Evidence map›Paper›PMID 37290920›Full record

ArticleBMJ paediatrics open2023

Risk factors for misdiagnosis in children with developmental dysplasia of the hip: a retrospective single centre study.

Zong-Zhi Fan, Ya-Bo Yan, Jia Sha, Hui-Fa Xu, Chao Li, Zhi-Chen Liu, Jing Liu, Lu-Yu Huang

Open access · diamondAbstract read
In one paragraph

Article in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.9field-weighted citation impact, top 15% 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.

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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
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

8 authors at 1 institution in 1 country.

Zong-Zhi Fan *Department of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China.
Ya-Bo Yan *Department of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China.
Jia ShaDepartment of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China.
Hui-Fa XuDepartment of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China.
Chao LiDepartment of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China.
Zhi-Chen LiuDepartment of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China.
Jing LiuDepartment of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China.
Lu-Yu HuangDepartment of Orthopedics, Xijing Hospital,Air Force Military Medical University, Xian, Shaanxi, China huangly@fmmu.edu.cn.ORCID 0000-0002-9525-6935
Xijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate risk factors of misdiagnosis at the first visit of children with developmental dysplasia of the hip (DDH) who did not participate in hip ultrasound screening.

methodsA retrospective review was conducted on children with DDH admitted to a tertiary hospital in northwestern China between January 2010 and June 2021. We divided the patients into the diagnosis and misdiagnosis groups according to whether they were diagnosed at the first visit. The basic information, treatment process and medical information of the children were investigated. We made a line chart of the annual misdiagnosis rate to observe the trend in the annual misdiagnosis rate. Univariate and multivariate logistic regression analyses were used to identify significant risk factors for missed diagnosis.

resultsA total of 351 patients met the inclusion criteria, including 256 (72.9%) patients in the diagnosis group and 95 (27.1%) patients in the misdiagnosis group. The line chart of the annual rate of misdiagnoses among children with DDH from 2010 to 2020 showed no significant change trend. Multiple logistic regression analysis showed that the paediatrics department (

conclusionChildren with DDH without hip ultrasound screening are prone to be misdiagnosed at their first visit. The annual misdiagnosis rate has not been significantly reduced in recent years. The department and title of the physician are independent risk factors for misdiagnosis.

Indexed as

Developmental Dysplasia of the HipHip Dislocation, CongenitalChildHumansMissed DiagnosisRetrospective StudiesRisk FactorsAdolescent HealthHealth services researchSocial work

Identifiers

PMID37290920
PMCPMC10254984
OpenAlexW4379875595

What OpenQuestion holds

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Registered trials

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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.