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婴儿发育性髋关节发育不良的管理:供普通儿科医生和转诊医生使用。

Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians.

机构信息

From the American Academy of Orthopaedic Surgeons, Rosemont, IL.

出版信息

J Am Acad Orthop Surg. 2019 Apr 15;27(8):e356-e359. doi: 10.5435/JAAOS-D-18-00512.

Abstract

The American Academy of Orthopaedic Surgeons has developed the Appropriate Use Criteria (AUC) for the Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians AUC clinical patient scenarios were derived from indications typical of patients presenting with developmental dysplasia of the hip in clinical practice. The 24 patient scenarios and four treatments were developed by the Writing Panel, a group of clinicians who are specialists in this AUC topic. Next, a separate multidisciplinary, Voting Panel (made up of specialists and nonspecialists) rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).

摘要

美国骨科医师学会制定了《6 月龄以下发育性髋关节发育不良管理的适宜性标准》:供普通儿科医生和转诊医生使用。本标准的制定结合了循证医学信息和医生的临床专业知识,旨在改善患者的护理,并在做出临床决策时考虑到细微差别和区别,以获得最佳结果。《6 月龄以下发育性髋关节发育不良管理的适宜性标准》:供普通儿科医生和转诊医生使用的 AUC 临床患者情况源于临床实践中发育性髋关节发育不良患者的典型表现。24 个患者情况和 4 种治疗方法由写作小组(一组专门研究该 AUC 主题的临床医生)制定。接下来,一个独立的多学科投票小组(由专家和非专家组成)使用 9 分制对每个患者情况的治疗适宜性进行评分,以指定治疗为适宜(中位数评分 7-9)、可能适宜(中位数评分 4-6)或很少适宜(中位数评分 1-3)。

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