- Podcast
- 01/03/2019
- UK
What is the Incidence of Late Detection of Developmental Dysplasia of the Hip in England?
Description
In this episode of the BJJ Podcast, host Andrew Duckworth welcomes listeners to the fourth installment of the series, where he expresses gratitude to the audience for their feedback and the contributors who have participated. The podcast aims to delve into the intricacies of recent studies published in The Bone & Joint Journal, focusing specifically this month on developmental dysplasia of the hip (DDH) based on a significant 26-year national study in England.
Guests Alex Aarvold, an associate professor and consultant paediatric orthopaedic surgeon, and Dan Perry, subspecialty editor for children's orthopaedics, join Duckworth to discuss their article outlining the incidence of late detection of DDH in children diagnosed after the age of one. The conversation touches upon the history of screening protocols in the UK, emphasizing the importance of timely diagnosis to improve patient outcomes, as untreated DDH can lead to severe complications, including increased risk of hip replacement surgeries in young adults.
The episode explores the robust methodologies and data sources employed in their study, including the Clinical Practice Research Data Link and Hospital Episode Statistics, while addressing the limitations inherent in big data, such as reliance on accurate coding and the exclusion of risk factors. Additionally, the authors present their findings, which indicate a cumulative incidence of late-detected DDH, emphasizing variations by age, gender, and region.
As the discussion progresses, Aarvold and Perry discuss the implications of their findings on current screening practices, the potential need for universal ultrasound screening versus selective procedures, and the cost implications associated with treatment to guide future policy decisions. This insightful podcast concludes by inviting listeners to engage with the discussion on social media, encouraging feedback and continued conversation around the vital issues in paediatric orthopaedics.