Evaluation of a training program for general ultrasound screening for developmental dysplasia of the hip in preventive child health care.
Pediatr Radiol
; 40(10): 1634-9, 2010 Oct.
Article
en En
| MEDLINE
| ID: mdl-20544189
ABSTRACT
BACKGROUND:
A research study in the Netherlands showed that general ultrasound (US) screening was cost-effective in the detection of developmental dysplasia of the hip (DDH). This study was followed by a pilot implementation study. Part of this pilot implementation study is to investigate whether professionals of the infant health care (IHC) system, with no previous US experience, would be able to perform US of the hip.OBJECTIVE:
This study looks at health care worker ability to classify US images into a modified Graf system. MATERIALS ANDMETHODS:
After theoretical and practical training, seven nurses and physicians of the participating IHC centers reported their findings on sonographic images of 80 children. This was repeated five months later. From the two evaluation moments the intraobserver agreement and the interobserver agreement was determined.RESULTS:
The average estimated interobserver Cohen's kappa for both sessions was for nurses 0.6 and for physicians 0.5. The second evaluation showed a decrease from an average of 4.3% missed cases per screener to 2.3% and an increase of an average of 5% false positives per screener to 9.1%.CONCLUSION:
The inter- and intra-observer agreement is comparable to similar studies in which the participants had a professional background in US examination. The level of agreement of the trainees in the perspective of the screening process was considered sufficient for the pilot implementation project.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Servicios Preventivos de Salud
/
Educación
/
Luxación Congénita de la Cadera
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
/
Screening_studies
Límite:
Child
/
Humans
/
Newborn
País/Región como asunto:
Europa
Idioma:
En
Revista:
Pediatr Radiol
Año:
2010
Tipo del documento:
Article
País de afiliación:
Países Bajos