髋关节先天性疾病筛查的成功率如何？
How successful is screening for congenital disease of the hip?
作者信息
Parkin D M
出版信息
Am J Public Health. 1981 Dec;71(12):1378-83. doi: 10.2105/ajph.71.12.1378.
Abstract
The efficacy of neonatal screening for congenital disease of the hip is reviewed in relation to currently accepted criteria. There is poor validity of the tests used, imperfect understanding of the natural history of the condition, and absence of information on the outcome of treatment following screening compared to that following conventional diagnosis. The benefits of screening, although probably real, are therefore difficult to quantify. Strategies for increasing the efficiency of screening (maximizing the benefit:cost ratio) by mass screening after the neonatal period or by instituting routine retesting of all infants are discussed.
摘要
根据目前公认的标准，对新生儿先天性髋关节疾病筛查的有效性进行了综述。所使用的检测方法效度不佳，对该疾病自然史的理解不完整，与传统诊断后相比，缺乏关于筛查后治疗结果的信息。因此，筛查的益处虽然可能确实存在，但难以量化。讨论了通过新生儿期后的大规模筛查或对所有婴儿进行常规重新检测来提高筛查效率（最大化效益：成本比）的策略。
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本文引用的文献
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