{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T03:29:42Z","timestamp":1752982182451},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe hip dysplasia screening practices in a local rural health district.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional study of hospital birth records, local physiotherapy records, public community health electronic medical record (Community Health Information Management Enterprise database) and a survey of local clinicians who work with infants and children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Three rural public hospitals and community health centres in a New South Wales health district.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Birth records (<jats:italic>n<\/jats:italic>\u00a0=\u00a0196) from March 2012 to May 2012; attendance at child and family nurse checks (<jats:italic>n<\/jats:italic>\u00a0=\u00a0788) May 2013\u2013April 2014; 13 cases of managed developmental dysplasia of the hip (<jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content>) 2012 and local clinicians (<jats:italic>n<\/jats:italic>\u00a0=\u00a049).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At birth, the majority of infants (91%, 179\/196) had documented hip screening. Community health records show this dropped to 75% (587\/788) at 1\u20134\u00a0weeks and 29% (227\/788) at 6\u20138\u00a0weeks. A survey of local clinicians (54% response rate; 49\/91) revealed most (78%) screen for <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> and less than half (43%) use guidelines. Almost all (97%) clinicians reported screening for <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> at 6\u20138\u00a0weeks of age. Only 51% of clinicians reported having specific training for <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> screening and 76% would like further training. The rate of late <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> requiring management in 2012 was 0.87% (7\/806) and the rate of late <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> requiring surgery was 0.25% (2\/806).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> screening practices are well established at birth in the rural health district. There is variability in <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> screening practices beyond 8\u00a0weeks of age. Clinicians report variations in their knowledge and training. Training in <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> screening and hip screening prompts added to the personal health record might improve rates of <jats:styled-content style=\"fixed-case\">DDH<\/jats:styled-content> screening beyond 8\u00a0weeks of age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12400","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T12:27:24Z","timestamp":1511440044000},"page":"199-205","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Screening for developmental dysplasia of the hip in a rural health district: An analysis of practice"],"prefix":"10.1111","volume":"26","author":[{"given":"Suzanne","family":"Wright","sequence":"first","affiliation":[{"name":"Physiotherapy Department Armidale and New England Hospital Armidale New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Cotterell","sequence":"additional","affiliation":[{"name":"Tablelands Clinical School \u2010 Rural Medicine University of New England Armidale New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Rural Research Capacity Building Program NSW Health Education and Training Institute Gladesville New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.4.896"},{"key":"e_1_2_8_3_1","unstructured":"Hunter New England Health.Screening Assessment and Management of Developmental Dysplasia of the Hip (DDH).NSW Health 2010. Contract No.: HNEH CG 10_10."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/fn.76.2.F94"},{"key":"e_1_2_8_5_1","first-page":"151","article-title":"Developmental dysplasia of the hip in South Australia in 1991: prevalence and risk factors","volume":"33","author":"Yiv B","year":"1997","journal-title":"Journal of Paediatrics"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e3283415927"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2004.070870"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1257-z"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1597"},{"key":"e_1_2_8_10_1","first-page":"1669","article-title":"Preventive health care, 2001 update: screening and management of developmental dysplasia of the hip in newborns","volume":"164","author":"Patel H","year":"2001","journal-title":"Canadian Medical Association Journal"},{"key":"e_1_2_8_11_1","first-page":"492","article-title":"Screening strategies for hip dysplasia: long\u2010term outcome of a randomized controlled trial","volume":"132","author":"Laborie L","year":"2013","journal-title":"American Academy of Pediatrics"},{"key":"e_1_2_8_12_1","first-page":"1","article-title":"Screening programs for developmental dysplasia of the hip in newborn infants (Review)","volume":"9","author":"Shorter D","year":"2011","journal-title":"The Cochrane Collaboration"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2012.02601.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318142551e"},{"key":"e_1_2_8_15_1","unstructured":"HoE SmithC.Neonatal hip instability screening program: How we improved.NSW Child Health Networks Conference; 2\u20134 September 2008 Sydney."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2002.00020.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7344.1031"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-014-0599-7"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06110.x"},{"key":"e_1_2_8_20_1","first-page":"e1","article-title":"Increase in late diagnosed developmental dysplasia of the hip in South Australia: risk factors proposed solutions","volume":"204","author":"Struder K","year":"2016","journal-title":"Medical Journal of Australia"},{"key":"e_1_2_8_21_1","unstructured":"Hunter New England Health.RH_DOHRS004 Inpatient Summary for Armidale Glen Innes and Inverell 1\u20101\u20102012 to 31\u201012\u20102012.NSW Health:Australia 2012."},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)12469-8"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajr.12400","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.12400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T21:37:51Z","timestamp":1695505071000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.12400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,23]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/ajr.12400"],"URL":"https:\/\/doi.org\/10.1111\/ajr.12400","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,23]]},"assertion":[{"value":"2017-09-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-11-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}