{"id":"https://openalex.org/W7225827877","doi":"https://doi.org/10.1097/bpo.0000000000003535","title":"Improving Surveillance Duration for Developmental Dysplasia of the Hip: A Single-Center Retrospective Quality Improvement Initiative","display_name":"Improving Surveillance Duration for Developmental Dysplasia of the Hip: A Single-Center Retrospective Quality Improvement Initiative","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225827877","doi":"https://doi.org/10.1097/bpo.0000000000003535","pmid":"https://pubmed.ncbi.nlm.nih.gov/43012677"},"language":"en","primary_location":{"id":"doi:10.1097/bpo.0000000000003535","doi":"https://doi.org/10.1097/bpo.0000000000003535","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bpo.0000000000003535","pdf_url":null,"source":{"id":"https://openalex.org/S44433048","display_name":"Journal of Pediatric Orthopaedics","issn_l":"0271-6798","issn":["0271-6798","1539-2570"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044684874","display_name":"Isabella Bozzo","orcid":"https://orcid.org/0000-0003-2845-7515","observed_orcids":["https://orcid.org/0000-0003-2845-7515"]},"institutions":[{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Isabella Bozzo","raw_affiliation_strings":["Division of Orthopaedic Surgery, McGill University"],"raw_orcid":"https://orcid.org/0000-0003-2845-7515","affiliations":[{"raw_affiliation_string":"Division of Orthopaedic Surgery, McGill University","institution_ids":["https://openalex.org/I5023651"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037158649","display_name":"Marianne Gagnon","orcid":"https://orcid.org/0000-0001-7799-5112","observed_orcids":["https://orcid.org/0000-0001-7799-5112","https://orcid.org/0000-0001-8125-312X"]},"institutions":[{"id":"https://openalex.org/I2802125861","display_name":"Shriners Hospitals for Children - Canada","ror":"https://ror.org/01z1dtf94","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2802125861","https://openalex.org/I4210144267"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Marianne Gagnon","raw_affiliation_strings":["Shriners Hospitals for Children Canada, Montreal, Quebec, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Shriners Hospitals for Children Canada, Montreal, Quebec, Canada","institution_ids":["https://openalex.org/I2802125861"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009412920","display_name":"Jack Legler","orcid":"https://orcid.org/0009-0001-4308-7586","observed_orcids":["https://orcid.org/0009-0001-4308-7586"]},"institutions":[{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Jack Legler","raw_affiliation_strings":["Division of Orthopaedic Surgery, McGill University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Orthopaedic Surgery, McGill University","institution_ids":["https://openalex.org/I5023651"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006973919","display_name":"Pasin Tangadulrat","orcid":"https://orcid.org/0000-0003-0346-7135","observed_orcids":["https://orcid.org/0000-0003-0346-7135"]},"institutions":[{"id":"https://openalex.org/I2802125861","display_name":"Shriners Hospitals for Children - Canada","ror":"https://ror.org/01z1dtf94","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2802125861","https://openalex.org/I4210144267"]},{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Pasin Tangadulrat","raw_affiliation_strings":["Division of Orthopaedic Surgery, McGill University","Shriners Hospitals for Children Canada, Montreal, Quebec, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Orthopaedic Surgery, McGill University","institution_ids":["https://openalex.org/I5023651"]},{"raw_affiliation_string":"Shriners Hospitals for Children Canada, Montreal, Quebec, Canada","institution_ids":["https://openalex.org/I2802125861"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054789295","display_name":"Thierry E. Benaroch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802125861","display_name":"Shriners Hospitals for Children - Canada","ror":"https://ror.org/01z1dtf94","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2802125861","https://openalex.org/I4210144267"]},{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Thierry Benaroch","raw_affiliation_strings":["Division of Orthopaedic Surgery, McGill University","Shriners Hospitals for Children Canada, Montreal, Quebec, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Orthopaedic Surgery, McGill University","institution_ids":["https://openalex.org/I5023651"]},{"raw_affiliation_string":"Shriners Hospitals for Children Canada, Montreal, Quebec, Canada","institution_ids":["https://openalex.org/I2802125861"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9837999939918518},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6089000105857849},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.5874999761581421},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5703999996185303},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4959000051021576},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3659000098705292},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3547999858856201},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.3409000039100647},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.33250001072883606},{"id":"https://openalex.org/C2779571254","wikidata":"https://www.wikidata.org/wiki/Q625935","display_name":"Hip dysplasia","level":3,"score":0.3310999870300293},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.3301999866962433},{"id":"https://openalex.org/C2775894508","wikidata":"https://www.wikidata.org/wiki/Q1128996","display_name":"Dysplasia","level":2,"score":0.31869998574256897},{"id":"https://openalex.org/C2778721537","wikidata":"https://www.wikidata.org/wiki/Q922640","display_name":"Bronchopulmonary dysplasia","level":4,"score":0.31779998540878296},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.3050000071525574},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3000999987125397},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2955000102519989},{"id":"https://openalex.org/C2778376644","wikidata":"https://www.wikidata.org/wiki/Q2253111","display_name":"Gestational age","level":3,"score":0.29109999537467957},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.28780001401901245},{"id":"https://openalex.org/C2776555163","wikidata":"https://www.wikidata.org/wiki/Q1076497","display_name":"Chorionic villus sampling","level":5,"score":0.2849000096321106},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.26919999718666077},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2667999863624573},{"id":"https://openalex.org/C2781056747","wikidata":"https://www.wikidata.org/wiki/Q1144406","display_name":"Oligohydramnios","level":4,"score":0.26269999146461487},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.25999999046325684},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2578999996185303},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.2540000081062317},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.2515000104904175}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/bpo.0000000000003535","doi":"https://doi.org/10.1097/bpo.0000000000003535","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bpo.0000000000003535","pdf_url":null,"source":{"id":"https://openalex.org/S44433048","display_name":"Journal of Pediatric Orthopaedics","issn_l":"0271-6798","issn":["0271-6798","1539-2570"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Orthopaedics","raw_type":"journal-article"},{"id":"pmid:43012677","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43012677","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of pediatric orthopedics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W144080321","https://openalex.org/W2054035892","https://openalex.org/W2063054709","https://openalex.org/W2120379816","https://openalex.org/W2163029193","https://openalex.org/W2323476590","https://openalex.org/W2328937860","https://openalex.org/W2341143633","https://openalex.org/W2552493511","https://openalex.org/W2552583768","https://openalex.org/W2803825717","https://openalex.org/W2986427930","https://openalex.org/W3041757152","https://openalex.org/W3173190779","https://openalex.org/W3176388314","https://openalex.org/W4242085161","https://openalex.org/W4318754026","https://openalex.org/W4384277209","https://openalex.org/W4385408580","https://openalex.org/W4394820344","https://openalex.org/W4405447143","https://openalex.org/W4411483689"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Developmental":[1],"dysplasia":[2,260],"of":[3,16,26,73,83,106,130,158,200,247,286,295,298,314],"the":[4,13,71,81,156,223,248,302,312,318],"hip":[5],"(DDH)":[6],"relies":[7],"on":[8,40],"early":[9],"detection.":[10],"At":[11],"present,":[12],"American":[14],"Academy":[15],"Pediatrics":[17],"recommends":[18],"ultrasound":[19],"(US)":[20],"screening":[21,52,94,123,207,257,273],"for":[22,44,177,205,213,269,272],"patients":[23,47,91,202,250,265,300],"<6":[24],"months":[25,129],"age":[27,131],"with":[28,48,92,146,160,251,266,274],"breech":[29,150],"gestation":[30],"or":[31,148,163,182,194],"a":[32,49,58,102,110,134,142,206,214,255,275,296],"first-degree":[33],"family":[34],"history.":[35],"However,":[36,311],"little":[37],"data":[38],"exists":[39],"long-term":[41],"surveillance":[42,56,215,280,334],"strategies":[43],"these":[45,325],"high-risk":[46,90],"normal":[50,93,135,256,276],"initial":[51,136],"US.":[53,95,137],"Currently,":[54],"institutional":[55],"includes":[57],"follow-up":[59],"pelvic":[60],"radiograph":[61],"(PXR);":[62],"however,":[63],"its":[64],"utility":[65],"in":[66,89,317],"detection":[67],"remains":[68],"unknown.":[69],"Hence,":[70],"goal":[72],"this":[74],"quality":[75,98],"improvement":[76,99],"initiative":[77],"was":[78,101,155],"to":[79,109,117,127,219,328,340],"determine":[80],"rates":[82],"delayed":[84,287],"DDH":[85,121,147,288],"requiring":[86,231,261,289],"surgical":[87,168],"intervention":[88],"METHODS:":[96],"This":[97,331],"project":[100],"retrospective":[103],"cohort":[104,320],"review":[105,294],"infants":[107],"referred":[108,176,204,271],"single":[111],"pediatric":[112],"orthopaedic":[113],"centre":[114],"from":[115,124],"2020":[116],"2023":[118],"who":[119],"underwent":[120],"US":[122,258],"5":[125],"weeks":[126],"6":[128],"and":[132,209,254,306,346],"had":[133,228],"Referral":[138],"criteria":[139],"included:":[140],"(1)":[141],"first":[143,224],"degree":[144],"relative":[145],"(2)":[149],"gestation.":[151],"The":[152],"primary":[153],"outcome":[154],"prevalence":[157],"treatment":[159],"either":[161],"closed":[162],"open":[164],"reduction":[165],"and/or":[166],"other":[167],"interventions.":[169],"Patients":[170],"were":[171,175,203],"excluded":[172],"if":[173,183],"they":[174,184],"concerning":[178],"physical":[179],"examination":[180],"findings":[181],"did":[185,281],"not":[186,282],"have":[187],"risk":[188,252,267],"factors,":[189],"teratologic":[190],"DDH,":[191,270],"syndromic":[192],"conditions,":[193],"neuromuscular":[195],"conditions.":[196],"RESULTS:":[197],"A":[198,291],"total":[199],"4233":[201,249],"US,":[208,277],"2497":[210],"(59.0%)":[211],"returned":[212],"PXR":[216,233,279],"at":[217],"12":[218],"18":[220],"months.":[221],"After":[222],"follow-up,":[225],"271":[226],"(6.4%)":[227],"borderline":[229],"dysplasia,":[230],"annual":[232,278],"surveillance.":[234,242],"Of":[235],"them,":[236],"28":[237],"(0.7%)":[238],"remained":[239],"under":[240],"active":[241],"Until":[243],"January":[244],"2026,":[245],"none":[246],"factors":[253,268],"developed":[259],"treatment.":[262,290],"CONCLUSIONS:":[263],"In":[264],"identify":[283],"any":[284],"cases":[285,316],"manual":[292],"chart":[293],"subset":[297],"100":[299],"validated":[301],"database":[303],"search":[304],"strategy":[305],"identified":[307],"no":[308],"missed":[309],"cases.":[310],"possibility":[313],"undetected":[315],"overall":[319],"cannot":[321],"be":[322,329,337],"excluded,":[323],"although":[324],"are":[326],"expected":[327],"rare.":[330],"suggests":[332],"that":[333],"protocols":[335],"may":[336],"safely":[338],"reduced":[339],"limit":[341],"radiation,":[342],"unnecessary":[343],"hospital":[344],"visits,":[345],"parental":[347],"anxiety.":[348],"LEVEL":[349],"OF":[350],"EVIDENCE:":[351],"Level":[352],"III-retrospective":[353],"cohort.":[354]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}