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巴西人群发育性髋关节发育不良的筛查、诊断、治疗和结局:系统评价方案。

Screening, diagnosis, treatment and outcomes of developmental dysplasia of the hip in Brazilian population: a scoping review protocol.

机构信息

Universidade de Sao Paulo Faculdade de Medicina, Sao Paulo, Brazil.

Rutgers New Jersey Medical School, Newark, New Jersey, USA.

出版信息

BMJ Open. 2024 Oct 14;14(10):e085403. doi: 10.1136/bmjopen-2024-085403.

DOI:10.1136/bmjopen-2024-085403
PMID:39401959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11474705/
Abstract

INTRODUCTION

Developmental dysplasia of the hip (DDH) includes a spectrum of clinical and imaging findings at birth or early infancy. The circumstances in which this condition is detected and managed may be heterogeneous in Brazil owing to its large territory and regional socio-economic differences. Mapping DDH perspectives in a country is fundamental for designing guidelines and strategies for public policy. This scoping review aims to map the available literature related to screening, diagnosis, treatment and outcomes of DDH in the Brazilian population to provide an overview of this condition and to describe regional variations in presentation and management across the country.

METHODS AND ANALYSIS

This study will follow the methods outlined in the Joanna Briggs Institute Reviewers manual for conducting a scoping review. Relevant publications will be first searched in PubMed/MEDLINE, Scientific Electronic Library Online, Web of Science, Scopus, "Biblioteca virtual em saúde" and "Biblioteca Digital Brasileira de Teses e Dissertações" using search terms developed from a brief preliminary search of those databases. There were no language or date range limitations for study inclusion. Databases will be searched from their inception until February 2024. Titles and abstracts will be analysed by two or more independent reviewers to assess them against the inclusion criteria for the review. The search results and study inclusion process will be reported in full in the final version of the scoping review and presented in a Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review (PRISMA-ScR) flowchart. The resulting data will be recorded and organised to present the key information contained in all examined articles.

ETHICS AND DISSEMINATION

This review will include existing available studies and does not require a specific ethical review or approval. The final study will be submitted for presentation at conferences that focus on Brazilian healthcare and publication in peer-reviewed journals. This scoping review protocol was registered in the Open Science Framework. DOI registration (https://doi.org/10.17605/OSF.IO/V3AYH).

摘要

简介

发育性髋关节发育不良(DDH)包括出生或婴儿早期的一系列临床和影像学表现。由于巴西幅员辽阔,地区社会经济差异较大,这种情况的检测和管理方式可能存在差异。对一个国家的 DDH 观点进行绘制有助于为公共政策制定指南和策略。本范围综述旨在绘制巴西人群中 DDH 的筛查、诊断、治疗和结果相关文献,以概述该疾病,并描述全国各地的表现和管理方面的区域差异。

方法和分析

本研究将遵循 Joanna Briggs 研究所评论员手册中概述的方法进行范围综述。将首先使用从这些数据库的初步简短搜索中开发的搜索词,在 PubMed/MEDLINE、科学电子图书馆在线、Web of Science、Scopus、“Biblioteca virtual em saúde”和“Biblioteca Digital Brasileira de Teses e Dissertações”中搜索相关出版物。研究纳入没有语言或日期范围限制。数据库将从成立之初搜索到 2024 年 2 月。两名或更多独立评审员将分析标题和摘要,以评估其是否符合综述的纳入标准。搜索结果和研究纳入过程将在最终的范围综述中完整报告,并以系统评价和荟萃分析扩展的首选报告项目(PRISMA-ScR)流程图呈现。将记录和组织结果数据,以呈现所有检查文章中包含的关键信息。

伦理和传播

本综述将包括现有的可用研究,不需要进行特定的伦理审查或批准。最终研究将提交会议报告,重点关注巴西医疗保健,并发表在同行评议期刊上。本范围综述方案已在开放科学框架中注册。DOI 注册(https://doi.org/10.17605/OSF.IO/V3AYH)。

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本文引用的文献

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The impact of the introduction of selective screening in the UK on the epidemiology, presentation, and treatment outcomes of developmental dysplasia of the hip.英国引入选择性筛查对髋关节发育不良的流行病学、临床表现及治疗结果的影响。
Bone Jt Open. 2023 Aug 23;4(8):635-642. doi: 10.1302/2633-1462.48.BJO-2022-0158.R1.
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Sao Paulo Med J. 2022 Aug 29;141(2):154-167. doi: 10.1590/1516-3180.2021.0852.13062022. eCollection 2022.
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Developmental Dysplasia of the Hip: A Review.
发育性髋关节发育不良:综述。
J Long Term Eff Med Implants. 2022;32(3):39-56. doi: 10.1615/JLongTermEffMedImplants.2022040393.
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Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis.基于筛查策略的新生儿发育性髋关节发育不良的发生率和晚期检出率:系统评价和荟萃分析。
JAMA Netw Open. 2022 Aug 1;5(8):e2227638. doi: 10.1001/jamanetworkopen.2022.27638.
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The Incidence, Diagnosis, and Treatment practices of Developmental Dysplasia of Hip (DDH) in India: A Scoping Systematic Review.印度发育性髋关节发育不良(DDH)的发病率、诊断及治疗实践:一项范围界定性系统评价
Indian J Orthop. 2021 Sep 24;55(6):1428-1439. doi: 10.1007/s43465-021-00526-y. eCollection 2021 Dec.
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Evaluation and Referral for Developmental Dysplasia of the Hip in Infants.婴儿发育性髋关节发育不良的评估与转诊
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