| Observational studies on ultrasound screening for developmental dysplasia of the hip in newborns - a systematic review. | |
| | |
MedLine Citation:
|
PMID: 14658079 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: To assess whether observational studies provide evidence to support general ultrasound screening for developmental dysplasia of the hip (DDH). METHOD: Systematic Review. Following a predefined study protocol, observational studies on ultrasound screening in unselected newborns were identified by search through 23 electronic databases and by hand search. Two reviewers selected the studies independently of each other and extracted the data. RESULTS: 49 observational studies were included. The prevalence of DDH ranged from 0.5 % to 30 % depending largely on the various possible definitions of DDH. Less than 0.1 % of patients with DDH were missed by ultrasound regardless of the technique employed (Graf or Terjesen). About 90 % of newborns with Graf type IIa hips requiring ultrasound control did not develop DDH. Only six studies with 23 108 newborns reported on complications, and there was only one infant with an avascular necrosis of the femoral head. The effectiveness of a general ultrasound screening cannot be evaluated reliably for several reasons: reports were often incomplete, follow-up of newborns with normal findings at the time of screening was often not carried out, clinically meaningful data about outcome as well as control groups were missing. CONCLUSION: General ultrasound screening for developmental dysplasia of the hip cannot be sufficiently assessed by the observational studies available. The lack of evidence does not mean that ultrasound screening is ineffective, but randomized controlled trials comparing the effectiveness of different screening regimens are needed. |
| | |
Authors:
|
M A Puhan; N Woolacott; J Kleijnen; J Steurer |
Related Documents
:
|
3864989 - Frequency-specific bera in infants. 7576889 - Risk factors for sensorineural hearing loss in extremely premature infants. 12725549 - Implementation of a nation-wide automated auditory brainstem response hearing screening... 12477019 - Testing young infants with the welch allyn suresight non-cycloplegic autorefractor. 7118449 - Longitudinal abr in the nicu infant. 16790019 - Field distribution of sorosphaera viticola in commercial vineyards in germany. 14706309 - Reconstruction of a congenital midpalatal hairy polyp. 10580069 - Effect of mode of delivery in nulliparous women on neonatal intracranial injury. 18616629 - Intravenous immune globulin reduces the need for exchange transfusions in rhesus and ab... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Ultraschall in der Medizin (Stuttgart, Germany : 1980) Volume: 24 ISSN: 0172-4614 ISO Abbreviation: Ultraschall Med Publication Date: 2003 Dec |
Date Detail:
|
Created Date: 2003-12-05 Completed Date: 2004-03-01 Revised Date: 2005-11-16 |
Medline Journal Info:
|
Nlm Unique ID: 8303585 Medline TA: Ultraschall Med Country: Germany |
Other Details:
|
Languages: eng Pagination: 377-82 Citation Subset: IM |
Affiliation:
|
Horten Centre for Patient Oriented Research, University Zürich, Switzerland. milo.puhan@evimed.ch |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Costs and Cost Analysis Hip Dislocation, Congenital / ultrasonography* Humans Infant, Newborn Mass Screening / economics, methods* Reproducibility of Results |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Progressive collapse of transposed necrotic area after transtrochanteric rotational osteotomy for os...
Next Document: Transabdominal ultrasonography in the diagnosis of lumbar disc herniation