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儿科医生培训对发育性髋关节发育不良诊断的影响

IMPACT OF PEDIATRICIAN TRAINING ON DIAGNOSIS OF DEVELOPMENTAL HIP DYSPLASIA.

作者信息

Orlando Nilton, Santili Claudio

机构信息

Universidade do Estado do Amazonas (UEA), Faculdade de Medicina, Escola de Saúde, Amazonas, AM, Brazil.

Santa Casa de Misericórdia de Sao Paulo, Faculdade de Ciências Médicas, Departamento de Ortopedia e Traumatologia, Sao Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2025 Jun 2;33(2):e285336. doi: 10.1590/1413-785220253302e285336. eCollection 2025.

Abstract

OBJECTIVE

This research aims to promote the development of diagnosis and training of pediatricians using the simulated model "baby hips" and to evaluate the impact on the knowledge and skills of participants about the diagnosis.

METHOD

An ecological study was employed using the tool the International Institute of Hip Dysplasia provided.

RESULTS

The World Health Organization considers developmental hip dysplasia (HD) a public health problem, and Brazil has no national policy for neonatal screening for HD. Delayed diagnosis impacts public resources with hospitalizations and surgeries, while early diagnosis promotes the opportunity for conservative treatment with good results and low cost. The pediatricians are essential for neonatal screening with Barlow and Ortolani tests, which have high specificity and sensitivity during this period of the child's life.

CONCLUSIONS

A positive impact on diagnostic competence was obtained, indicating the need to promote training programs for pediatricians and stimulate public health authorities to include HD in the neonatal screening practiced in Brazil.

摘要

目的

本研究旨在利用“婴儿髋关节”模拟模型促进儿科医生诊断和培训的发展,并评估对参与者诊断知识和技能的影响。

方法

采用国际髋关节发育不良研究所提供的工具进行生态学研究。

结果

世界卫生组织将发育性髋关节发育不良(HD)视为一个公共卫生问题,巴西没有针对HD的新生儿筛查国家政策。延迟诊断会因住院和手术而影响公共资源,而早期诊断则为保守治疗提供了机会,效果良好且成本低廉。儿科医生对于使用巴洛试验和奥托拉尼试验进行新生儿筛查至关重要,这两项试验在儿童生命的这一时期具有很高的特异性和敏感性。

结论

对诊断能力产生了积极影响,表明有必要为儿科医生推广培训项目,并促使公共卫生当局将HD纳入巴西实施的新生儿筛查中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f1/12136617/a6aa4b356b98/1809-4406-aob-33-02-e285336-gf01.jpg

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