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Parent satisfaction with early and delayed abduction splinting therapy of developmental hip dysplasia
Kaja K Bergo1, Karen Rosendahl
1Department of Clinical Medicine, University of Bergen, Bergen, Norway. kaja.knudsen.bergo@helse-fonna.no
Insights
Parental preference for early treatment of mild hip dysplasia in newborns did not significantly impact overall satisfaction. Satisfaction levels were comparable whether treatment began at birth or later in infancy.
Area of Science:
- Pediatric Radiology
- Orthopedics
- Developmental Dysplasia of the Hip (DDH)
Background:
- Mild hip dysplasia is a common condition in newborns.
- Delayed treatment for mild hip dysplasia is an accepted medical practice.
- Parental perspectives on treatment timing are crucial for clinical decision-making.
Purpose of the Study:
- To compare parental preference for early versus delayed treatment of mild hip dysplasia.
- To assess parent satisfaction with information, follow-up, and treatment for developmental dysplasia of the hip (DDH).
Main Methods:
- A questionnaire was administered to parents of infants with DDH at a pediatric radiology outpatient clinic.
- Parents were categorized into early treatment (from birth) and delayed treatment (from 5 weeks onwards) groups.
- Parent satisfaction was evaluated regarding information, follow-up, and treatment timing.
Main Results:
- Out of 91 parents, 72.5% had babies treated from birth and 27.5% from 5 weeks onwards.
- Parents in the delayed treatment group reported lower satisfaction with treatment timing in retrospect (p < 0.00).
- Overall parental satisfaction and general impression did not differ significantly between early and delayed treatment groups (p = 0.29).
Conclusions:
- Parental satisfaction with follow-up and treatment for hip dysplasia is similar regardless of treatment initiation timing.
- The findings support the acceptability of delayed treatment for mild hip dysplasia in newborns from a parental satisfaction standpoint.
Aim:
To determine whether treatment for mild hip dysplasia instigated in the newborn period was preferred over a delayed treatment by the parents, as delayed treatment for mild hip dysplasia detected in newborns is an acceptable medical policy.
Methods:
During a study period of 16 months from 2010 to 2011, parents attending the paediatric radiology outpatient clinic at Haukeland University Hospital for a follow-up of their baby with developmental dysplasia of the hip (DDH), were invited to fill in a questionnaire on parent satisfaction on information provided, and on follow-up and treatment given.
Results:
A total of 91 parents were included, of which 66 (72.5%) had their babies treated from birth (group 1), while 25 (27.5%) had their child treated from 5 weeks onwards (group 2). Although parents in the delayed treatment group, in retrospect, were less satisfied with timing of the treatment than those in the early treatment group (p < 0.00), their general impression and total satisfaction did not differ (p = 0.29).
Conclusion:
The overall parent satisfaction on follow-up and treatment did not differ according to whether treatment was instigated at birth or later in infancy.
