{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T20:44:06Z","timestamp":1783197846017,"version":"3.54.6"},"reference-count":44,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T00:00:00Z","timestamp":1668643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T00:00:00Z","timestamp":1668643200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ital J Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The aim of this research is to identify and study the role of social, demographic and territorial factors in the late detection of children with hip dysplasia.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted a retrospective cohort study of epidemiological data of patients treated in a hospital in the department of orthopedics of the unitary enterprise based on the right of \"Multidisciplinary children's municipal hospital No.2\" Nur-Sultan (Kazakhstan) in the period from September 2019 to February 2021. The analysis of archival case histories of 309 patients was carried out. There were 214 early and 95 late detections of this disease. Late detection of hip dysplasia was significantly more likely at birth in cranial presentation (81%, <jats:italic>p<\/jats:italic> &lt;0.004).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Two-dimensional analysis also showed that late detection was more likely in patients from rural areas (228 children, 73.8%, <jats:italic>p<\/jats:italic> &lt; 0.001), and that (26 children, 11.4%, <jats:italic>p<\/jats:italic> = 0.005) these were children from regions with lower income (42500 tenge per month, <jats:italic>p<\/jats:italic>&lt;0.001). There were also significant differences (<jats:italic>p<\/jats:italic> = 0.015) in the early (214 children, 69.26%) and late (95 children, 30.7%) diagnosis of hip dysplasia among children whose parents used a national cradle with tight swaddling (95% CI: 1.16 \u2013 4.49).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>In our study, we found that children from rural regions of the Republic of Kazakhstan, indigenous Kazakh nationality, using the national cradle in their everyday life, as well as from regions with low average incomes, were significantly more likely to be exposed to late detection of hip dysplasia.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13052-022-01375-7","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T12:03:54Z","timestamp":1668686634000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The role of social, demographic and territorial factors in the late detection of hip dysplasia in children in the Republic of Kazakhstan"],"prefix":"10.1186","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5617-3838","authenticated-orcid":false,"given":"Zhanna","family":"Tastanbekova","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roza","family":"Karabekova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vassiliy","family":"Lozovoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandr","family":"Angelov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhomart","family":"Suleimenov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rimma","family":"Khuzhakhmedova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,17]]},"reference":[{"key":"1375_CR1","doi-asserted-by":"publisher","first-page":"232","DOI":"10.5435\/00124635-200007000-00004","volume":"8","author":"JT Guille","year":"2000","unstructured":"Guille JT, Pizzutillo PD, MacEwen GD. Developmental dysplasia of the hip from birth to six months. J Am Acad Orthop Surg. 2000;8:232\u201342.","journal-title":"J Am Acad Orthop Surg."},{"key":"1375_CR2","first-page":"523","volume":"53","author":"SL Weinstein","year":"2004","unstructured":"Weinstein SL, Mubarak SJ, Wenger DR. Developmental hip dysplasia and dislocation: part I. Instr Course Lect. 2004;53:523\u201330.","journal-title":"Instr Course Lect."},{"key":"1375_CR3","doi-asserted-by":"publisher","first-page":"112","DOI":"10.2106\/00004623-197961010-00020","volume":"61","author":"JR Lindstrom","year":"1979","unstructured":"Lindstrom JR, Ponseti IV, Wenger DR. Acetabular development after reduction in congenital dislocation of the hip. J Bone Jt Surg. 1979;61:112\u20138.","journal-title":"J Bone Jt Surg."},{"key":"1375_CR4","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.ejrad.2011.11.003","volume":"81","author":"CL Ortiz-Neira","year":"2012","unstructured":"Ortiz-Neira CL, Paolucci EO, Donnon T. A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 2012;81:344\u201351.","journal-title":"Eur J Radiol."},{"key":"1375_CR5","first-page":"697","volume":"78","author":"N Panagiotopoulou","year":"2012","unstructured":"Panagiotopoulou N, Bitar K, Hart WJ. The association between mode of delivery and developmental dysplasia of the hip in breech infants: a systematic review of 9 cohort studies. Acta Orthop Belg. 2012;78:697\u2013702.","journal-title":"Acta Orthop Belg."},{"key":"1375_CR6","doi-asserted-by":"publisher","first-page":"658","DOI":"10.1111\/jpc.12250","volume":"49","author":"T Quan","year":"2013","unstructured":"Quan T, Kent AL, Carlisle H. Breech preterm infants are at risk of developmental dysplasia of the hip. J Paediatr Child Health. 2013;49:658\u201363.","journal-title":"J Paediatr Child Health."},{"key":"1375_CR7","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1302\/0301-620X.44B2.292","volume":"44","author":"TG Barlow","year":"1962","unstructured":"Barlow TG. Early diagnosis and treatment of congenital dislocation of the hip. J Bone Jt Surg Br. 1962;44:292\u2013301.","journal-title":"J Bone Jt Surg Br."},{"key":"1375_CR8","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/s004020100307","volume":"122","author":"I Dudkiewicz","year":"2002","unstructured":"Dudkiewicz I, Salai M, Ganel A, Blankstein A, Chechik A. Total hip arthroplasty in patients younger than 30 years of age following developmental dysplasia of hip (DDH) in infancy. Arch Orthop Trauma Surg. 2002;122:139\u201342.","journal-title":"Arch Orthop Trauma Surg."},{"key":"1375_CR9","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1097\/00003086-198612000-00004","volume":"213","author":"WH Harris","year":"1986","unstructured":"Harris WH. Etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 1986;213:20\u201333.","journal-title":"Clin Orthop Relat Res."},{"key":"1375_CR10","doi-asserted-by":"publisher","first-page":"1705","DOI":"10.2106\/JBJS.H.00122","volume":"91","author":"ST Mahan","year":"2009","unstructured":"Mahan ST, Katz JN, Kim YJ. To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip. J Bone Jt Surg. 2009;91:1705\u201319.","journal-title":"J Bone Jt Surg."},{"key":"1375_CR11","first-page":"129","volume":"45","author":"M Ortolani","year":"1937","unstructured":"Ortolani M. Un segno poco noto e sua importanza per la diagnosi precose di prelussazione congenita dell'anca. Pediatrica. 1937;45:129\u201336.","journal-title":"Pediatrica."},{"key":"1375_CR12","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1111\/apa.14057","volume":"107","author":"SF Olsen","year":"2018","unstructured":"Olsen SF, Blom HC, Rosendahl K. Introducing universal ultrasound screening for developmental dysplasia of the hip doubled the treatment rate. Acta Paediatr. 2018;107:255\u201361.","journal-title":"Acta Paediatr."},{"key":"1375_CR13","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1097\/BPO.0000000000000657","volume":"37","author":"NJ Allington","year":"2017","unstructured":"Allington NJ. Successful Pavlik harness treatment for developmental dysplasia of the hip and normal x-ray at the age of 2 years: is a longer follow-up necessary? J Pediatr Orthop. 2017;37:328\u201331.","journal-title":"J Pediatr Orthop."},{"key":"1375_CR14","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1097\/BPO.0000000000000875","volume":"38","author":"EN Novais","year":"2018","unstructured":"Novais EN, Sanders J, Kestel LA, Carry PM, Meyers ML. Graf type-IV hips have a higher risk of residual acetabular dysplasia at 1 year of age following successful Pavlik harness treatment for developmental hip dysplasia. J Pediatr Orthop. 2018;38:498\u2013502.","journal-title":"J Pediatr Orthop."},{"key":"1375_CR15","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-1147","volume":"143","author":"S Yang","year":"2019","unstructured":"Yang S, Zusman N, Lieberman E, Goldstein RY. Developmental dysplasia of the hip. Pediatrics. 2019;143:e20181147.","journal-title":"Pediatrics."},{"issue":"12","key":"1375_CR16","doi-asserted-by":"publisher","first-page":"6589","DOI":"10.3390\/ijerph18126589","volume":"18","author":"UG Longo","year":"2021","unstructured":"Longo UG, Papalia R, De Salvatore S, Ruzzini L, Piergentili I, Oggiano L, et al. Developmental hip dysplasia: an epidemiological nationwide study in Italy from 2001 to 2016. Int J Environ Res Public Health. 2021;18(12):6589.","journal-title":"Int J Environ Res Public Health."},{"issue":"4","key":"1375_CR17","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1055\/a-0924-5491","volume":"40","author":"JG O'Beirne","year":"2019","unstructured":"O'Beirne JG, Chlapoutakis K, Alshryda S, Aydingoz U, Baumann T, Casini C, et al. International interdisciplinary consensus meeting on the evaluation of developmental dysplasia of the hip. Ultraschall Med. 2019;40(4):454\u201364.","journal-title":"Ultraschall Med."},{"key":"1375_CR18","doi-asserted-by":"publisher","first-page":"e88","DOI":"10.1093\/pch\/pxy081","volume":"24","author":"M D\u2019Alessandro","year":"2019","unstructured":"D\u2019Alessandro M, Dow K. Investigating the need for routine ultrasound screening to detect developmental dysplasia of the hip in infants born with breech presentation. J Paediatr Child Health. 2019;24:e88\u201393.","journal-title":"J Paediatr Child Health."},{"key":"1375_CR19","doi-asserted-by":"publisher","first-page":"e20163107","DOI":"10.1542\/peds.2016-3107","volume":"138","author":"BA Shaw","year":"2016","unstructured":"Shaw BA, Segal LS. Evaluation and referral for developmental dysplasia of the hip in infants. Pediatrics. 2016;138:e20163107.","journal-title":"Pediatrics."},{"key":"1375_CR20","first-page":"147","volume":"2","author":"AA Abilova","year":"2015","unstructured":"Abilova AA, Duysenov NB, Dyusembaeva AT, Mukanova SM, Shaishitdinov A, Bereberdin D, et al. Some ecological aspects of congenital hip dislocation. Vestnik KazNMU. 2015;2:147\u201352.","journal-title":"Vestnik KazNMU."},{"key":"1375_CR21","volume-title":"Dissertation for the degree of Candidate of Medical Sciences","author":"RA Karabekova","year":"2006","unstructured":"Karabekova RA. New technology of conservative correction of congenital dislocation and prevention of aseptic necrosis of the femoral head in children. In:  Dissertation for the degree of Candidate of Medical Sciences. Samara: Samara State Medical University; 2006."},{"key":"1375_CR22","volume-title":"Optimization of conservative treatment of congenital hip dislocation in children aged 1 to 4 years. Dissertation for the degree of Candidate of Medical Sciences","author":"VD Kuzmin","year":"2005","unstructured":"Kuzmin VD. Optimization of conservative treatment of congenital hip dislocation in children aged 1 to 4 years. Dissertation for the degree of Candidate of Medical Sciences. Almaty: Kazakh State Medical Academy; 2005."},{"key":"1375_CR23","unstructured":"Bureau of National Statistics Agency for Strategic planning and reform Republic of Kazakhstan. Results of the 2009 national census,\u00a0https:\/\/stat.gov.kz\/; 2021 [accessed 7.09.2021]."},{"issue":"1","key":"1375_CR24","first-page":"S290","volume":"12","author":"AV Timoshin","year":"2018","unstructured":"Timoshin AV, Sevbitov AV, Vladimirovich DG, Iumashev AV, Timoshina MD. Use of bioresorbable plates on the basis of collagen and digestase for treatment of diseases of oral mucosa (review of clinical cases). Int J Green Pharm. 2018;12(1):S290\u20136.","journal-title":"Int J Green Pharm."},{"key":"1375_CR25","first-page":"355","volume-title":"Psychology of the family in the modern world. Collection of materials of the International Scientific and Practical Conference","author":"BM Utegenova","year":"2017","unstructured":"Utegenova BM. The values of spiritual and moral education of children in the modern Kazakh family. In:  Psychology of the family in the modern world. Collection of materials of the International Scientific and Practical Conference. Ekaterinburg: Ural State Pedagogical University; 2017. p. 355\u20139."},{"key":"1375_CR26","doi-asserted-by":"publisher","first-page":"179","DOI":"10.3103\/S0095452718030040","volume":"52","author":"ME Yelubayeva","year":"2018","unstructured":"Yelubayeva ME, Buralkhiyev BA, Tyshchenko VI, Terletskiy VP, Ussenbekov YS. Results of Camelus dromedarius and Camelus bactrianus Genotyping by Alpha-S1-Casein, Kappa-Casein Loci, and DNA Fingerprinting. Cytol Genet. 2018;52:179\u201385.","journal-title":"Cytol Genet."},{"key":"1375_CR27","first-page":"53","volume-title":"Traumatology and orthopedics of children and adolescents. Clinical guidelines","author":"MM Kamosko","year":"2017","unstructured":"Kamosko MM, Pozdnikin IY. Congenital dislocation of the hip. In:  Traumatology and orthopedics of children and adolescents. Clinical guidelines. Moscow: GEOTAR-Media; 2017. p. 53\u201367."},{"key":"1375_CR28","first-page":"26","volume":"10","author":"UO Duisenova","year":"2020","unstructured":"Duisenova UO, Seidinov SM. Influence of early diagnosis on the formation of the hip joint in newborns in Turkestan. J Internauka. 2020;10:26\u20138.","journal-title":"J Internauka"},{"key":"1375_CR29","first-page":"987","volume-title":"Lovell and Winter\u2019s Pediatric Orthopaedics","author":"SL Weinstein","year":"2006","unstructured":"Weinstein SL. Developmental hip dysplasia and dislocation. In: Lovell WW, Winter RB, Morrissy RT, Weinstein SL, editors. Lovell and Winter\u2019s Pediatric Orthopaedics. Philadelphia: Lippincott Williams and Wilkins; 2006. p. 987\u20131037."},{"key":"1375_CR30","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1136\/archdischild-2013-304143","volume":"99","author":"NMP Clarke","year":"2014","unstructured":"Clarke NMP. Swaddling and hip dysplasia: an orthopaedic perspective. Arch Dis Child. 2014;99:5\u20136.","journal-title":"Arch Dis Child."},{"key":"1375_CR31","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1097\/01241398-199209000-00006","volume":"12","author":"A Kutlu","year":"1992","unstructured":"Kutlu A, Memik R, Mutlu M, Kutlu R, Arslan A. Congenital dislocation of the hip and its relation to swaddling used in Turkey. J Pediatr Orthop. 1992;12:598\u2013602.","journal-title":"J Pediatr Orthop."},{"key":"1375_CR32","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.2106\/JBJS.K.00720","volume":"94","author":"E Wang","year":"2012","unstructured":"Wang E, Liu T, Li J, Edmonds EW, Zhao Q, Zhang L, et al. Does swaddling influence developmental dysplasia of the hip?: an experimental study of the traditional straight-leg swaddling model in neonatal rats. J Bone Jt Surg. 2012;94:1071\u20137.","journal-title":"J Bone Jt Surg."},{"key":"1375_CR33","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1542\/peds.105.4.896","volume":"105","author":"American Academy of Pediatrics","year":"2000","unstructured":"American Academy of Pediatrics. Clinical practice guideline: early detection of developmental dysplasia of the hip. Pediatrics. 2000;105:896\u2013905.","journal-title":"Pediatrics."},{"key":"1375_CR34","doi-asserted-by":"publisher","first-page":"206","DOI":"10.5435\/JAAOS-D-15-00008","volume":"23","author":"K Mulpuri","year":"2015","unstructured":"Mulpuri K, Song KM. AAOS clinical practice guideline: detection and nonoperative management of pediatric developmental dysplasia of the hip in infants up to six months of age. J Am Acad Orthop Surg. 2015;23:206\u20137.","journal-title":"J Am Acad Orthop Surg"},{"key":"1375_CR35","doi-asserted-by":"crossref","unstructured":"Kamyshanskiy Y, Kostyleva O, Tussupbekova M, Stabayeva L, Imanbayeva G, Nygyzbayeva R, et al. \u0410llergic basal deciduitis as a reason of recurrent antenatal fetal death. Open Access Maced. J Med Sci. 2021;9(C):80\u20133.","DOI":"10.3889\/oamjms.2021.6129"},{"key":"1375_CR36","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1007\/s00247-013-2838-3","volume":"44","author":"LB Laborie","year":"2014","unstructured":"Laborie LB, Markestad TJ, Davidsen H, Brur\u00e5s KR, Aukland SM, Bj\u00f8rlykke JA, et al. Selective ultrasound screening for developmental hip dysplasia: effect on management and late detected cases. A prospective survey during 1991\u20132006. Pediatr Radiol. 2014;44:410\u201324.","journal-title":"Pediatr Radiol."},{"key":"1375_CR37","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1097\/BPO.0b013e3180317422","volume":"27","author":"NM Portinaro","year":"2007","unstructured":"Portinaro NM, Pelillo F, Cerutti P. The role of ultrasonography in the diagnosis of developmental dysplasia of the hip. J Pediatr Orthop. 2007;27:247\u201350.","journal-title":"J Pediatr Orthop."},{"key":"1375_CR38","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1002\/ebch.1891","volume":"8","author":"D Shorter","year":"2013","unstructured":"Shorter D, Hong T, Osborn DA. Cochrane Review: screening programmes for developmental dysplasia of the hip in newborn infants. Evid Based Child Health. 2013;8:11\u201354.","journal-title":"Evid Based Child Health."},{"key":"1375_CR39","first-page":"47","volume":"94","author":"K Rosendahl","year":"1994","unstructured":"Rosendahl K, Markestad T, Lie RT. Ultrasound screening for developmental dysplasia of the hip in the neonate: the effect on treatment rate and prevalence of late cases. Pediatrics. 1994;94:47\u201352.","journal-title":"Pediatrics."},{"key":"1375_CR40","doi-asserted-by":"publisher","first-page":"604","DOI":"10.2106\/00004623-200204000-00015","volume":"84","author":"KB Freedman","year":"2002","unstructured":"Freedman KB, Bernstein J. Educational deficiencies in musculoskeletal medicine. J Bone Jt Surg. 2002;84:604\u20138.","journal-title":"J Bone Jt Surg."},{"key":"1375_CR41","first-page":"273","volume":"35","author":"BL Haywood","year":"2006","unstructured":"Haywood BL, Porter SL, Grana WA. Assessment of musculoskeletal knowledge in primary care residents. Am J Orthop. 2006;35:273\u20135.","journal-title":"Am J Orthop."},{"key":"1375_CR42","doi-asserted-by":"publisher","first-page":"1589","DOI":"10.2106\/JBJS.E.01365","volume":"88","author":"JR Lynch","year":"2006","unstructured":"Lynch JR, Schmale GA, Schaad DC, Leopold SS. Important demographic variables impact the musculoskeletal knowledge and confidence of academic primary care physicians. J Bone Jt Surg. 2006;88:1589\u201395.","journal-title":"J Bone Jt Surg."},{"key":"1375_CR43","doi-asserted-by":"publisher","first-page":"310","DOI":"10.2106\/JBJS.D.01779","volume":"87","author":"E Matzkin","year":"2005","unstructured":"Matzkin E, Smith MEL, Freccero CD, Richardson AB. Adequacy of education in musculoskeletal medicine. J Bone Jt Surg. 2005;87:310\u20134.","journal-title":"J Bone Jt Surg."},{"key":"1375_CR44","doi-asserted-by":"publisher","first-page":"202","DOI":"10.5435\/JAAOS-D-15-00006","volume":"23","author":"K Mulpuri","year":"2015","unstructured":"Mulpuri K, Song KM, Goldberg MJ, Sevarino K. Detection and nonoperative management of pediatric developmental dysplasia of the hip in infants up to six months of age. J Am Acad Orthop Surg. 2015;23:202\u20135.","journal-title":"J Am Acad Orthop Surg."}],"container-title":["Italian Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13052-022-01375-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13052-022-01375-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13052-022-01375-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T12:12:23Z","timestamp":1668773543000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijponline.biomedcentral.com\/articles\/10.1186\/s13052-022-01375-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,17]]},"references-count":44,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["1375"],"URL":"https:\/\/doi.org\/10.1186\/s13052-022-01375-7","relation":{},"ISSN":["1824-7288"],"issn-type":[{"value":"1824-7288","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,17]]},"assertion":[{"value":"17 April 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 October 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 November 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that the work is written with due consideration of ethical standards. The study was conducted in accordance with the ethical principles approved by Astana Medical University (Protocol \u2116 4 of 15.10.2021). Informed consent was not required to be obtained as this study was a retrospective review of medical records.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"185"}}