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dc.contributor.authorLaborie, Lene Bjerke
dc.contributor.authorRosendahl, Karen
dc.contributor.authorDhouib, Amira
dc.contributor.authorSimoni, Paolo
dc.contributor.authorTomà, Paolo
dc.contributor.authorOffiah, Amaka C
dc.date.accessioned2023-08-29T11:51:10Z
dc.date.available2023-08-29T11:51:10Z
dc.date.issued2023-04-26
dc.description.abstractDifferent screening strategies for developmental dysplasia of the hip (DDH) exist. Despite screening efforts, cases of late presentation continue to occur, often necessitating surgery. This systematic review and meta-analysis assess the effect of newborn selective ultrasound screening for DDH on the incidence of late presentation in infants and children, compared to a universal ultrasound strategy. A systematic search across Medline and EMBASE databases was performed between January 1950 and February 2021. A consensus-based evaluation of abstracts led to retrieval of relevant full text, original articles or systematic reviews in English only. These were assessed according to agreed eligibility criteria, and their reference lists were reviewed to identify additional eligible publications. Following final consensus on included publications, data was extracted, analysed and reported as per PRISMA and Prospero (CRD42021241957) guidelines. The 16 eligible studies consisted of 2 randomised controlled trials and 14 cohort studies, published between 1989 and 2014, with a total of 511,403 participants. In total, 121,470 (23.8%) received a neonatal hip ultrasound, of whom 58,086 and 63,384 were part of a selective or a universal ultrasound screening strategy, respectively. The difference in the proportion of late presentation between the universal and selective strategies was 0.0904 per 1,000 (P = 0.047). The time effect, i.e. the difference between early and late presentation defined respectively, as less than and more than 3 months of age, regardless of screening strategy, was not significant (P = 0.272). Although there was variability in study design and reporting, the quality of the evidence, based on the critical appraisal skills programme appraisal tools, was generally good. Compared to universal ultrasound screening for DDH, selective screening resulted in a slightly higher rate of late presentation. Uniformity in design and reporting of DDH studies and a cost-effectiveness analysis are needed.en_US
dc.identifier.citationLaborie, Rosendahl, Dhouib, Simoni, Tomà, Offiah. The effect of selective ultrasound screening on the incidence of late presentation of developmental hip dysplasia—a meta-analysis. Pediatric Radiology. 2023en_US
dc.identifier.cristinIDFRIDAID 2158452
dc.identifier.doi10.1007/s00247-023-05666-x
dc.identifier.issn0301-0449
dc.identifier.issn1432-1998
dc.identifier.urihttps://hdl.handle.net/10037/30512
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.relation.journalPediatric Radiology
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleThe effect of selective ultrasound screening on the incidence of late presentation of developmental hip dysplasia—a meta-analysisen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)