Evaluating the effectiveness of the national hip dysplasia early diagnosisand treatment program

dc.contributor.authorERGEN, Emre
dc.contributor.authorASLAN, Mehmet
dc.contributor.authorFELEK, Selma
dc.contributor.authorTÜRKMEN, Ersen
dc.contributor.authorCEYLAN, Mehmet Fethi
dc.date.accessioned2022-11-09T14:44:16Z
dc.date.available2022-11-09T14:44:16Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractA 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.en_US
dc.identifier.citationERGEN E, TÜRKMEN E, CEYLAN M, ASLAN M, FELEK S (2020). Evaluating the effectiveness of the national hip dysplasia early diagnosisand treatment program. Medicine Science, 9(4), 1023 - 1026. 10.5455/medscience.2020.10.219en_US
dc.identifier.doi10.5455/medscience.2020.10.219en_US
dc.identifier.endpage1026en_US
dc.identifier.issn2147-0634
dc.identifier.issue4en_US
dc.identifier.startpage1023en_US
dc.identifier.trdizinid416882en_US
dc.identifier.urihttps://doi.org/10.5455/medscience.2020.10.219
dc.identifier.urihttps://hdl.handle.net/11616/85249
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/416882
dc.identifier.volume9en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofMedicine Scienceen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleEvaluating the effectiveness of the national hip dysplasia early diagnosisand treatment programen_US
dc.typeArticleen_US

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