# IMPACT OF PEDIATRICIAN TRAINING ON DIAGNOSIS OF DEVELOPMENTAL HIP DYSPLASIA

## TL;DR

Training pediatricians with a simulated model improves their ability to diagnose developmental hip dysplasia in newborns.

## Contribution

The study demonstrates that using a simulated model enhances diagnostic competence in pediatricians for hip dysplasia.

## Key findings

- Training with the simulated model improved pediatricians' diagnostic skills for developmental hip dysplasia.
- Early diagnosis can reduce hospitalization and surgery costs through conservative treatment.
- The study highlights the need for training programs and policy changes in neonatal screening for hip dysplasia in Brazil.

## Abstract

This research aims to promote the development of diagnosis and training of pediatricians using the simulated model "baby hips" and to evaluate the impact on the knowledge and skills of participants about the diagnosis.

An ecological study was employed using the tool the International Institute of Hip Dysplasia provided.

The World Health Organization considers developmental hip dysplasia (HD) a public health problem, and Brazil has no national policy for neonatal screening for HD. Delayed diagnosis impacts public resources with hospitalizations and surgeries, while early diagnosis promotes the opportunity for conservative treatment with good results and low cost. The pediatricians are essential for neonatal screening with Barlow and Ortolani tests, which have high specificity and sensitivity during this period of the child's life.

A positive impact on diagnostic competence was obtained, indicating the need to promote training programs for pediatricians and stimulate public health authorities to include HD in the neonatal screening practiced in Brazil.
Level of evidence II; Analytic observational cross over study.