Evidence map›Paper›PMID 29951123›Full record

ArticleJournal of children's orthopaedics2018

Diagnostic and treatment preferences for developmental dysplasia of the hip: a survey of EPOS and POSNA members.

C Alves, W H Truong, M V Thompson, J R Suryavanshi, C L Penny, H T Do, E R Dodwell

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05717829 (Modified Hip Capsular Incision), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05717829 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Modified Hip Capsular Incision: an Easier Way to do Hip Capsulorrhaphy in Developmental Dysplasia of the Hip (DDH)

TypeinterventionalSponsorAssiut UniversityRan2023 to 2025Enrolled50ConditionsDevelopmental Hip DysplasiaArmsModified hip capsular incision
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 56 citations in OpenAlex.

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  10. Length of treatment and ultrasound timing in infants with developmental dysplasia of the hip.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  11. Article
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  14. Common Ultrasound Applications for Pediatric Musculoskeletal Conditions.Current reviews in musculoskeletal medicine · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

C AlvesHospital Pediatrico - CHUC, EPE, Avenida Afonso Romao, 3000-602, Coimbra, Portugal.
W H TruongGillette Children's Specialty Healthcare, St Paul, Minnesota, USA.
M V ThompsonWeill Cornell Medical College, New York, New York, USA.
J R SuryavanshiHospital for Special Surgery, New York, New York, USA.
C L PennyHospital for Special Surgery, New York, New York, USA.
H T DoHospital for Special Surgery, New York, New York, USA.
E R DodwellHospital for Special Surgery, New York, New York, USA.
Hospital for Special Surgery · USCornell University · USGillette Children's Specialty Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to elucidate developmental dysplasia of the hip (DDH) diagnosis and treatment preferences among members of the Pediatric Orthopaedic Society of North America (POSNA) and European Paediatric Orthopaedic Society (EPOS).

methodsA 54-question survey on DDH diagnosis and treatment preferences was distributed to POSNA and EPOS members. Descriptive statistics were performed.

resultsA total of 459 responses were analyzed. Ultrasound was the preferred modality for diagnosing DDH in infants less than six months old; few surgeons preferred radiographs. In all, 57% of POSNA members had radiology technicians perform ultrasounds, only 7% of EPOS members did. The percent coverage defining a dislocated hip varied greatly, the most frequent response being < 20% for POSNA and < 40% for EPOS members. Pavlik harnesses were the most popular harness/brace, used by 90% of POSNA and 71% of EPOS members. POSNA members were more likely than EPOS members to use a rigid abduction brace following initial harness/brace failure. For residual acetabular dysplasia, POSNA members were twice as likely as EPOS members to institute hip abduction bracing. Most surgeons would not perform closed reduction at less than three months of age or open reduction at less than six months of age. Most EPOS -members used traction prior to reduction; few POSNA members did. Few POSNA and EPOS members believed that reduction should be delayed until the ossific nucleus was visible.

conclusionThere is great variation in the preferred methods for diagnosing and treating DDH. This survey is the largest transcontinental survey to compile diagnostic and treatment preferences for DDH. With wide variations in practice, there is room for quality improvement. LEVEL OF EVIDENCE II:

Indexed as

DDHdevelopmental dysplasia of the hipEPOSPOSNAsurvey

Identifiers

PMID29951123
PMCPMC6005222
OpenAlexW2804177874

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.