 and 18 months of age with at least one dislocated hip. Of that group, 259 patients were youngerThe contributing members of the IHDI study group are: Pablo Castañeda, Nicholas M. P. Clarke, Bruce K. Foster, José A. HerreraSoto, James R. Kasser, Simon P. Kelley, Young-Jo Kim, Colin F. Moseley, Unni G. Narayanan, Ernest L. Sink, Vidyadhar Upasani, and John H. Wedge. One author (KM) has received funding from the International Hip Dysplasia Institute for REDCap database coordination, maintenance, and support (http://hipdysplasia.org). All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. Included patients were recruited from all listed sites as well as Centro Médico ABC Santa Fe, Mexico City, Mexico; Hospital for Sick Children, Toronto, Ontario, Canada; and Southampton General Hospital, Southampton, UK. Data analysis and review were carried out at BC Children's Hospital, Vancouver, British Columbia, Canada. Clinical Orthopaedics and Related Research ®A Publication of The Association of Bone and Joint Surgeons® than 3 months of age and 133 were 3 to 18 months of age. The proportion of patients with DDH who were enrolled and followed at the nine participating centers was 98%. Results A univariate/multivariate analysis was performed comparing key baseline demographics between early-and late-presenting patient...

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Section: Introductionmentioning

confidence: 99%

What Risk Factors and Characteristics Are Associated With Late-presenting Dislocations of the Hip in Infants?

Mulpuri

Schaeffer

Andrade

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…Yapılan değerlendirmede ilk yıl cerrahi uygulanan olgu sayısı 147 iken sonraki yıllarda bu oran 81-105 arasın-da rapor edilmiş ve ilk operasyon için oran 0,26/1000 olarak verilmektedir. Ultrasonografi taraması tümünü olmasa da gelişimsel kalça displazisi için çoğu ameliyatı önleyebilmektedir 24 . Bizim çalışmamızda da sonuçlar bunu kanıtlar düzeyindedir.…”

Section: Kaynaklarunclassified

Results of Developmental Hip Dysplasia and Average Cost Analysis in Kars

Bilge¹,

Ulusoy²,

Çatal³

et al. 2017

Kafkas J Med Sci

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“…Es herrscht lediglich Einigkeit darüber, dass es trotz den Präventionsbemühungen während 70 Jahren nicht gelungen ist, spätdiagnostizierte DDH, die eine Spitalbehandlung mit chirurgischen Eingriffen notwendig machen, zu vermeiden. Aber es steht fest, dass die Zahl dieser Kinder in den letzten 30 Jahren kleiner geworden ist [4,18,20,27,28,30] …”

Section: Ergebnis Der Präventionsbemühungenunclassified

Prävention der kongenitalen Hüftdysplasie (developmental dysplasia of the hip DDH)

2006

Bull Med Suisses

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In der Diskussion über die Effektivität und die Kosten des sonographischen Screenings der Neugeborenenhüfte vermisse ich sowohl im Plä-doyer des Gesundheitsökonomen [1] als auch im offenen Brief der Nationalen Ethikkommission an das Bundesamt für Gesundheit BAG [2] die Darstellung der bekannten Fakten über die DDH, der Geschichte der Bemühungen zur Verhütung der kongenitalen Hüftdysplasie und der Erfordernisse für ein erfolgreiches Screening einer Krankheit.

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Effect of ultrasound screening on the rate of first operative procedures for developmental hip dysplasia in Germany

Cited by 146 publications

References 17 publications

What Risk Factors and Characteristics Are Associated With Late-presenting Dislocations of the Hip in Infants?

What Risk Factors and Characteristics Are Associated With Late-presenting Dislocations of the Hip in Infants?

Results of Developmental Hip Dysplasia and Average Cost Analysis in Kars

Prävention der kongenitalen Hüftdysplasie (developmental dysplasia of the hip DDH)

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