PMID- 34239956
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2345-4644 (Print)
IS  - 2345-461X (Electronic)
IS  - 2345-461X (Linking)
VI  - 9
IP  - 3
DP  - 2021 May
TI  - Diagnostic Accuracy of Ultrasonography Method of Graf in the detection of 
      Developmental Dysplasia of the Hip: A Meta-Analysis and Systematic Review.
PG  - 297-305
LID - 10.22038/abjs.2021.55292.2755 [doi]
AB  - BACKGROUND: The present study aimed to perform a meta-analysis on the performance 
      of Graf's ultrasonography method in the detection of developmental dysplasia of 
      the hip (DDH). METHODS: A query was conducted on electronic bibliographic 
      databases until the end of October 2020. The inclusion criteria entailed: 1. the 
      use of Graf method in less than 12 weeks of age, 2. the use of follow-up as 
      reference test, and 3. provision of crude data. Pooled diagnostic performance 
      measures were calculated. Quality Assessment of Diagnostic Accuracy Studies-2 
      (QUADAS-2) checklist was utilized to assess the quality of the included studies. 
      The hierarchical summary receiver-operating characteristic (HROC) curves were 
      also drawn. RESULTS: Six articles (including seven populations, 11,012 patients) 
      were considered eligible. The pooled sensitivity and specificity were obtained at 
      93% (95% CI: 0.57-0.99) and 97% (95% CI:0.86-0.99), respectively (area under 
      curve= 0.99). The pooled positive and negative likelihood ratio, as well as 
      diagnostic odds ratio, was reported as 28.4, 0.07, and 396, respectively. 
      CONCLUSION: As evidenced by the obtained results, Graf's method is a useful 
      ultrasonography technique with acceptable accuracy for screening DDH in neonates. 
      However, there are uncertainties about the best population and age for screening. 
      Furthermore, more attention should be paid to the proper training of this method 
      to reduce the number of operator errors.
FAU - Chavoshi, Mohammadreza
AU  - Chavoshi M
AD  - Department of Radiology, Shariati Hospital, Tehran University of Medical 
      Sciences, Tehran, Iran.
FAU - Mirshahvalad, Seyed Ali
AU  - Mirshahvalad SA
AD  - Department of Nuclear Medicine, Shariati Hospital, Tehran University of Medical 
      Sciences, Tehran, Iran.
FAU - Mahdizadeh, Mehrzad
AU  - Mahdizadeh M
AD  - Department of Radiology, Children's Medical Center, Tehran University of Medical 
      Sciences, Tehran, Iran.
FAU - Zamani, Fatemeh
AU  - Zamani F
AD  - Department of Radiology, Children's Medical Center, Tehran University of Medical 
      Sciences, Tehran, Iran.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Iran
TA  - Arch Bone Jt Surg
JT  - The archives of bone and joint surgery
JID - 101636743
PMC - PMC8221445
OTO - NOTNLM
OT  - DDH
OT  - Diagnostic performance
OT  - Graf
OT  - Meta-analysis
OT  - Pediatrics
OT  - Ultrasonography
EDAT- 2021/07/10 06:00
MHDA- 2021/07/10 06:01
PMCR- 2021/05/01
CRDT- 2021/07/09 07:02
PHST- 2020/09/28 00:00 [received]
PHST- 2021/02/13 00:00 [accepted]
PHST- 2021/07/10 06:00 [pubmed]
PHST- 2021/07/10 06:01 [medline]
PHST- 2021/07/09 07:02 [entrez]
PHST- 2021/05/01 00:00 [pmc-release]
AID - 10.22038/abjs.2021.55292.2755 [doi]
PST - ppublish
SO  - Arch Bone Jt Surg. 2021 May;9(3):297-305. doi: 10.22038/abjs.2021.55292.2755.