SynthesisBMJ (Clinical research ed.)2005
Ultrasonography in screening for developmental dysplasia of the hip in newborns: systematic review.
Synthesis in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03275805 (How Should Stable Graf Type IIc Hips be Treated With Pavlik Harness?), which is not on this map. Cited by 45 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
How Should Stable Graf Type IIc Hips be Treated With Pavlik Harness?
Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 143 citations in OpenAlex.
- The effect of selective ultrasound screening on the incidence of late presentation of developmental hip dysplasia-a meta-analysis.Pediatric radiology · 2023Pooled it
- Early dynamic ultrasound for neonatal hip instability: implications for rural Australia.BMC pediatrics · 2017Pooled it
- Screening programmes for developmental dysplasia of the hip in newborn infants.The Cochrane database of systematic reviews · 2011Pooled it
- Assessing Femoral Head Medialization in Developmental Hip Dysplasia Type 1 and Type 2 Hip Separation.Diagnostics (Basel, Switzerland) · 2024Article
- Refining Risk Factors for Developmental Dysplasia of the Hip in Neonates: A Cross-Sectional Study in a Tertiary Referral Center.Medical journal of the Islamic Republic of Iran · 2024Article
- Dislocation of the hip after normal sonographic screening examination: a case report and literature review.Annals of the Royal College of Surgeons of England · 2022Review
- Description of the 'pronation manoeuvre' for the diagnosis of developmental hip dysplasia.Paediatrics & child health · 2022Article
- Factors for selective ultrasound screening in newborns with developmental dysplasia of the hipFrontiers in surgery · 2022Article
- Modern Diagnostic Imaging Technique Applications and Risk Factors in the Medical Field: A Review.BioMed research international · 2022Review
- Does the COVID-19 pandemic cause late diagnosis and delay in treatment in developmental dysplasia of hip patients?International journal of clinical practice · 2021Article
- Accuracy of New Deep Learning Model-Based Segmentation and Key-Point Multi-Detection Method for Ultrasonographic Developmental Dysplasia of the Hip (DDH) Screening.Diagnostics (Basel, Switzerland) · 2021Article
- Diagnostic Accuracy of Ultrasonography Method of Graf in the detection of Developmental Dysplasia of the Hip: A Meta-Analysis and Systematic Review.The archives of bone and joint surgery · 2021Review
- Using Z-score to optimize population-specific DDH screening: a retrospective study in Hangzhou, China.BMC musculoskeletal disorders · 2021Article
- Diagnostic Performance of a New Convolutional Neural Network Algorithm for Detecting Developmental Dysplasia of the Hip on Anteroposterior Radiographs.Korean journal of radiology · 2021Article
- Epidemiology and costs of surgical treatment of developmental dysplasia of hip in the Brazilian Public Health System in a decade.Einstein (Sao Paulo, Brazil) · 2021Article
- Article
- Cost Analysis of Screening Programmes for Developmental Dysplasia of the Hip: A Systematic Review.Indian journal of orthopaedics · 2020Review
- Implementation of a nationwide universal ultrasound screening programme for developmental dysplasia of the neonatal hip in Mongolia.Journal of children's orthopaedics · 2020Article
- Predicting developmental dysplasia of the hip in at-risk newborns.BMC musculoskeletal disorders · 2020Article
- Monitoring of a hip surveillance programme protects infants from radiation and surgical intervention.The bone & joint journal · 2020Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the accuracy and effectiveness of the screening of all newborn infants for developmental dysplasia of the hip (DDH) using ultrasound imaging, as is standard practice in some European countries but not in the United Kingdom, the United States, or Scandinavia.
designSystematic review. DATA SOURCES: Twenty three medical, economic, and grey literature databases (to March 2004), with no limitations of design or language; some references were provided by experts. SELECTION OF STUDIES: Only diagnostic accuracy studies and comparative studies conducted in an unselected newborn population were eligible for the review. Two reviewers independently selected the studies and performed the quality assessment.
resultsThe review identified one diagnostic accuracy study, and this was of limited quality. In this study the reference standard was treatment up to age of 8 months or an abnormal ultrasound finding at age 8 months. Ultrasound screening had a sensitivity of 88.5% (95% confidence interval 84.1% to 92.1%), specificity of 96.7% (96.4% to 97.4%), a positive predictive value of 61.6% and a negative predictive value of 99.4%. Ten studies evaluated the impact of ultrasound in screening, but these too had various methodological weaknesses, limiting the reliability of their findings. Compared with clinical screening, general ultrasound screening in newborns may increase overall treatment rates, but ultrasound screening seems to be associated with shorter and less intrusive treatment.
conclusionsClear evidence is lacking either for or against general ultrasound screening of newborn infants for DDH. Studies that investigate the natural course of the disorder, the optimal treatment for DDH, and the best strategy for ultrasound screening are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.