ArticleJournal of children's orthopaedics2018
Trends in slipped capital femoral epiphysis: is the rate declining?
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. Cited by 5 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.
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Who cites it
5 citing papers in PubMed.
- A New Look on the Epidemiology of Slipped Capital Femoral Epiphysis: A Topic Revisited.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
- Comparing complications of outpatient management of slipped capital femoral epiphysis and Blount's disease: A database study.World journal of orthopedics · 2022Article
- Examining delays in diagnosis for slipped capital femoral epiphysis from a health disparities perspective.PloS one · 2022Article
- Temporal changes in slipped upper femoral epiphysis at a regional level: a declining incidence and literature review.Journal of children's orthopaedics · 2019Article
- [Fixation techniques for slipped capital femoral epiphysis : Principles, surgical techniques, and complications].Der Orthopade · 2019Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSlipped capital femoral epiphysis (SCFE) is an adolescent hip condition with a high risk of complication. The purpose of this study was to evaluate trends in treatment using a prospectively collected paediatric nationally representative database.
methodsA total of 9034 patients undergoing treatment for idiopathic SCFE were selected by querying the Healthcare Cost and Utilization Project's Kids' Inpatient Database for the years 1997, 2000, 2003, 2006, 2009 and 2012. The selected patients were separated based on operative approach and these cohorts were analyzed based on temporal and categorical differences in operative approach, patient demographics and clinical characteristics. Univariate and multivariate analyses were used when appropriate and the Mantel-Haenszel test for trend was used in temporal analysis.
resultsOverall SCFE procedures have decreased 27.5% (p < 0.001). Closed procedures have decreased 28.5% (p < 0.001), while open procedures have decreased 44.8% (p < 0.001). Bilateral closed procedures have increased 7.2% (p < 0.001). The ratio of open to closed procedures decreased in patients aged nine to 12 years and increased in patients aged 13 to 16 years (p < 0.001).
conclusionHere we report age stratified trends in treatment for idiopathic SCFE using nationally representative data and show an overall decrease in admissions and procedures over time. LEVEL OF EVIDENCE: Level III, retrospective comparison study.
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