Godward S, Dezateux C
Department of Epidemiology, Institute of Child Health, London.
Arch Dis Child. 1996 Sep;75(3):232-6. doi: 10.1136/adc.75.3.232.
Nationally representative estimates of treatment rates for congenital dislocation of the hip were required to inform a review of the current United Kingdom screening policy. Cases were ascertained through an active reporting scheme involving orthopaedic surgeons and the existing British Paediatric Association Surveillance Unit (BPASU) scheme.
To report the methods used to establish, maintain, and validate the orthopaedic and BPASU schemes.
Multiple sources were used to develop the orthopaedic reporting base. Surgeons treating children were identified by postal questionnaire. The orthopaedic and paediatric reporting bases were compared to the 1992 manpower census surveys of surgeons and paediatricians.
A single source of respondent ascertainment would have missed 12% of the 517 surgeons who treated children. Comparison with the manpower census data suggests the orthopaedic and paediatric reporting bases were 97% and 92% complete.
Multiple sources should be used to establish and maintain a reporting base. Targeting respondents avoids unnecessary contact, saves resources, and may improve compliance. Manpower census data can be used for regular validation of the reporting base.
需要全国代表性的先天性髋关节脱位治疗率估计值,以便对英国当前的筛查政策进行审查。通过一项涉及骨科医生的主动报告计划和现有的英国儿科学会监测单位(BPASU)计划来确定病例。
报告用于建立、维持和验证骨科及BPASU计划的方法。
使用多个来源来建立骨科报告基础。通过邮政问卷确定治疗儿童的外科医生。将骨科和儿科报告基础与1992年外科医生和儿科医生人力普查数据进行比较。
单一的受访者确定来源会遗漏517名治疗儿童的外科医生中的12%。与人力普查数据的比较表明,骨科和儿科报告基础的完整性分别为97%和92%。
应使用多个来源来建立和维持报告基础。针对受访者可以避免不必要的联系,节省资源,并可能提高依从性。人力普查数据可用于定期验证报告基础。