Care Practices of Indian Pediatricians for the Screening and Diagnosis of Developmental Dysplasia of the Hip.
Anne RP, Li J, Schaeffer E, Aroojis A, Mulpuri K, Murki S. Care Practices of Indian Pediatricians for the Screening and Diagnosis of Developmental Dysplasia of the Hip. Indian J Pediatr. September 2022. DOI: 10.1007/s12098-022-04200-5. Epub 2022 Jun 22.
Abstract
Pediatricians play a key role in identifying neonates with hip instability or at risk for developmental dysplasia of the hip (DDH); however, the clinical practices related to screening and further management in India are unknown. A web-based survey was circulated to members of the National Neonatology Forum of India (NNFI). Of the 231 eligible responses, about 92% were from an urban setup. It was noted that 38% (88/231) had not diagnosed any DDH in the past 12 mo, 8% (17/224) had diagnosed cases beyond walking age, 50% (116/231) would pursue further evaluation in children < 3 mo with risk-factors and normal hip exam, 53% (122/229) were aware of hip-safe swaddling, 30% (68/226) were comfortable with performing Ortolani and Barlow maneuvers and < 50% (107/226) were aware of the current guidelines for the management of DDH. Almost all respondents (97.3%, 220/226) felt a need for a DDH care pathway for screening and early management in India. Thus, substantial deficits and variability in screening practices for DDH amongst pediatricians in India.