Evidence map›Paper›PMID 31129868›Full record

ArticleIrish journal of medical science2020

A radiographic clinic for developmental dysplasia of the hip (DDH).

Gerard A Sheridan, Matthew Nagle, Catherine Howells, Olga Gallagher, Patrick J Kiely, Patrick O'Toole, Paula M Kelly, David P Moore

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Article in Irish journal of medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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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

8 authors.

Gerard A SheridanDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland. sheridga@tcd.ie.ORCID http://orcid.org/0000-0003-0970-3274
Matthew NagleDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Catherine HowellsDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Olga GallagherDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Patrick J KielyDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Patrick O'TooleDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Paula M KellyDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
David P MooreDepartment of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe describe the first radiographic clinic in the literature for DDH and how this novel clinic can significantly improve the efficiency and cost-effectiveness of service in a tertiary referral centre.

aimsA radiographic clinic for the management of developmental dysplasia of the hip was introduced in 2017 in our institution. We performed a detailed cost analysis to assess the economic savings made with the introduction of this new clinic. We assessed the efficiency of the service by identifying how many unnecessary outpatient visits were prevented. We also assessed the difference in times from referral to review between the two clinics.

methodsAnalysis of the clinic activity in 2017 was possible as all data was collected prospectively by the DDH CNS and stored in our database. Cost analysis was performed, and the savings made per patient along with the financial benefit to our institution was recorded.

resultsThe new radiographic clinic reduced the cost of reviewing one patient by €162.51 per patient. There was a 73% discharge rate from the clinic which prevented 251 unnecessary patient visits to the outpatient department over the course of the year. There was a significant 11-day reduction in waiting times between referral and review when comparing the radiographic to the conventional clinic (p < 0.05).

conclusionsA radiographic clinic for the management of developmental dysplasia of the hip has a significant effect on the efficiency and overall cost-effectiveness of service provision in a tertiary referral centre.

Indexed as

Child, PreschoolFemaleHip Dislocation, CongenitalHumansInfantInfant, NewbornMaleCost-effectiveOrthopaedicPaediatricVirtual clinic

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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.