{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T23:04:48Z","timestamp":1754262288349,"version":"3.40.5"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:00:00Z","timestamp":1606953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study examined the consensus between the primary care radiological diagnosis and specialist clinical diagnosis of abnormal skull shapes in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective review of children treated at the National Paediatric Craniofacial Centre at Children's Health Ireland, Dublin, Ireland. Group 1 were referred by primary care colleagues concerned about suspected abnormal skull shapes from 1 January 2015 to 30 May 2017. These included cases where they sought specialist confirmation that the skull shape was normal. Group 2 underwent surgery for craniosynostosis from 1 January 2011 to 25 October 2017. The primary care skull X\u2010ray reports were examined for both groups to see whether they matched the specialist diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Group 1 comprised 300 children, and 59 (20%) had pre\u2010referral skull X\u2010rays. The primary care X\u2010ray reports and specialist diagnoses agreed in 44 (75%) cases, including 19 (43%) who had a normal skull shape. Group 2 comprised 274 children, and 63 (23%) had pre\u2010referral skull X\u2010rays. In this group, there was agreement in 41 (65%) diagnoses; however, the primary care X\u2010ray reports did not diagnose craniosynostosis for the remaining 22 (35%) children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>X\u2010rays were of little value in diagnosing abnormal skull shapes, especially craniosynostosis, and primary care clinicians should refer concerns to specialist teams.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15686","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T04:43:18Z","timestamp":1606192998000},"page":"1330-1334","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["X\u2010rays had little value in diagnosing children\u2019s abnormal skull shapes, and primary care clinicians should refer concerns to specialist teams"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0269-6991","authenticated-orcid":false,"given":"Hugh","family":"O\u2019Sullivan","sequence":"first","affiliation":[{"name":"Department of Paediatrics Children\u2019s Health Ireland at Temple Street Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shirley","family":"Bracken","sequence":"additional","affiliation":[{"name":"National Paediatric Craniofacial Centre Children\u2019s Health Ireland at Temple Street Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodie","family":"Doyle","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Children\u2019s Health Ireland at Temple Street Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eilish","family":"Twomey","sequence":"additional","affiliation":[{"name":"Radiology Department Children\u2019s Health Ireland at Temple Street Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dylan J.","family":"Murray","sequence":"additional","affiliation":[{"name":"National Paediatric Craniofacial Centre Children\u2019s Health Ireland at Temple Street Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Kyne","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Children\u2019s Health Ireland at Temple Street Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_8_2_1","DOI":"10.1007\/s00247-015-3320-1"},{"issue":"1","key":"e_1_2_8_3_1","first-page":"325","article-title":"A review of the craniofacial referrals to the national paediatric craniofacial centre and introduction of a new referral pathway","volume":"109","author":"Curran TA","year":"2016","journal-title":"Ir Med J"},{"doi-asserted-by":"publisher","key":"e_1_2_8_4_1","DOI":"10.1016\/j.jcm.2015.05.003"},{"doi-asserted-by":"publisher","key":"e_1_2_8_5_1","DOI":"10.1097\/SCS.0000000000002016"},{"doi-asserted-by":"publisher","key":"e_1_2_8_6_1","DOI":"10.1016\/j.pcl.2003.12.001"},{"doi-asserted-by":"publisher","key":"e_1_2_8_7_1","DOI":"10.1542\/peds.2015-2230"},{"unstructured":"National Paediatric Craniofacial Centre;2018.http:\/\/www.craniofacial.ie\/education\/talking\u2010heads\u2010education\u2010morning\u201016th\u2010june\u20102018\/Accessed July 01 2019","key":"e_1_2_8_8_1"},{"doi-asserted-by":"crossref","unstructured":"Craniofacial Ireland;2020.http:\/\/www.craniofacial.ie\/healthcare\u2010professionals\/referral\/Accessed November 10 2020.","key":"e_1_2_8_9_1","DOI":"10.1016\/j.jobcr.2020.03.003"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.15686","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/apa.15686","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.15686","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T15:31:24Z","timestamp":1693409484000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.15686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,3]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1111\/apa.15686"],"URL":"https:\/\/doi.org\/10.1111\/apa.15686","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"type":"print","value":"0803-5253"},{"type":"electronic","value":"1651-2227"}],"subject":[],"published":{"date-parts":[[2020,12,3]]},"assertion":[{"value":"2020-04-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}