Effectiveness of Neonatal Screening for Congenital Dislocation of the Hip

Early treatment for congenital dislocation of the hip is usually simple and inexpensive. However, if the disease is not detected by 6 months of age, treatment is often complicated and expensive. We evaluated the potential cost-saving of screening, by examining the costs in 36 late cases born in 1980 and found an average cost of pounds 6,674 per case for treatment to this date. This amount could justifiably be spent on each case detected in an effective screening programme.

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“…1.0 per 1000 live births. This expected rate in an unscreened population has been validated by other workers (Mackenzie, 1972;Place et al, 1978).…”

Section: Introductionsupporting

confidence: 78%

Cost of treatment of congenital dislocation of the hip

Kernohan

Trainor

Mollan

et al. 1991

Health Planning & Management

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“…The findings are also inconsistent: some studies observed a decrease in operative rates, [15][16][17][18] whereas others saw no change 19,20 or an increase. [21][22][23] Ascertainment of cases was often flawed, and the studies span several decades, which make it difficult to assess whether the varied results represent artifacts of data quality, secular trends, or differences in local practice styles.…”

Section: Keymentioning

confidence: 93%

Screening for Developmental Dysplasia of the Hip: A Systematic Literature Review for the US Preventive Services Task Force

Shipman¹,

et al. 2006

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“…[7][8][9][10][11][12][13][14] Interpretation and comparison of rates of late diagnosed DDH is often difficult, especially in relation to the strict definition and age at diagnosis. Reported rates can range from 0.07 to 2.0 per 1000 births.…”

mentioning

confidence: 99%

“…Reported rates can range from 0.07 to 2.0 per 1000 births. 10 The cut off age for inclusion for late diagnosis is not consistent in the literature and can vary from 6 weeks to 20 months. 6 9 Palmen 14 reported a prevalence of late diagnosed DDH in the presence of a well established neonatal screening procedure of 0.53 per 1000 in the period 1973-1976.…”

mentioning

confidence: 99%