{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:47:51Z","timestamp":1787755671625,"version":"build-2784847793"},"reference-count":58,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4,6]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a4 Although the criteria of Kocher et al. were an important advancement in our ability to diagnose septic arthritis of the hip early, the changing microbial landscape and availability of advanced imaging have rendered it insufficient for contemporary clinical use.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 Routine use of magnetic resonance imaging and recognition of disseminated disease have prompted the development of algorithms to predict concurrent osteoarticular infection in cases of septic arthritis and osteomyelitis that were previously assumed to be \u201cisolated.\u201d<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 Recent research has attempted to stratify childhood bone and joint infection (BJI) by severity to guide treatment planning. This is valuable, as patients with multifocal disease, more virulent pathogens, and immunocompromise can have longer hospital stays and require multiple surgeries.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 The increasing prevalence of clinical prediction algorithms in childhood BJI is not completely matched by quality in methodology. Clinicians need to be wary of adopting predictive algorithms prior to robust external validation.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.21.01040","type":"journal-article","created":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T15:07:28Z","timestamp":1644937648000},"page":"649-658","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Predictive Algorithms in the Diagnosis and Management of Pediatric Hip and Periarticular Infection"],"prefix":"10.2106","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6436-3244","authenticated-orcid":false,"given":"Sarah","family":"Hunter","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Waikato Hospital, Hamilton, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2245-1825","authenticated-orcid":false,"given":"Georgina","family":"Kioa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hawke\u2019s Bay Hospital, Hastings, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8518-8780","authenticated-orcid":false,"given":"Joseph F.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Waikato Hospital, Hamilton, New Zealand"},{"name":"Department of Surgery, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,2,15]]},"reference":[{"issue":"12","key":"bib1-20250430","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.2106\/00004623-199912000-00002","article-title":"Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm","volume":"81","author":"Kocher","year":"1999","journal-title":"J Bone Joint Surg Am."},{"issue":"12","key":"bib2-20250430","doi-asserted-by":"crossref","first-page":"1950","DOI":"10.1016\/j.spinee.2019.06.024","article-title":"Development of machine learning algorithms for prediction of mortality in spinal epidural abscess","volume":"19","author":"Karhade","year":"2019","journal-title":"Spine J."},{"issue":"12","key":"bib3-20250430","doi-asserted-by":"crossref","first-page":"2722","DOI":"10.1097\/CORR.0000000000001367","article-title":"CORR Synthesis: When Should We Be Skeptical of Clinical Prediction Models?","volume":"478","author":"Karhade","year":"2020","journal-title":"Clin Orthop Relat Res."},{"issue":"8","key":"bib4-20250430","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1016\/j.jclinepi.2009.11.009","article-title":"Use of Brier score to assess binary predictions","volume":"63","author":"Rufibach","year":"2010","journal-title":"J Clin Epidemiol."},{"issue":"8","key":"bib5-20250430","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.2106\/00004623-200408000-00005","article-title":"Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children","volume":"86","author":"Kocher","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib6-20250430","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1016\/j.jpeds.2014.07.060","article-title":"Differentiating Kingella kingae septic arthritis of the hip from transient synovitis in young children","volume":"165","author":"Yagupsky","year":"2014","journal-title":"J Pediatr."},{"issue":"5","key":"bib7-20250430","doi-asserted-by":"crossref","first-page":"956","DOI":"10.2106\/00004623-200405000-00011","article-title":"Differentiation between septic arthritis and transient synovitis of the hip in children with clinical prediction algorithms","volume":"86","author":"Luhmann","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib8-20250430","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.2106\/JBJS.E.00216","article-title":"Factors distinguishing septic arthritis from transient synovitis of the hip in children. 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