What is the incidence of late detection of developmental dysplasia of the hip in England?: a 26-year national study of children diagnosed after the age of one.



Broadhurst, C, Rhodes, AML, Harper, P, Perry, DC ORCID: 0000-0001-8420-8252, Clarke, NMP and Aarvold, A
(2019) What is the incidence of late detection of developmental dysplasia of the hip in England?: a 26-year national study of children diagnosed after the age of one. The bone & joint journal, 101-B (3). 281 - 287.

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Abstract

AIMS:The aim of this study was to establish the incidence of developmental dysplasia of the hip (DDH) diagnosed after one-year of age in England, stratified by age, gender, year, and region of diagnosis. PATIENTS AND METHODS:A descriptive observational study was performed by linking primary and secondary care information from two independent national databases of routinely collected data: the United Kingdom Clinical Practice Research Datalink and Hospital Episode Statistics. The study examined all children from 1 January 1990 to 1 January 2016 who had a new first diagnostic code for DDH aged between one and eight years old. RESULTS:The incidence of late-diagnosed DDH was 1.28 per 1000 live births. Within the study population, 754 children were identified with a diagnosis of DDH after one-year of age. Of all late diagnoses, 536 (71.1%) were detected between one to two years of age. There were 608 female patients (80.6%) and 146 male patients (19.4%), giving a female-to-male ratio of 4.2:1. Distribution was evenly spread throughout England. CONCLUSION:The incidence of late-diagnosed DDH has not been reduced from that reported 35 years ago, prior to the introduction of the national selective screening programme for DDH. Cite this article: Bone Joint J 2019;101-B:281-287.

Item Type: Article
Uncontrolled Keywords: Humans, Hip Dislocation, Congenital, Neonatal Screening, Incidence, Cost of Illness, Databases, Factual, Child, Child, Preschool, Infant, Infant, Newborn, England, Female, Male, Delayed Diagnosis
Depositing User: Symplectic Admin
Date Deposited: 20 Feb 2019 14:47
Last Modified: 03 Jun 2020 21:10
DOI: 10.1302/0301-620x.101b3.bjj-2018-1331.r1
URI: http://livrepository.liverpool.ac.uk/id/eprint/3033147