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Who performs neonatal hip assessment: is there a cause for concern?
ObjectiveThe UK falls behind other European countries in the early detection of developmental dysplasia of the hip (DDH) and screening strategies differ for early detection. Clinical detection of DDH is challenging and recognised to be dependent on examiner experience. No studies exist assessing the...
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Published in: | BMJ paediatrics open 2024-04, Vol.8 (1), p.e002490 |
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description | ObjectiveThe UK falls behind other European countries in the early detection of developmental dysplasia of the hip (DDH) and screening strategies differ for early detection. Clinical detection of DDH is challenging and recognised to be dependent on examiner experience. No studies exist assessing the number of personnel currently involved in such assessments.Our objective was to review the current screening procedure by studying a cohort of newborn babies in one teaching hospital and assess the number of health professionals involved in neonatal hip assessment and the number of examinations undertaken during one period by each individual.MethodsThis was a retrospective observational study assessing all babies born consecutively over a 14-week period in 2020. Record of each initial baby check was obtained from BadgerNet. Follow-up data on ultrasound or orthopaedic outpatient referrals were obtained from clinical records.Results1037 babies were examined by 65 individual examiners representing 9 different healthcare professional groups. The range of examinations conducted per examiner was 1–97 with a median of 5.5 examinations per person. 49% of individuals examined 5 or less babies across the 14 weeks, with 18% only performing 1 examination. Of the six babies (0.48%) treated for DDH, one was picked up on neonatal assessment.ConclusionIn a system where so many examiners are involved in neonatal hip assessment, the experience is limited for most examiners. Currently high rates of late presentation of DDH are observed locally, which are in accordance with published national experience. The potential association merits further investigation. |
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Clinical detection of DDH is challenging and recognised to be dependent on examiner experience. No studies exist assessing the number of personnel currently involved in such assessments.Our objective was to review the current screening procedure by studying a cohort of newborn babies in one teaching hospital and assess the number of health professionals involved in neonatal hip assessment and the number of examinations undertaken during one period by each individual.MethodsThis was a retrospective observational study assessing all babies born consecutively over a 14-week period in 2020. Record of each initial baby check was obtained from BadgerNet. Follow-up data on ultrasound or orthopaedic outpatient referrals were obtained from clinical records.Results1037 babies were examined by 65 individual examiners representing 9 different healthcare professional groups. The range of examinations conducted per examiner was 1–97 with a median of 5.5 examinations per person. 49% of individuals examined 5 or less babies across the 14 weeks, with 18% only performing 1 examination. Of the six babies (0.48%) treated for DDH, one was picked up on neonatal assessment.ConclusionIn a system where so many examiners are involved in neonatal hip assessment, the experience is limited for most examiners. Currently high rates of late presentation of DDH are observed locally, which are in accordance with published national experience. The potential association merits further investigation.</description><identifier>ISSN: 2399-9772</identifier><identifier>EISSN: 2399-9772</identifier><identifier>DOI: 10.1136/bmjpo-2023-002490</identifier><identifier>PMID: 38663937</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Archives & records ; Babies ; Developmental Dysplasia of the Hip - diagnosis ; Early Diagnosis ; Female ; Hip Dislocation, Congenital - diagnosis ; Hip Dislocation, Congenital - epidemiology ; Humans ; Infant ; Infant, Newborn ; Male ; Medical personnel ; Medical referrals ; Neonatal Screening - methods ; Newborn babies ; Orthopaedics ; Orthopedics ; Pediatrics ; Physical Examination - methods ; Professionals ; Rehabilitation ; Retrospective Studies ; Risk factors ; Surgery ; United Kingdom - epidemiology</subject><ispartof>BMJ paediatrics open, 2024-04, Vol.8 (1), p.e002490</ispartof><rights>Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2024 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b484t-315f100476d678c93cb11b857750ffb0d6ec2ff3fa97abca24bf82c52bcbcbc93</cites><orcidid>0000-0003-2444-6392</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://bmjpaedsopen.bmj.com/content/8/1/e002490.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://bmjpaedsopen.bmj.com/content/8/1/e002490.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793,55350,77660,77686</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38663937$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burt, Justine E A</creatorcontrib><creatorcontrib>AlKandari, Nourah</creatorcontrib><creatorcontrib>Campbell, Donald M</creatorcontrib><creatorcontrib>MacLean, James G B</creatorcontrib><title>Who performs neonatal hip assessment: is there a cause for concern?</title><title>BMJ paediatrics open</title><addtitle>bmjpo</addtitle><addtitle>BMJ Paediatrics Open</addtitle><addtitle>BMJ Paediatr Open</addtitle><description>ObjectiveThe UK falls behind other European countries in the early detection of developmental dysplasia of the hip (DDH) and screening strategies differ for early detection. Clinical detection of DDH is challenging and recognised to be dependent on examiner experience. No studies exist assessing the number of personnel currently involved in such assessments.Our objective was to review the current screening procedure by studying a cohort of newborn babies in one teaching hospital and assess the number of health professionals involved in neonatal hip assessment and the number of examinations undertaken during one period by each individual.MethodsThis was a retrospective observational study assessing all babies born consecutively over a 14-week period in 2020. Record of each initial baby check was obtained from BadgerNet. Follow-up data on ultrasound or orthopaedic outpatient referrals were obtained from clinical records.Results1037 babies were examined by 65 individual examiners representing 9 different healthcare professional groups. The range of examinations conducted per examiner was 1–97 with a median of 5.5 examinations per person. 49% of individuals examined 5 or less babies across the 14 weeks, with 18% only performing 1 examination. Of the six babies (0.48%) treated for DDH, one was picked up on neonatal assessment.ConclusionIn a system where so many examiners are involved in neonatal hip assessment, the experience is limited for most examiners. Currently high rates of late presentation of DDH are observed locally, which are in accordance with published national experience. The potential association merits further investigation.</description><subject>Archives & records</subject><subject>Babies</subject><subject>Developmental Dysplasia of the Hip - diagnosis</subject><subject>Early Diagnosis</subject><subject>Female</subject><subject>Hip Dislocation, Congenital - diagnosis</subject><subject>Hip Dislocation, Congenital - epidemiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical referrals</subject><subject>Neonatal Screening - methods</subject><subject>Newborn babies</subject><subject>Orthopaedics</subject><subject>Orthopedics</subject><subject>Pediatrics</subject><subject>Physical Examination - methods</subject><subject>Professionals</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>United Kingdom - epidemiology</subject><issn>2399-9772</issn><issn>2399-9772</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>DOA</sourceid><recordid>eNp1kU1rHSEUhqWkNCHND-imCN1kM6lfo2M3oVzaJBDopqVLOTqaO5eZcaozgfz7eDNpPgrFhaLPefT4IvSBkjNKufxsh90UK0YYrwhhQpM36IhxrSutFDt4sT5EJznvCCFUN1rU7B065I2UXHN1hDa_txFPPoWYhoxHH0eYocfbbsKQs8958OP8BXcZz1ufPAbsYMkeFx67ODqfxvP36G2APvuTx_kY_fr-7efmsrr-cXG1-XpdWdGIueK0DpQQoWQrVeM0d5ZS29RK1SQES1rpHQuBB9AKrAMmbGiYq5l1-6H5MbpavW2EnZlSN0C6MxE687AR042BNHeu94Z5xqxWDaVQCy-tDlS1OigACNY6Ulznq2ta7OBbV7pM0L-Svj4Zu625ibeGUiK44rIYTh8NKf5ZfJ7N0GXn-x7KLy7Z8NKpFlJQVdBP_6C7uKSx_NWekrXUdSMKRVfKpZhz8uHpNZSYfeTmIXKzj9yskZeajy_beKr4G3ABqhUotc-3_l94D3q5tsw</recordid><startdate>20240424</startdate><enddate>20240424</enddate><creator>Burt, Justine E A</creator><creator>AlKandari, Nourah</creator><creator>Campbell, Donald M</creator><creator>MacLean, James G B</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2444-6392</orcidid></search><sort><creationdate>20240424</creationdate><title>Who performs neonatal hip assessment: is there a cause for concern?</title><author>Burt, Justine E A ; AlKandari, Nourah ; Campbell, Donald M ; MacLean, James G B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b484t-315f100476d678c93cb11b857750ffb0d6ec2ff3fa97abca24bf82c52bcbcbc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Archives & records</topic><topic>Babies</topic><topic>Developmental Dysplasia of the Hip - diagnosis</topic><topic>Early Diagnosis</topic><topic>Female</topic><topic>Hip Dislocation, Congenital - diagnosis</topic><topic>Hip Dislocation, Congenital - epidemiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical referrals</topic><topic>Neonatal Screening - methods</topic><topic>Newborn babies</topic><topic>Orthopaedics</topic><topic>Orthopedics</topic><topic>Pediatrics</topic><topic>Physical Examination - methods</topic><topic>Professionals</topic><topic>Rehabilitation</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burt, Justine E A</creatorcontrib><creatorcontrib>AlKandari, Nourah</creatorcontrib><creatorcontrib>Campbell, Donald M</creatorcontrib><creatorcontrib>MacLean, James G B</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>PHMC-Proquest健康医学期刊库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMJ paediatrics open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burt, Justine E A</au><au>AlKandari, Nourah</au><au>Campbell, Donald M</au><au>MacLean, James G B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Who performs neonatal hip assessment: is there a cause for concern?</atitle><jtitle>BMJ paediatrics open</jtitle><stitle>bmjpo</stitle><stitle>BMJ Paediatrics Open</stitle><addtitle>BMJ Paediatr Open</addtitle><date>2024-04-24</date><risdate>2024</risdate><volume>8</volume><issue>1</issue><spage>e002490</spage><pages>e002490-</pages><issn>2399-9772</issn><eissn>2399-9772</eissn><abstract>ObjectiveThe UK falls behind other European countries in the early detection of developmental dysplasia of the hip (DDH) and screening strategies differ for early detection. Clinical detection of DDH is challenging and recognised to be dependent on examiner experience. No studies exist assessing the number of personnel currently involved in such assessments.Our objective was to review the current screening procedure by studying a cohort of newborn babies in one teaching hospital and assess the number of health professionals involved in neonatal hip assessment and the number of examinations undertaken during one period by each individual.MethodsThis was a retrospective observational study assessing all babies born consecutively over a 14-week period in 2020. Record of each initial baby check was obtained from BadgerNet. Follow-up data on ultrasound or orthopaedic outpatient referrals were obtained from clinical records.Results1037 babies were examined by 65 individual examiners representing 9 different healthcare professional groups. The range of examinations conducted per examiner was 1–97 with a median of 5.5 examinations per person. 49% of individuals examined 5 or less babies across the 14 weeks, with 18% only performing 1 examination. Of the six babies (0.48%) treated for DDH, one was picked up on neonatal assessment.ConclusionIn a system where so many examiners are involved in neonatal hip assessment, the experience is limited for most examiners. Currently high rates of late presentation of DDH are observed locally, which are in accordance with published national experience. The potential association merits further investigation.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>38663937</pmid><doi>10.1136/bmjpo-2023-002490</doi><orcidid>https://orcid.org/0000-0003-2444-6392</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Archives & records Babies Developmental Dysplasia of the Hip - diagnosis Early Diagnosis Female Hip Dislocation, Congenital - diagnosis Hip Dislocation, Congenital - epidemiology Humans Infant Infant, Newborn Male Medical personnel Medical referrals Neonatal Screening - methods Newborn babies Orthopaedics Orthopedics Pediatrics Physical Examination - methods Professionals Rehabilitation Retrospective Studies Risk factors Surgery United Kingdom - epidemiology |
title | Who performs neonatal hip assessment: is there a cause for concern? |
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