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Evidence · Systematic review or meta-analysis

Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis.

Systematic review or meta-analysisJAMA Network Open2022Full text
  • Medical
  • Newborn examination
  • Nursing
  • Postnatal and transitional care

Summary

This systematic review and meta-analysis of 76 observational studies including nearly 17 million infants compares the incidence of developmental dysplasia of the hip (DDH) and late-detection rates across clinical, selective ultrasonographic and universal ultrasonographic screening strategies. Universal ultrasound screening was associated with higher early detection and non-operative treatment rates. Late detection and operative treatment rates were similar across strategies. The authors suggest universal screening may lead to initial overtreatment without reducing late-detected cases, which is relevant to newborn examination practice.

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