{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:02:23Z","timestamp":1787022143684,"version":"build-2736575974"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Swiss Mongolian Pediatric Project"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We are obliged to give babies the chance to profit from a nationwide screening of developmental dysplasia of the hip in very rural areas of Mongolia, where trained physicians are scarce. This study aimed to compare the quality and interpretation of hip ultrasound screening examinations performed by nurses and junior physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A group of 6 nurses and 6 junior physician volunteers with no previous ultrasound experience underwent Graf\u2019s standard training in hands-on practice. Newborns were examined before discharge from the hospital, according to the national guideline. Two standard documentation images of each hip were saved digitally. The groups were compared on the proportion of good quality of sonograms and correct interpretation. Two Swiss supervisors\u2019 agreed diagnosis according to Graf was considered the final reference for the study purposes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 201 newborns (402 hips or 804 sonograms) were examined in the study, with a mean age of 1.3\u00b10.8 days at examination. Junior physicians examined 100 newborns (200 hips or 400 sonograms), while nurses examined 101 newborns (202 hips or 404 sonograms). The study subjects of the two groups were well balanced for the distribution of baseline characteristics. The study observed no statistically significant difference in the quality of Graf\u2019s standard plane images between the providers. Eventually, 92.0% (92) of the physician group and 89.1% (90) of the nurse group were correctly diagnosed as \u201cGroup A\u201d (Graf\u2019s Type 1 hip) or \u201cNon-Group A\u201d hips (p = 0.484). The most common errors among the groups were a missing lower limb, wrong measurement lines, and technical problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study provides evidence that while there might be a trend of slightly more technical mistakes in the nurse group, the overall diagnosis accuracy is similar to junior physicians after receiving standard training in Graf\u2019s hip ultrasound method. However, after basic training, regular quality control is a must and all participants should receive refresher trainings. More specifically, nurses need training in the identification of anatomical structures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0300753","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T13:56:49Z","timestamp":1713448609000},"page":"e0300753","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of quality and interpretation of newborn ultrasound screening examinations for developmental dysplasia of the hip by basically trained nurses and junior physicians with no previous ultrasound experience"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6549-9082","authenticated-orcid":true,"given":"Munkhtulga","family":"Ulziibat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bayalag","family":"Munkhuu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raoul","family":"Schmid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinne","family":"Wyder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3228-7010","authenticated-orcid":true,"given":"Stefan","family":"Essig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"pone.0300753.ref001","doi-asserted-by":"crossref","first-page":"238607","DOI":"10.5402\/2011\/238607","article-title":"The epidemiology and demographics of hip dysplasia.","volume":"2011","author":"RT Loder","year":"2011","journal-title":"ISRN Orthop"},{"issue":"3","key":"pone.0300753.ref002","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1542\/peds.2005-1597","article-title":"Screening for developmental dysplasia of the hip: a systematic literature review for the US preventive services task force","volume":"117","author":"SA Shipman","year":"2006","journal-title":"Pediatrics"},{"key":"pone.0300753.ref003","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1097\/01241398-198411000-00015","article-title":"Fundamentals of sonographic diagnosis of infant hip dysplasia","volume":"4","author":"R. 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Quality management, catastrophes\u2014tips and tricks.","volume":"15","author":"R Graf","year":"2013","journal-title":"Med Ultrason"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0300753","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T13:57:17Z","timestamp":1713448637000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0300753"}},"subtitle":[],"editor":[{"given":"Malgorzata","family":"Wojcik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,4,18]]},"references-count":38,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,18]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0300753","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,18]]}}}