Self-reported knowledge of national guidelines for clinical screening for hip dysplasia: a web-based survey of midwives and GPs in Denmark.
congenital
hip dislocation
mass screening
surveys and questionnaires
Journal
BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
26
04
2021
accepted:
19
05
2021
pubmed:
13
6
2021
medline:
13
6
2021
entrez:
12
6
2021
Statut:
epublish
Résumé
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. 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. A cross-sectional, web-based open survey study among Danish midwives, GPs, and GPs in training. 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. 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. 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.
Sections du résumé
BACKGROUND
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.
AIM
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.
DESIGN & SETTING
METHODS
A cross-sectional, web-based open survey study among Danish midwives, GPs, and GPs in training.
METHOD
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
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.
CONCLUSION
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.
Identifiants
pubmed: 34117013
pii: BJGPO.2021.0068
doi: 10.3399/BJGPO.2021.0068
pmc: PMC8450876
pii:
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2021, The Authors.
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