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. 2024 Aug 31:10:23779608241272462.
doi: 10.1177/23779608241272462. eCollection 2024 Jan-Dec.

Universal Ultrasound Screening for Developmental Dysplasia of the Hip Among Infants in Community Settings in Japan: A Scoping Review

Asa Inagaki-Asano  1 , Chikako Honda  1 , Hiroshige Matsumoto  1 , Kyoko Yoshioka-Maeda  1
Affiliations

Universal Ultrasound Screening for Developmental Dysplasia of the Hip Among Infants in Community Settings in Japan: A Scoping Review

Asa Inagaki-Asano et al. SAGE Open Nurs. .

Abstract

Introduction: Early identification of developmental dysplasia of the hip (DDH) is necessary to minimize its negative effects. Ultrasound screening is useful for detecting DDH in hospitals. Awareness about community-based screening systems is low in Japan. Despite established nationwide home visiting services and child health checkups in the country, more than 10% of DDH patients are diagnosed at the age of ≥1 year. This review aimed to clarify the status of universal ultrasound screening for DDH among infants in community settings in Japan.

Methods: The electronic databases of Igaku Chuo Zasshi, MEDLINE, CHINAL, ERIC, and APA PsycInfo were searched for articles published between 2002 and 2022. Articles were evaluated with the reach, effectiveness, adoption, implementation, and maintenance framework.

Results: In total, 148 articles were identified. Two articles were manually added, and 67 articles were excluded through abstract reviews, of which 20 were duplicates. Finally, 18 articles were included in the analysis. There are two types of universal ultrasound screening in community settings: municipality-led and hospital-led. Since 1992, municipality-led screening has been conducted during public infant health checkups in five municipalities. Six hospitals implemented ultrasound screening. The participation rate was around 90%. The Graf method is typically used for this purpose. The prevalence of abnormal hips was 3.6%-16.6%. Owing to limited human resources and skills in ultrasound, all studies mentioned the necessity of a universal screening system for the early detection of DDH.

Conclusion: Embedding universal ultrasound screening in community health checkup systems enables collaboration between healthcare professionals and caregivers to improve health inequities and ensure early detection of DDH cases.

Keywords: community health services; developmental dysplasia of the hip; local government; neonatal screening; ultrasonics.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA flow diagram.
Figure 2.
Figure 2.
Administration styles of ultrasound screening for DDH.
See this image and copyright information in PMC

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References

    1. Agostiniani R., Atti G., Bonforte S., Casini C., Cirillo M., De Pellegrin M., Di Bello D., Esposito F., Galla A., Marrè Brunenghi G., Romeo N., Tomà P., Vezzali N. (2020). Recommendations for early diagnosis of developmental dysplasia of the hip (DDH): Working group intersociety consensus document. Italian Journal of Pediatrics, 46(1), 150. 10.1186/s13052-020-00908-2 - DOI - PMC - PubMed
    1. Aoki M., Suetsuna F. (2013). An evaluation of ultrasonographic examination for the developmental dysplasia of the hip in newborn babies. Orthopaedic Surgery, 64, 37–42. (in Japanese).
    1. Aoki M., Suetsuna F., Mochizuki M., Itabashi T., Chiba N. (2011). An evaluation of ultrasonographic examination for the developmental dysplasia of the hip in newborn babies. Medical Journal of Hachinohe City Hospital, 29, 5–10. (in Japanese).
    1. Asagai Y., Watanabe Y., Imaikiire A. (2005). Clinical evaluation of the use of ultrasonographic screening in infants for congenital dislocation of the hip in Shimosuwa town. Journal of Japanese Paediatric Orthopaedic Association, 14(1), 40–43. (in Japanese).
    1. Barlow T. G. (1962). Early diagnosis and treatment of congenital dislocation of the hip. The Journal of Bone & Joint Surgery British Volume, 44-B(2), 292–301.

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