ReviewThe archives of bone and joint surgery2021
Diagnostic Accuracy of Ultrasonography Method of Graf in the detection of Developmental Dysplasia of the Hip: A Meta-Analysis and Systematic Review.
Review in The archives of bone and joint surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Preterm birth does not increase the risk of developmental dysplasia of the Hip: a systematic review and meta-analysis.BMC pediatrics · 2023Pooled it
- Development and implementation of an interdisciplinary one-stop clinic for infant hip dysplasia: A pilot study.Clinics (Sao Paulo, Brazil) · 2026Article
- Nurses' Challenges in Performing Ultrasound Hip-Screening Techniques for Home Visits to Newborns and Infants: A Descriptive Case Study.Journal of nursing management · 2026Article
- Ultrasonographic predictors of residual acetabular dysplasia in high-risk infants.Scientific reports · 2025Article
- Evaluation of Operator Variability and Validation of an AI-Assisted α-Angle Measurement System for DDH Using a Phantom Model.Bioengineering (Basel, Switzerland) · 2025Article
- Artificial Intelligence Algorithm Supporting the Diagnosis of Developmental Dysplasia of the Hip: Automated Ultrasound Image Segmentation.Journal of clinical medicine · 2025Article
- Integrating web-based and objective structured clinical examination training programs for nurses on ultrasound hip screening during neonatal and infant home visits: a case study.BMC medical education · 2025Article
- Ultrasound-based statistical shape modeling for prognosis in unstable hip dysplasia.The ultrasound journal · 2025Article
- Impact of probe tilt on Graf ultrasonography accuracy for neonatal hip dysplasia screening.SICOT-J · 2025Article
- Real-Time Ultrasound Diagnosis of Developmental Dysplasia of the Hip Using an Attention-Enhanced YOLOv11 Model.International journal of medical sciences · 2025Article
- Impact of Pavlik Harness treatment on motor skills acquisition: A case-control study.Journal of children's orthopaedics · 2024Article
- Environmental and Genetic Risk Factors in Developmental Dysplasia of the Hip for Early Detection of the Affected Population.Diagnostics (Basel, Switzerland) · 2024Article
- Comment on: Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates.Saudi medical journal · 2024Article
- Article
- The Value of Ultrasound Diagnostic Imaging of Meniscal Knee Injuries Verified by Experimental and Arthroscopic Investigations.Diagnostics (Basel, Switzerland) · 2023Article
- B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination.BMC veterinary research · 2023Article
- Diagnostic accuracy of a deep learning model using YOLOv5 for detecting developmental dysplasia of the hip on radiography images.Scientific reports · 2023Article
- Assessment for late developmental hip dysplasia in a cohort of infants with risk factors and normal hip ultrasound.Frontiers in pediatrics · 2023Article
- Diagnostic Performance of Clinical Examination Versus Ultrasonography in the Detection of Developmental Dysplasia of Hip: A Systematic Review and Meta-Analysis.The archives of bone and joint surgery · 2022Review
- Incidence of Late-Diagnosed Developmental Dysplasia of the Hip-Dislocation in Colombia, 2010 to 2020.Sage open pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The present study aimed to perform a meta-analysis on the performance of Graf's ultrasonography method in the detection of developmental dysplasia of the hip (DDH). Methods: A query was conducted on electronic bibliographic databases until the end of October 2020. The inclusion criteria entailed: 1. the use of Graf method in less than 12 weeks of age, 2. the use of follow-up as reference test, and 3. provision of crude data. Pooled diagnostic performance measures were calculated. Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) checklist was utilized to assess the quality of the included studies. The hierarchical summary receiver-operating characteristic (HROC) curves were also drawn. Results: Six articles (including seven populations, 11,012 patients) were considered eligible. The pooled sensitivity and specificity were obtained at 93% (95% CI: 0.57-0.99) and 97% (95% CI:0.86-0.99), respectively (area under curve= 0.99). The pooled positive and negative likelihood ratio, as well as diagnostic odds ratio, was reported as 28.4, 0.07, and 396, respectively. Conclusion: As evidenced by the obtained results, Graf's method is a useful ultrasonography technique with acceptable accuracy for screening DDH in neonates. However, there are uncertainties about the best population and age for screening. Furthermore, more attention should be paid to the proper training of this method to reduce the number of operator errors.
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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.