General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study
Objectives To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for...
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| Veröffentlicht in: | The Journal of pediatrics 2012-02, Vol.160 (2), p.271-275 |
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| container_title | The Journal of pediatrics |
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| creator | von Kries, Rüdiger, MD, MSc Ihme, Nicola, MD Altenhofen, Lutz, PhD Niethard, Fritz Uwe, MD Krauspe, Rüdiger, MD, PhD Rückinger, Simon, PhD |
| description | Objectives To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for all children. Participation in ultrasound screening before week 7 as recommended in Germany was the exposure of interest. Case ascertainment was based on active surveillance in orthopedic hospitals. The case definition was: first operative procedure for developmental dysplasia of the hip (closed reduction, open reduction, or osteotomy) in children >9 weeks old and |
| doi_str_mv | 10.1016/j.jpeds.2011.08.037 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_916151672</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0022347611008328</els_id><sourcerecordid>916151672</sourcerecordid><originalsourceid>FETCH-LOGICAL-c467t-9efb4e770c70757acd07d19a58d65f7ec2fc9ac4ba1f15296c860d60249191ec3</originalsourceid><addsrcrecordid>eNqFktFu0zAUhiMEYt3gCZDAN4irlGMnsROkIU0d25AmDa302nKdk-GS2sF2KvUN9tg4tIDEDVe--f7fx-dzlr2iMKdA-fvNfDNgG-YMKJ1DPYdCPMlmFBqR87oonmYzAMbyohT8JDsNYQMATQnwPDthtOGMA5tlj9do0auerProVXCjbclSe0Rr7AO5x3bUGEj8huReRSSuI1fGh0juhpSKZofki3c6YT5hnfPkEnfYu2GLNqbWy30YehWMmpJTy40ZPpALslAB84Wz0bueLOPY7l9kzzrVB3x5PM-y1dWnr4ub_Pbu-vPi4jbXJRcxb7BblygEaAGiEkq3IFraqKpuedUJ1KzTjdLlWtGOVqzhuubQpqeWDW0o6uIse3foHbz7MWKIcmuCxr5XFt0YZEM5rSgXLJHFgdTeheCxk4M3W-X3koKcDMiN_GVATgYk1DIZSKnXx_5xvcX2T-b3yhPw9giooFXfeWW1CX-5qmJM0Dpxbw5cp5xUDz4xq2W6qUoaa1EWZSLODwSmfe0Mehm0QZtsGI86ytaZ_4z68Z-87o01aajvuMewcaO3SYWkMjAJcjl9p-k3UZomKFhd_AT2O8Q4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>916151672</pqid></control><display><type>article</type><title>General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>von Kries, Rüdiger, MD, MSc ; Ihme, Nicola, MD ; Altenhofen, Lutz, PhD ; Niethard, Fritz Uwe, MD ; Krauspe, Rüdiger, MD, PhD ; Rückinger, Simon, PhD</creator><creatorcontrib>von Kries, Rüdiger, MD, MSc ; Ihme, Nicola, MD ; Altenhofen, Lutz, PhD ; Niethard, Fritz Uwe, MD ; Krauspe, Rüdiger, MD, PhD ; Rückinger, Simon, PhD</creatorcontrib><description>Objectives To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for all children. Participation in ultrasound screening before week 7 as recommended in Germany was the exposure of interest. Case ascertainment was based on active surveillance in orthopedic hospitals. The case definition was: first operative procedure for developmental dysplasia of the hip (closed reduction, open reduction, or osteotomy) in children >9 weeks old and <5 years old and born between 1996 and 2001. Control subjects from the same birth cohorts were recruited in telephone surveys. Results Cases of first operative procedures for developmental dysplasia of the hip (n = 446) were compared with 1173 control subjects for ultrasound screening. Effectiveness of ultrasound screening to prevent first operative procedures for developmental dysplasia of the hip was estimated as 52% (95% CI, 32-67). Effectiveness did not vary substantially for closed and open reductions and osteotomy. Conclusions General ultrasound screening reduces the rate of operative procedures for developmental dysplasia of the hip; the impact on developmental dysplasia of the hip. Treatment rates and avascular necrosis need further assessment to balance the benefit against potential overtreatment and adverse effects.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2011.08.037</identifier><identifier>PMID: 21962602</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>Maryland Heights, MO: Mosby, Inc</publisher><subject>adverse effects ; Biological and medical sciences ; Case-Control Studies ; Child, Preschool ; children ; Diseases of the osteoarticular system ; Female ; General aspects ; Germany - epidemiology ; Hip - abnormalities ; Hip - diagnostic imaging ; Hip - surgery ; Hip Dislocation, Congenital - diagnostic imaging ; Hip Dislocation, Congenital - epidemiology ; Hip Dislocation, Congenital - surgery ; hip dysplasia ; hips ; hospitals ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; monitoring ; necrosis ; Neonatal Screening - methods ; Orthopedic Procedures - statistics & numerical data ; orthopedics ; osteotomy ; Pediatrics ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; screening ; surveys ; ultrasonics ; Ultrasonography</subject><ispartof>The Journal of pediatrics, 2012-02, Vol.160 (2), p.271-275</ispartof><rights>Mosby, Inc.</rights><rights>2012 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-9efb4e770c70757acd07d19a58d65f7ec2fc9ac4ba1f15296c860d60249191ec3</citedby><cites>FETCH-LOGICAL-c467t-9efb4e770c70757acd07d19a58d65f7ec2fc9ac4ba1f15296c860d60249191ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2011.08.037$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25522718$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21962602$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>von Kries, Rüdiger, MD, MSc</creatorcontrib><creatorcontrib>Ihme, Nicola, MD</creatorcontrib><creatorcontrib>Altenhofen, Lutz, PhD</creatorcontrib><creatorcontrib>Niethard, Fritz Uwe, MD</creatorcontrib><creatorcontrib>Krauspe, Rüdiger, MD, PhD</creatorcontrib><creatorcontrib>Rückinger, Simon, PhD</creatorcontrib><title>General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objectives To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for all children. Participation in ultrasound screening before week 7 as recommended in Germany was the exposure of interest. Case ascertainment was based on active surveillance in orthopedic hospitals. The case definition was: first operative procedure for developmental dysplasia of the hip (closed reduction, open reduction, or osteotomy) in children >9 weeks old and <5 years old and born between 1996 and 2001. Control subjects from the same birth cohorts were recruited in telephone surveys. Results Cases of first operative procedures for developmental dysplasia of the hip (n = 446) were compared with 1173 control subjects for ultrasound screening. Effectiveness of ultrasound screening to prevent first operative procedures for developmental dysplasia of the hip was estimated as 52% (95% CI, 32-67). Effectiveness did not vary substantially for closed and open reductions and osteotomy. Conclusions General ultrasound screening reduces the rate of operative procedures for developmental dysplasia of the hip; the impact on developmental dysplasia of the hip. Treatment rates and avascular necrosis need further assessment to balance the benefit against potential overtreatment and adverse effects.</description><subject>adverse effects</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>General aspects</subject><subject>Germany - epidemiology</subject><subject>Hip - abnormalities</subject><subject>Hip - diagnostic imaging</subject><subject>Hip - surgery</subject><subject>Hip Dislocation, Congenital - diagnostic imaging</subject><subject>Hip Dislocation, Congenital - epidemiology</subject><subject>Hip Dislocation, Congenital - surgery</subject><subject>hip dysplasia</subject><subject>hips</subject><subject>hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>monitoring</subject><subject>necrosis</subject><subject>Neonatal Screening - methods</subject><subject>Orthopedic Procedures - statistics & numerical data</subject><subject>orthopedics</subject><subject>osteotomy</subject><subject>Pediatrics</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>screening</subject><subject>surveys</subject><subject>ultrasonics</subject><subject>Ultrasonography</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFktFu0zAUhiMEYt3gCZDAN4irlGMnsROkIU0d25AmDa302nKdk-GS2sF2KvUN9tg4tIDEDVe--f7fx-dzlr2iMKdA-fvNfDNgG-YMKJ1DPYdCPMlmFBqR87oonmYzAMbyohT8JDsNYQMATQnwPDthtOGMA5tlj9do0auerProVXCjbclSe0Rr7AO5x3bUGEj8huReRSSuI1fGh0juhpSKZofki3c6YT5hnfPkEnfYu2GLNqbWy30YehWMmpJTy40ZPpALslAB84Wz0bueLOPY7l9kzzrVB3x5PM-y1dWnr4ub_Pbu-vPi4jbXJRcxb7BblygEaAGiEkq3IFraqKpuedUJ1KzTjdLlWtGOVqzhuubQpqeWDW0o6uIse3foHbz7MWKIcmuCxr5XFt0YZEM5rSgXLJHFgdTeheCxk4M3W-X3koKcDMiN_GVATgYk1DIZSKnXx_5xvcX2T-b3yhPw9giooFXfeWW1CX-5qmJM0Dpxbw5cp5xUDz4xq2W6qUoaa1EWZSLODwSmfe0Mehm0QZtsGI86ytaZ_4z68Z-87o01aajvuMewcaO3SYWkMjAJcjl9p-k3UZomKFhd_AT2O8Q4</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>von Kries, Rüdiger, MD, MSc</creator><creator>Ihme, Nicola, MD</creator><creator>Altenhofen, Lutz, PhD</creator><creator>Niethard, Fritz Uwe, MD</creator><creator>Krauspe, Rüdiger, MD, PhD</creator><creator>Rückinger, Simon, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study</title><author>von Kries, Rüdiger, MD, MSc ; Ihme, Nicola, MD ; Altenhofen, Lutz, PhD ; Niethard, Fritz Uwe, MD ; Krauspe, Rüdiger, MD, PhD ; Rückinger, Simon, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-9efb4e770c70757acd07d19a58d65f7ec2fc9ac4ba1f15296c860d60249191ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>adverse effects</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>General aspects</topic><topic>Germany - epidemiology</topic><topic>Hip - abnormalities</topic><topic>Hip - diagnostic imaging</topic><topic>Hip - surgery</topic><topic>Hip Dislocation, Congenital - diagnostic imaging</topic><topic>Hip Dislocation, Congenital - epidemiology</topic><topic>Hip Dislocation, Congenital - surgery</topic><topic>hip dysplasia</topic><topic>hips</topic><topic>hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>monitoring</topic><topic>necrosis</topic><topic>Neonatal Screening - methods</topic><topic>Orthopedic Procedures - statistics & numerical data</topic><topic>orthopedics</topic><topic>osteotomy</topic><topic>Pediatrics</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>screening</topic><topic>surveys</topic><topic>ultrasonics</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>von Kries, Rüdiger, MD, MSc</creatorcontrib><creatorcontrib>Ihme, Nicola, MD</creatorcontrib><creatorcontrib>Altenhofen, Lutz, PhD</creatorcontrib><creatorcontrib>Niethard, Fritz Uwe, MD</creatorcontrib><creatorcontrib>Krauspe, Rüdiger, MD, PhD</creatorcontrib><creatorcontrib>Rückinger, Simon, PhD</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>von Kries, Rüdiger, MD, MSc</au><au>Ihme, Nicola, MD</au><au>Altenhofen, Lutz, PhD</au><au>Niethard, Fritz Uwe, MD</au><au>Krauspe, Rüdiger, MD, PhD</au><au>Rückinger, Simon, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>160</volume><issue>2</issue><spage>271</spage><epage>275</epage><pages>271-275</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objectives To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for all children. Participation in ultrasound screening before week 7 as recommended in Germany was the exposure of interest. Case ascertainment was based on active surveillance in orthopedic hospitals. The case definition was: first operative procedure for developmental dysplasia of the hip (closed reduction, open reduction, or osteotomy) in children >9 weeks old and <5 years old and born between 1996 and 2001. Control subjects from the same birth cohorts were recruited in telephone surveys. Results Cases of first operative procedures for developmental dysplasia of the hip (n = 446) were compared with 1173 control subjects for ultrasound screening. Effectiveness of ultrasound screening to prevent first operative procedures for developmental dysplasia of the hip was estimated as 52% (95% CI, 32-67). Effectiveness did not vary substantially for closed and open reductions and osteotomy. Conclusions General ultrasound screening reduces the rate of operative procedures for developmental dysplasia of the hip; the impact on developmental dysplasia of the hip. Treatment rates and avascular necrosis need further assessment to balance the benefit against potential overtreatment and adverse effects.</abstract><cop>Maryland Heights, MO</cop><pub>Mosby, Inc</pub><pmid>21962602</pmid><doi>10.1016/j.jpeds.2011.08.037</doi><tpages>5</tpages></addata></record> |
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| subjects | adverse effects Biological and medical sciences Case-Control Studies Child, Preschool children Diseases of the osteoarticular system Female General aspects Germany - epidemiology Hip - abnormalities Hip - diagnostic imaging Hip - surgery Hip Dislocation, Congenital - diagnostic imaging Hip Dislocation, Congenital - epidemiology Hip Dislocation, Congenital - surgery hip dysplasia hips hospitals Humans Incidence Infant Infant, Newborn Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences monitoring necrosis Neonatal Screening - methods Orthopedic Procedures - statistics & numerical data orthopedics osteotomy Pediatrics Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine screening surveys ultrasonics Ultrasonography |
| title | General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study |
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