儿科医生培训对发育性髋关节发育不良诊断的影响。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253302e285336
Nilton Orlando, Claudio Santili
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引用次数: 0

摘要

目的:本研究旨在利用“婴儿臀部”模拟模型促进儿科医生诊断和培训的发展,并评估其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:世界卫生组织认为发育性髋关节发育不良(HD)是一个公共卫生问题,巴西没有新生儿HD筛查的国家政策。延迟诊断影响住院和手术的公共资源,而早期诊断增加了保守治疗的机会,效果好,成本低。儿科医生对使用Barlow和Ortolani测试进行新生儿筛查至关重要,这两种测试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的影响,表明有必要促进儿科医生的培训计划,并刺激公共卫生当局将HD纳入巴西的新生儿筛查。证据等级II;分析观察交叉研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IMPACT OF PEDIATRICIAN TRAINING ON DIAGNOSIS OF DEVELOPMENTAL HIP DYSPLASIA.

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. Level of evidence II; Analytic observational cross over study.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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