Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set
Aims: Hip disease is common in children with cerebral palsy (CP) and can decrease quality of life and function. Surveillance programmes exist to improve outcomes by treating hip disease at an early stage using radiological surveillance. However, studies and surveillance programmes report different r...
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| 格式: | 文件 |
| 语言: | English |
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The British Editorial Society of Bone & Joint Surgery
2023-11-01
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| 丛编: | Bone & Joint Open |
| 主题: | |
| 在线阅读: | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.411.BJO-2023-0060.R1 |
| _version_ | 1827594410499506176 |
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| author | Prince J. S. Joseph Mohammed Khattak Sundas T. Masudi Louise Minta Daniel C. Perry |
| author_facet | Prince J. S. Joseph Mohammed Khattak Sundas T. Masudi Louise Minta Daniel C. Perry |
| author_sort | Prince J. S. Joseph |
| collection | DOAJ |
| description | Aims: Hip disease is common in children with cerebral palsy (CP) and can decrease quality of life and function. Surveillance programmes exist to improve outcomes by treating hip disease at an early stage using radiological surveillance. However, studies and surveillance programmes report different radiological outcomes, making it difficult to compare. We aimed to identify the most important radiological measurements and develop a core measurement set (CMS) for clinical practice, research, and surveillance programmes. Methods: A systematic review identified a list of measurements previously used in studies reporting radiological hip outcomes in children with CP. These measurements informed a two-round Delphi study, conducted among orthopaedic surgeons and specialist physiotherapists. Participants rated each measurement on a nine-point Likert scale (‘not important’ to ‘critically important’). A consensus meeting was held to finalize the CMS. Results: Overall, 14 distinct measurements were identified in the systematic review, with Reimer’s migration percentage being the most frequently reported. These measurements were presented over the two rounds of the Delphi process, along with two additional measurements that were suggested by participants. Ultimately, two measurements, Reimer’s migration percentage and femoral head-shaft angle, were included in the CMS. Conclusion: This use of a minimum standardized set of measurements has the potential to encourage uniformity across hip surveillance programmes, and may streamline the development of tools, such as artificial intelligence systems to automate the analysis in surveillance programmes. This core set should be the minimum requirement in clinical studies, allowing clinicians to add to this as needed, which will facilitate comparisons to be drawn between studies and future meta-analyses. Cite this article: Bone Jt Open 2023;4(11):825–831. |
| first_indexed | 2024-03-09T02:35:14Z |
| format | Article |
| id | doaj.art-2e0da21f5ffd4365bf363643205ef7c1 |
| institution | Directory Open Access Journal |
| issn | 2633-1462 |
| language | English |
| last_indexed | 2024-03-09T02:35:14Z |
| publishDate | 2023-11-01 |
| publisher | The British Editorial Society of Bone & Joint Surgery |
| record_format | Article |
| series | Bone & Joint Open |
| spelling | doaj.art-2e0da21f5ffd4365bf363643205ef7c12023-12-06T10:42:31ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Open2633-14622023-11-0141182583110.1302/2633-1462.411.BJO-2023-0060.R1Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement setPrince J. S. Joseph0https://orcid.org/0000-0002-6689-1120Mohammed Khattak1https://orcid.org/0000-0002-8115-2043Sundas T. Masudi2Louise Minta3Daniel C. Perry4https://orcid.org/0000-0001-8420-8252University of Liverpool, Liverpool, UKUniversity of Liverpool, Liverpool, UKHull University Teaching Hospitals, Hull, UKUniversity of Liverpool, Liverpool, UKUniversity of Liverpool, Liverpool, UKAims: Hip disease is common in children with cerebral palsy (CP) and can decrease quality of life and function. Surveillance programmes exist to improve outcomes by treating hip disease at an early stage using radiological surveillance. However, studies and surveillance programmes report different radiological outcomes, making it difficult to compare. We aimed to identify the most important radiological measurements and develop a core measurement set (CMS) for clinical practice, research, and surveillance programmes. Methods: A systematic review identified a list of measurements previously used in studies reporting radiological hip outcomes in children with CP. These measurements informed a two-round Delphi study, conducted among orthopaedic surgeons and specialist physiotherapists. Participants rated each measurement on a nine-point Likert scale (‘not important’ to ‘critically important’). A consensus meeting was held to finalize the CMS. Results: Overall, 14 distinct measurements were identified in the systematic review, with Reimer’s migration percentage being the most frequently reported. These measurements were presented over the two rounds of the Delphi process, along with two additional measurements that were suggested by participants. Ultimately, two measurements, Reimer’s migration percentage and femoral head-shaft angle, were included in the CMS. Conclusion: This use of a minimum standardized set of measurements has the potential to encourage uniformity across hip surveillance programmes, and may streamline the development of tools, such as artificial intelligence systems to automate the analysis in surveillance programmes. This core set should be the minimum requirement in clinical studies, allowing clinicians to add to this as needed, which will facilitate comparisons to be drawn between studies and future meta-analyses. Cite this article: Bone Jt Open 2023;4(11):825–831.https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.411.BJO-2023-0060.R1hiphip migrationhip measurementsradiographic measurementscerebral palsycore measurement setcerebral palsyhip diseasehipsconsultant orthopaedic surgeonsfemoral headcliniciansphysiotherapistsdelphi processradiological outcomesclinical studies |
| spellingShingle | Prince J. S. Joseph Mohammed Khattak Sundas T. Masudi Louise Minta Daniel C. Perry Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set Bone & Joint Open hip hip migration hip measurements radiographic measurements cerebral palsy core measurement set cerebral palsy hip disease hips consultant orthopaedic surgeons femoral head clinicians physiotherapists delphi process radiological outcomes clinical studies |
| title | Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set |
| title_full | Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set |
| title_fullStr | Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set |
| title_full_unstemmed | Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set |
| title_short | Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set |
| title_sort | radiological assessment of hip disease in children with cerebral palsy development of a core measurement set |
| topic | hip hip migration hip measurements radiographic measurements cerebral palsy core measurement set cerebral palsy hip disease hips consultant orthopaedic surgeons femoral head clinicians physiotherapists delphi process radiological outcomes clinical studies |
| url | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.411.BJO-2023-0060.R1 |
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