Observational studyArchives of disease in childhood2017
A nationwide cohort study of slipped capital femoral epiphysis.
Observational study in Archives of disease in childhood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 69 citations in OpenAlex.
- Skeletal Effects of Nine Months of Physical Activity in Obese and Healthy Weight Children.Medicine and science in sports and exercise · 2020Trial
- Association Between Body Weight and Clinical Characteristics of Slipped Capital Femoral Epiphysis in Switzerland: A 21-Year Single-Centre Retrospective Analysis (2005-2025).Journal of clinical medicine · 2026Article
- Incidence of Slipped Capital Femoral Epiphysis in Crete (2021-2024): A Prospective Population-Based Study with a Focused Review of the Recent Literature.Children (Basel, Switzerland) · 2026Article
- Immediate Versus Semi-Elective Treatment of Stable Slipped Capital Femoral Epiphyses (SCFE).Children (Basel, Switzerland) · 2025Article
- Slipped capital femoral epiphysis (SCFE) a structured approach for the FRCS examination.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Review
- The Seasonal Incidence of Slipped Capital Femoral Epiphysis: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Slipped capital femoral epiphysis: emphasis on early recognition and potential pitfalls.Skeletal radiology · 2025Review
- Comparison of different radiographic methods to measure the slip angle in children with slipped capital femoral epiphysis (SCFE).Acta radiologica (Stockholm, Sweden : 1987) · 2024Article
- Barriers to Health Care Communication: Patient Education Resource Readability and Spanish Translation for Slipped Capital Femoral Epiphysis.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- Decade-long Trends in Incidence of Slipped Capital Femoral Epiphysis in the United States: A Nationwide Database Analysis of Over 33 Million Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Epiphysiolysis in a 22-year-old Patient with Congenital Hypogonadotropic Hypogonadism: Case Report.Revista brasileira de ortopedia · 2023Article
- Idiopathic Slipped Capital Femoral Epiphysis: Demographic Differences and Similarities between Stable, Unstable, and Valgus Types.Children (Basel, Switzerland) · 2023Article
- Diagnosis of Slipped Capital Femoral Epiphysis: How to Stay out of Trouble?Children (Basel, Switzerland) · 2023Review
- Epidemiology and demographics of slipped capital femoral epiphysis in South Korea: A nationwide cohort study.PloS one · 2023Article
- Metabolic, behavioral health, and disordered eating comorbidities associated with obesity in pediatric patients: An Obesity Medical Association (OMA) Clinical Practice Statement 2022.Obesity pillars · 2022Article
- Comparing complications of outpatient management of slipped capital femoral epiphysis and Blount's disease: A database study.World journal of orthopedics · 2022Article
- The British Orthopaedic Surgery Surveillance study: slipped capital femoral epiphysis: the epidemiology and two-year outcomes from a prospective cohort in Great Britain.The bone & joint journal · 2022Article
- Examining delays in diagnosis for slipped capital femoral epiphysis from a health disparities perspective.PloS one · 2022Article
- No increased mortality after total hip arthroplasty in patients with a history of pediatric hip disease: a matched, population-based cohort study on 4,043 patients.Acta orthopaedica · 2021Article
- Improving musculoskeletal health for children and young people - A 'call to action'.Best practice & research. Clinical rheumatology · 2020Review
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo describe the epidemiology of slipped capital femoral epiphysis (SCFE), to examine associations with childhood obesity and socioeconomic deprivation, and to explore factors associated with diagnostic delays.
designHistoric cohort study using linked primary and secondary care data from the Clinical Practice Research Datalink and Hospital Episode Statistics.
settingAll contacts with healthcare services, including emergency presentations, outpatient appointments, inpatient admissions and primary care visits, within the UK National Health Service. PATIENTS: All individuals <16 years old with a diagnosis of SCFE and whose electronic medical record was held by one of 650 primary care practices in the UK between 1990 and 2013.
main outcome measuresAnnual incidence, missed opportunities for diagnosis and diagnostic delay.
resultsOver the 23-year period the incidence remained constant at 4.8 (95% CI 4.4 to 5.2) cases per 100,000 0-16-year-olds. There was a strong association with socioeconomic deprivation. Predisease obesity was also strongly associated with SCFE; mean predisease z-score of body mass index was 1.43 (95% CI 1.20 to 1.68) compared with the UK reference mean. Diagnostic delays were common, with most children (75.4%) having multiple primary care contacts with relevant symptomatology, and those who presented with knee pain having significantly longer diagnostic delay (median 161 (IQR 27-278) days) than those with hip pain (20 (5-126)) or gait abnormalities (21 (7-72)).
conclusionsSCFE has a strong association with both area-level socioeconomic deprivation and predisease obesity. The majority of patients with SCFE are initially misdiagnosed and those presenting with knee pain are particularly at risk.
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Registered trials
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