Suqaty Rayyan, Alomran Ammar K, Alkhalifah Mohammed K, Aldughaythir Saad S, Albeshry Abdulrahman M, Aldilaijan Yousif, Alzahrani Mohammed T, Alhussainan Thamer
Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Department of Orthopedics, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
J Multidiscip Healthc. 2023 Aug 30;16:2567-2576. doi: 10.2147/JMDH.S416459. eCollection 2023.
Developmental dysplasia of the hip (DDH) is one of the most common hip pathologies in pediatric age group and late diagnosis remains a major concern in Saudi Arabia.
The aim of this study is to examine the ability of Saudi Arabian pediatricians and family physicians to conduct clinical screening for (DDH) by estimating their clinical knowledge and skills and analyzing the gaps therein to determine whether there is potential to launch a national screening protocol for DDH in Saudi Arabia.
This is a multicenter cross-sectional study from three major regions in Saudi Arabia (Central, Eastern and Western provinces). The assessed aspects are risk factors, age of screening, incidence in Saudi Arabia, physical signs and diagnostic markers, and treatment, along with their 'clinical knowledge and skills' score.
Half of the participants were pediatricians, while the rest were family physicians. More than a third of the participants were considered to have adequate knowledge, ie, above the mean score. Dimensions with the most significant knowledge gaps included the incidence of DDH in Saudi Arabia, adverse effects of swaddling, and the management of a high-risk infants presenting with a negative physical examination. Additionally, there were relatively low rates of awareness regarding positive risk factors as well as a generally poor ability to identify physical signs. Clinical knowledge and skill levels were significantly lower among family physicians.
Pediatricians and family physicians in Saudi Arabia still need further training to improve their clinical skills for DDH screening. The proper administration of training programs could eventually enable the gradual implementation of a national systematic screening program.
发育性髋关节发育不良（DDH）是儿童年龄组中最常见的髋关节疾病之一，而在沙特阿拉伯，诊断延迟仍然是一个主要问题。
本研究的目的是通过评估沙特阿拉伯儿科医生和家庭医生的临床知识和技能，并分析其中的差距，以确定是否有可能在沙特阿拉伯启动全国性的DDH筛查方案，从而检验他们对DDH进行临床筛查的能力。
这是一项来自沙特阿拉伯三个主要地区（中部、东部和西部省份）的多中心横断面研究。评估的方面包括危险因素、筛查年龄、沙特阿拉伯的发病率、体征和诊断标志物以及治疗，以及他们的“临床知识和技能”得分。
一半的参与者是儿科医生，其余是家庭医生。超过三分之一的参与者被认为具有足够的知识，即高于平均分。知识差距最显著的方面包括沙特阿拉伯DDH的发病率、襁褓的不良影响以及体格检查阴性的高危婴儿的管理。此外，对阳性危险因素的知晓率相对较低，识别体征的能力普遍较差。家庭医生的临床知识和技能水平显著较低。
沙特阿拉伯的儿科医生和家庭医生仍需要进一步培训，以提高他们对DDH筛查的临床技能。适当管理培训项目最终可能促使全国性系统筛查项目逐步实施。
