Developmental dysplasia of the hip: do the responsible for screening know what to do?
Acta ortop. bras
;
24(6): 312-317, Nov.-Dec. 2016. tab, graf
Article
in English
| LILACS
| ID: biblio-827700
ABSTRACT
ABSTRACT Objective:
To evaluate the knowledge on developmental dysplasia of the hip (DDH) by professionals involved in its diagnosis.Methods:
This is a cross-sectional study using questionnaires to assess the knowledge about DDH. Orthopedic surgeons and pediatricians, residents and medical students from a tertiary teaching hospital were included in the study.Results:
We evaluated 142 medical students, eight orthopedic residents, ten pediatric residents, seven pediatricians, and nine orthopedic surgeons; 50% declared not having examined any DDH case in the last year and only three had diagnosed more than 10 cases during their career. Regarding self-assessed knowledge (0-10), the average score was 4.25 [n=186; SD=2.43]. Nineteen percent of the participants ignored semiological tests and 26.1% of pediatricians (specialists and residents), were unaware of how to perform them. The most acknowledged and neglected risk factor was pelvic presentation (68%) and CMT (9.3%), respectively. None of the participants were able to identify all the risk factors. The average number of risk factors identified was two (n=186; SD=1.58). Forty seven point three percent of the participants failed to recognize the time of birth as the ideal moment for diagnosis; 17% reported it was after the first month. Regarding neglected severe DDH, 45.3% failed to recognize its natural history.Conclusion:
Knowledge on DDH among health professionals who are involved in screening is flawed. Level of Evidence IV, Developing a Decision Model.
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
Language:
English
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2016
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Faculdade de Ciências Médicas e da Saúde de Juiz de Fora/BR
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