Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program
A significant decrease in late diagnosis and requirement for surgical treatment have been observed due to the implementation of the National Developmental Hip Dysplasia (DDH) Early Diagnosis and Treatment Program, which has been in existence for about 10 years. However, patients with delayed diagnos...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Society of Turaz Bilim
2020-12-01
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| Series: | Medicine Science |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=14023 |
| _version_ | 1797328539563851776 |
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| author | Emre Ergen Ersen Turkmen Mehmet Fethi Ceylan Mehmet Aslan Selma Felek |
| author_facet | Emre Ergen Ersen Turkmen Mehmet Fethi Ceylan Mehmet Aslan Selma Felek |
| author_sort | Emre Ergen |
| collection | DOAJ |
| description | A significant decrease in late diagnosis and requirement for surgical treatment have been observed due to the implementation of the National Developmental Hip Dysplasia (DDH) Early Diagnosis and Treatment Program, which has been in existence for about 10 years. However, patients with delayed diagnosis are still admitted to our clinic for treatment. In this study, we aimed to evaluate the effectiveness of this program and reveal its deficiencies. Patients and methods: Sixty-one patients diagnosed or treated for ddh later than six months of life were included in the study. Patients born between 2011 and 2014 (Group 1) and between 2015 and 2018, during which time the early screening program was performed intensively (Group 2), were compared. The patients risk factors, whether a hip ultrasound (US) was performed, and the reasons for the delay in diagnosis and treatment were questioned retrospectively. The number of DDH patients in Group 2 decreased by approximately 3 times (45/16) (p = 0.0009). Although 37 (61%) patients had a hip US assessment within the first 6 months, their treatment was delayed, and normal USs were reported for 20 (33%) of them. Hip US was not performed in 24 (39%) patients within the first 6 months. The number of late-diagnosed and -treated babies with DDH decreased significantly in recent years, but this is not sufficient. Preventing late diagnoses should be the main goal. This study detected families negligence and lack of information, family physicians non-compliance with the program, and improper US assessment as the confounding reasons. [Med-Science 2020; 9(4.000): 1023-6] |
| first_indexed | 2024-03-08T06:53:13Z |
| format | Article |
| id | doaj.art-a59d0e4e93c34015b44efab4c2fc8a69 |
| institution | Directory Open Access Journal |
| issn | 2147-0634 |
| language | English |
| last_indexed | 2024-03-08T06:53:13Z |
| publishDate | 2020-12-01 |
| publisher | Society of Turaz Bilim |
| record_format | Article |
| series | Medicine Science |
| spelling | doaj.art-a59d0e4e93c34015b44efab4c2fc8a692024-02-03T06:40:26ZengSociety of Turaz BilimMedicine Science2147-06342020-12-01941023610.5455/medscience.2020.10.21914023Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment programEmre Ergen0Ersen Turkmen1Mehmet Fethi Ceylan2Mehmet Aslan3Selma Felek4inonu universitesi tip fakultesi ortopedi klinigi inonu universitesi tip fakultesi ortopedi klinigi inonu universitesi tip fakultesi ortopedi klinigi Department of Child Health and Diseases, Turgut Ozal Medical Center, Inonu University Faculty of Medicine, Malatya, Turkey Malatya Provincial Health Directorate, Malatya, TurkeyA significant decrease in late diagnosis and requirement for surgical treatment have been observed due to the implementation of the National Developmental Hip Dysplasia (DDH) Early Diagnosis and Treatment Program, which has been in existence for about 10 years. However, patients with delayed diagnosis are still admitted to our clinic for treatment. In this study, we aimed to evaluate the effectiveness of this program and reveal its deficiencies. Patients and methods: Sixty-one patients diagnosed or treated for ddh later than six months of life were included in the study. Patients born between 2011 and 2014 (Group 1) and between 2015 and 2018, during which time the early screening program was performed intensively (Group 2), were compared. The patients risk factors, whether a hip ultrasound (US) was performed, and the reasons for the delay in diagnosis and treatment were questioned retrospectively. The number of DDH patients in Group 2 decreased by approximately 3 times (45/16) (p = 0.0009). Although 37 (61%) patients had a hip US assessment within the first 6 months, their treatment was delayed, and normal USs were reported for 20 (33%) of them. Hip US was not performed in 24 (39%) patients within the first 6 months. The number of late-diagnosed and -treated babies with DDH decreased significantly in recent years, but this is not sufficient. Preventing late diagnoses should be the main goal. This study detected families negligence and lack of information, family physicians non-compliance with the program, and improper US assessment as the confounding reasons. [Med-Science 2020; 9(4.000): 1023-6]http://www.ejmanager.com/fulltextpdf.php?mno=14023hip dysplasiaearly diagnosiship ultrasoundscreening program |
| spellingShingle | Emre Ergen Ersen Turkmen Mehmet Fethi Ceylan Mehmet Aslan Selma Felek Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program Medicine Science hip dysplasia early diagnosis hip ultrasound screening program |
| title | Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program |
| title_full | Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program |
| title_fullStr | Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program |
| title_full_unstemmed | Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program |
| title_short | Evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program |
| title_sort | evaluating the effectiveness of the national hip dysplasia early diagnosis and treatment program |
| topic | hip dysplasia early diagnosis hip ultrasound screening program |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=14023 |
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