Evidence map›Paper›PMID 38131337›Full record

ArticleActa orthopaedica et traumatologica turcica2023

Management preferences of orthopedic surgeons in developmental dysplasia of the hip under 1 year of age in Türkiye: Results of a nationwide cross-sectional survey.

Baki Volkan Çetin, Sancar Bakırcıoğlu, Sadettin Çiftci, Mehmet Salih Söylemez, Serkan Erkuş, Yalçın Turhan, İsmail Yalkın Çamurcu, Serda Duman, Timur Yıldırım, Kaya Memişoğlu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Acta orthopaedica et traumatologica turcica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. 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

12 authors at 3 institutions in 1 country.

Baki Volkan ÇetinDepartment of Orthopaedics and Traumatology, Harran University, Faculty of Medicine, Şanlıurfa, Turkey.
Sancar BakırcıoğluDepartment of Orthopaedics and Traumatology, TOBB Economy and Technology University, Ankara, Turkey.
Sadettin ÇiftciDepartment of Orthopaedics and Traumatology, Selçuk University, Faculty of Medicine, Konya, Turkey.
Mehmet Salih SöylemezDepartment of Orthopaedics and Traumatology, Ümraniye Training and Research Hospital, İstanbul, Turkey.
Serkan ErkuşDepartment of Orthopaedics and Traumatology, Medifema Hospital, İzmir, Turkey.
Yalçın TurhanDepartment of Orthopaedics and Traumatology, Düzce University, Faculty of Medicine, Düzce, Turkey.
İsmail Yalkın ÇamurcuDepartment of Orthopaedics and Traumatology, Aritmi Osmangazi Hospital, Bursa, Turkey.
Serda DumanDepartment of Orthopaedics and Traumatology, Baltalimanı Metin Sabancı Bone Diseases Training and Research Hospital, İstanbul, Turkey.
Timur YıldırımDepartment of Orthopaedics and Traumatology, İstanbul Nişantaşı University, İstanbul, Turkey.
Kaya MemişoğluDepartment of Orthopaedics and Traumatology, Kocaeli University, School of Medicine, Kocaeli, Turkey.
Hakan ŞenaranDepartment of Orthopaedics and Traumatology, Bezmialem Vakif University, School of Medicine, İstanbul, Turkey.
Hakan ÖmeroğluDepartment of Orthopaedics and Traumatology, Ufuk University, Faculty of Medicine, Ankara, Turkey.
Ali Osman Sonmez Oncology Hospital · TRKocaeli Üniversitesi · TRUfuk University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the diagnosis and treatment preferences of orthopedic surgeons in developmental dysplasia of the hip (DDH) cases under the age of 1 in Türkiye with a higher incidence of DDH, estimated to be around 5-15 per 1000 live births.

methodsThis was a nationwide cross-sectional survey. A link for the online survey, including 16 multiple-choice questions, was sent to the email group of the National Orthopedic Society.

resultsAmong 233 filled-out surveys, 211 met the inclusion criteria. Half of the participants had experience of <10 years as orthopedic surgeons, managed <25% of pediatric patients in daily practice, and treated <25 DDH cases per year before walking age. Ninety-seven percent used more than one method, hip ultrasound the most common, for exact diagnosis of DDH under 6 months. Pavlik harness was the most commonly preferred brace, but the use of Tübingen orthosis increased among experienced surgeons. The uppermost age limit for bracing was higher in surgeons dealing with more pediatric patients and treating more DDH cases. Dislocated hips and hips requiring closed/open reduction were more commonly referred to other surgeons by less experienced surgeons in terms of years, number of pediatric patients, and treated DDH cases per year. The lowest age limit for intervention under general anesthesia was lower in surgeons treating >25 DDH cases per year. Over one-third used both anterior and medial approach open reduction, but a trend to anterior open reduction alone was more evident in surgeons treating >50 DDH cases per year. More experienced surgeons were more prone to check the intraoperative reduction with postoperative computed tomography or magnetic resonance imaging. Diagnosis and treatment ages of DDH cases did not significantly change during the coronavirus disease 2019 pandemic.

conclusionManagement preferences of orthopedic surgeons in DDH before walking age primarily depend on the rate of pediatric patients in daily practice and the number of treated DDH cases per year.

Identifiers

PMID38131337
PMCPMC10837523
OpenAlexW4390113992

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.