Evidence map›Paper›PMID 39920048›Full record

ArticleBMJ open2025

Screening, diagnosis, treatment and outcomes of developmental dysplasia of the hip in Brazilian population: a scoping review.

Patrícia Eduarda Conrado Martins Rocha Jaleca, Daniel Frank Liggio, Sana Arora, Sheila Lam, Emily Schaeffer, Patricia Moreno Grangeiro

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Patrícia Eduarda Conrado Martins Rocha JalecaUniversidade de Sao Paulo Faculdade de Medicina, Sao Paulo, Brazil.
Daniel Frank LiggioRutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID http://orcid.org/0000-0002-3863-6093
Sana AroraDepartment of Orthopaedic Surgery, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Sheila LamDepartment of Orthopaedic Surgery, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Emily SchaefferOrthopaedics, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0002-3263-6586
Patricia Moreno GrangeiroInstituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil patricia.moreno@hc.fm.usp.br.ORCID http://orcid.org/0000-0002-1533-659X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to map the literature on screening, diagnosis, treatment and outcomes of developmental dysplasia of the hip (DDH) in the Brazilian population aged 0-18 years, to describe regional variations in its presentation and management.

designScoping review. DATA SOURCES: PubMed/MEDLINE, Web of Science, Scopus, "Biblioteca Virtual em Saúde" and "Biblioteca Digital Brasileira de Teses e Dissertações". The journals, Revista Brasileira Ortopedia and Acta Ortopédica Brasileira, were manually searched for non-indexed issues. Databases were searched from their inception to February 2024. ELIGIBILITY CRITERIA: This scoping review included studies on Brazilian patients aged 0-18 years diagnosed with or being assessed for DDH. No language or date restrictions were applied. DATA EXTRACTION AND SYNTHESIS: Studies were assessed based on title, authors, publication year, study design, sample size, level of evidence, region of Brazil and healthcare setting (public or private). The articles were then analysed across four categories: screening, diagnosis, treatment and outcomes.

results52 studies, published between 1951 and 2023, were included. Reported prevalence rates ranged from 0.75 to 56.4 cases per 1000 children. No study examined the effectiveness of specific screening programmes or compared their outcomes. The most common diagnostic methods were the Ortolani manoeuvre and ultrasonography using the Graf method. Of the 27 articles on treatment, 17 focused exclusively on surgical interventions, with the Salter osteotomy being the most frequent procedure.

conclusionsThere should be a greater focus on understanding the prevalence of DDH in Brazil, the availability of ultrasound devices and trained operators, and the follow-up of conservative treatments. More information on DDH in Brazil is essential for designing and implementing effective screening and treatment programmes. Future research should be done to understand the prevalence of the disease, optimal forms of screening and early treatment.

Indexed as

Developmental Dysplasia of the HipAdolescentBrazilChildChild, PreschoolHumansInfantInfant, NewbornMass ScreeningPrevalenceTreatment OutcomeEPIDEMIOLOGIC STUDIESHipPaediatric orthopaedics

Identifiers

PMID39920048
PMCPMC13059842

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.