PDF(Pubmed)
Abstract：
BACKGROUND: The positive predictive value of clinical hip examinations performed by generalist health professionals in screening for developmental dysplasia of the hip (DDH) is low and declining.
OBJECTIVE: To assess the self-reported recognition of nationally recommended clinical hip examinations in the screening programme for DDH in Denmark among midwives, GPs, and GPs in training.
METHODS: A cross-sectional, web-based open survey study among Danish midwives, GPs, and GPs in training.
METHODS: Responders were asked to identify which of six written statements of clinical hip examinations were featured in the national Danish guidelines on DDH screening. Three statements were the official statements of the Ortolani, Galeazzi, and hip abduction examinations from the national guidelines, and three statements were false and constructed by the author group. Participants were asked to select up to six statements.
RESULTS: A total of 178 (58 GPs, 97 midwives, and 23 GPs in training) responses were included. Overall, 89% of responders correctly identified the Ortolani manoeuvre and 92% correctly identified one of the constructed descriptions as being false. The remaining four descriptions had significantly lower correct answer percentages ranging from 41%-58%, with significantly lower correct answer percentages of midwives for three out of all six descriptions when compared with GPs.
CONCLUSIONS: The recognition of two out of three recommended clinical hip examinations in the Danish screening programme for DDH is low overall among current screeners. Efforts should be made to heighten the knowledge level by further education of screeners.
OBJECTIVE: To assess the self-reported recognition of nationally recommended clinical hip examinations in the screening programme for DDH in Denmark among midwives, GPs, and GPs in training.
METHODS: A cross-sectional, web-based open survey study among Danish midwives, GPs, and GPs in training.
METHODS: Responders were asked to identify which of six written statements of clinical hip examinations were featured in the national Danish guidelines on DDH screening. Three statements were the official statements of the Ortolani, Galeazzi, and hip abduction examinations from the national guidelines, and three statements were false and constructed by the author group. Participants were asked to select up to six statements.
RESULTS: A total of 178 (58 GPs, 97 midwives, and 23 GPs in training) responses were included. Overall, 89% of responders correctly identified the Ortolani manoeuvre and 92% correctly identified one of the constructed descriptions as being false. The remaining four descriptions had significantly lower correct answer percentages ranging from 41%-58%, with significantly lower correct answer percentages of midwives for three out of all six descriptions when compared with GPs.
CONCLUSIONS: The recognition of two out of three recommended clinical hip examinations in the Danish screening programme for DDH is low overall among current screeners. Efforts should be made to heighten the knowledge level by further education of screeners.
摘要：
背景：由普通健康专业人员进行的临床髋关节检查在筛查发育性髋关节发育不良（DDH）方面的阳性预测价值很低，而且在下降。
目的：评估丹麦助产士对DDH筛查计划中国家推荐的临床髋关节检查的自我报告认可，GP,和训练中的全科医生。
方法：横截面，基于网络的丹麦助产士公开调查研究，GP,和训练中的全科医生。
方法：应答者被要求确定6份临床髋关节检查书面声明中的哪一份在丹麦国家DDH筛查指南中有所体现。三个声明是Ortolani的正式声明，Galeazzi,和国家指南中的髋关节外展检查，三个陈述是错误的，由作者小组构造。要求参与者选择最多六个陈述。
结果：总共178个（58个GPs，97名助产士，和23个训练中的全科医生)反应包括在内。总的来说,89％的响应者正确地识别了Ortolani的动作，而92％的响应者正确地识别了其中一个构造的描述是错误的。其余四种描述的正确答案百分比明显较低，范围为41％-58％，与全科医生相比，所有六种描述中有三种的助产士的正确答案百分比明显较低。
结论：在目前的筛查人员中，丹麦DDH筛查计划中推荐的三项临床髋关节检查中有两项的认可度较低。应努力通过对筛查人员的进一步教育来提高知识水平。
目的：评估丹麦助产士对DDH筛查计划中国家推荐的临床髋关节检查的自我报告认可，GP,和训练中的全科医生。
方法：横截面，基于网络的丹麦助产士公开调查研究，GP,和训练中的全科医生。
方法：应答者被要求确定6份临床髋关节检查书面声明中的哪一份在丹麦国家DDH筛查指南中有所体现。三个声明是Ortolani的正式声明，Galeazzi,和国家指南中的髋关节外展检查，三个陈述是错误的，由作者小组构造。要求参与者选择最多六个陈述。
结果：总共178个（58个GPs，97名助产士，和23个训练中的全科医生)反应包括在内。总的来说,89％的响应者正确地识别了Ortolani的动作，而92％的响应者正确地识别了其中一个构造的描述是错误的。其余四种描述的正确答案百分比明显较低，范围为41％-58％，与全科医生相比，所有六种描述中有三种的助产士的正确答案百分比明显较低。
结论：在目前的筛查人员中，丹麦DDH筛查计划中推荐的三项临床髋关节检查中有两项的认可度较低。应努力通过对筛查人员的进一步教育来提高知识水平。
