ArticleJournal of children's orthopaedics2020
Implementation of a nationwide universal ultrasound screening programme for developmental dysplasia of the neonatal hip in Mongolia.
Article in Journal of children's orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Expert consensus validation of an instrument to improve the timely detection of developmental dysplasia of the hip in children.Revista medica del Instituto Mexicano del Seguro Social · 2026Pooled it
- Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial.BMC pediatrics · 2021Trial
- Newborn screening and biobanking for preventable genetic disorders in Mongolia: A developing country perspective.Regenerative therapy · 2026Review
- Development and implementation of an interdisciplinary one-stop clinic for infant hip dysplasia: A pilot study.Clinics (Sao Paulo, Brazil) · 2026Article
- Diagnosis on Ultrasound Images for Developmental Dysplasia of the Hip with a Deep Learning-Based Model Focusing on Signal Heterogeneity in the Bone Region.Diagnostics (Basel, Switzerland) · 2025Article
- Caregivers' care experiences of children with developmental dislocation of the hip in Tibet, China: a convergent mixed-methods study.Frontiers in pediatrics · 2025Article
- "ICODE Hip US Calculator": a mobile phone aid for screening with Graf's sonographic technique.Journal of ultrasonography · 2024Article
- Plasma metabolomics signatures of developmental dysplasia of the hip in Tibet plateau.Orphanet journal of rare diseases · 2024Article
- Cost-effectiveness of screening for developmental dysplasia of the hip in Karachi, Pakistan using a universally applicable cost-effectiveness model.BMJ public health · 2024Article
- Chondro-osseous border in baby hip ultrasonography for developmental dysplasia of the hip: an indispensable litmus paper for the accuracy of scientific publications.Journal of ultrasound · 2024Review
- Article
- Microbiological Spectrum of Osteoarticular Infections and Their Management in Mongolian Children.Global pediatric health · 2024Article
- Acetabular index as an indicator of Pavlik harness success in grade I developmental dysplasia of the hip: A retrospective study.Journal of children's orthopaedics · 2023Article
- Context matters for disability and priority setting for musculoskeletal diseases: revisiting the egalitarian approach to disability weights and disability-adjusted life-years.BMJ global health · 2023Review
- The management of developmental dysplasia of the hip in children aged under three months : a consensus study from the British Society for Children's Orthopaedic Surgery.The bone & joint journal · 2023Article
- Impact of Multiple Factors on the Incidence of Developmental Dysplasia of the Hip: Risk Assessment Tool.Medicina (Kaunas, Lithuania) · 2022Article
- Four decades of developmental dysplastic hip screening according to Graf: What have we learned?Frontiers in pediatrics · 2022Review
- Screening of Newborns and Infants for Developmental Dysplasia of the Hip: A Systematic Review.Indian journal of orthopaedics · 2021Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMongolia is the first Asian country to launch universal ultrasound screening for newborns with developmental dysplasia of the hip (DDH). The aims of this study were to determine the coverage and treatment rate of this programme.
methodsData from birth statistics and ultrasound hip screening from 29 hospitals were retrospectively reviewed (2010 to 2016, pre-nationwide phase; and 2017 to 2019, nationwide programme). DDH was diagnosed using the Graf-technique and treated according to 'ABCD', a modified Graf classification (Group A: Graf Type 1, mature; B: 2a, physiologically immature; C: 2c to 3, early DDH; D: 4, dislocated). Group B children were followed with monthly ultrasound. Group C and D children were treated with a flexion and abduction orthosis (Tübingen). Screeners used a web-based platform to upload images for quality surveillance.
resultsBetween 2017 and 2019, 230 079 live births were registered and 176 388 newborns screened. The nationwide screening coverage rate in newborns increased from 73.6% in 2017 to 82.1% in 2019. Group A (148 510 children, 84.2%) was discharged, while Group B (25 820, 14.6%) was followed. Among children in Group B, 284 cases worsened to Group C and were, therefore, treated with a Tübingen orthosis. The remaining 2058 (1.2%) of newborns with DDH were treated with a Tübingen orthosis, including 1999 newborns in Group C and 59 in Group D. Since 2017, a total of 142 860 (81.0%) hip sonograms were uploaded to the platform.
conclusionA simplified diagnostic and therapeutic framework for ultrasound DDH screening for newborns was successfully deployed in Mongolia, a developing country, providing high surveillance coverage and appropriate treatment.Level of evidence: IV.
Indexed as
Identifiers
What OpenQuestion holds
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.