Evidence map›Paper›PMID 39201850›Full record

ArticleChildren (Basel, Switzerland)2024

Screening Accuracy for Developmental Dysplasia of the Hip by Child Health Nurses.

Larissa Smart, William Cundy, Nicole Williams, Abigail Arnold, Jessie Childs, Lemuel Pelentsov, Adrian Esterman

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. 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

7 authors.

Larissa SmartSchool of Nursing, University of Tasmania, Locked Bag 3513, Burnie, TAS 7320, Australia.
William CundyWomen's and Children's Health Network, SA Health, Adelaide, SA 5000, Australia.
Nicole WilliamsWomen's and Children's Health Network, SA Health, Adelaide, SA 5000, Australia.ORCID 0000-0001-9451-4456
Abigail ArnoldWomen's and Children's Health Network, SA Health, Adelaide, SA 5000, Australia.
Jessie ChildsAllied Health and Human Performance, University of South Australia, Adelaide, SA 5000, Australia.ORCID 0000-0003-2128-8907
Lemuel PelentsovClinical and Health Sciences, University of South Australia, Adelaide, SA 5000, Australia.
Adrian EstermanAllied Health and Human Performance, University of South Australia, Adelaide, SA 5000, Australia.ORCID 0000-0001-7324-9171

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopmental Dysplasia of the Hip (DDH) describes a spectrum of abnormalities that impact the normal function of the joint. These abnormalities are detectable during infancy using physical assessment, universal ultrasound, or a combination of both. In Australia, child health nurses predominantly screen for this disease using physical assessment. The aim of this study was to determine if child health nurses can accurately screen for DDH using physical assessment.

methodsThis Australian study estimated the accuracy and utility of child health nurses using physical assessment to screen for DDH by comparing it to a handheld ultrasound device.

resultsThis study (N = 44) concluded that using a point prevalence study design, child health nurses in Australia are unable to accurately assess for DDH in infants using physical assessment; overall, clinicians had 50.5% sensitivity (95% CI, 15.7 to 84.3), a specificity of 75.0% (95% CI, 57.8 to 87.9), and 71.3% accuracy (95% CI, 55.6 to 83.9).

conclusionThis study suggests that child health nurses cannot screen for DDH using physical assessment. Understanding education, experience and what assessments are used suggests that the utility of nurses performing DDH screening requires further investigation.

Indexed as

accuracychildchild healthdevelopmental dysplasia of the hipinfant

Identifiers

PMID39201850
PMCPMC11353034

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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.