An Examination of Screening Practices for Developmental Dysplasia of the Hip Across Sri Lankan Medical Specialties.

Abstract

Sri Lanka has no formal care pathway to assess for developmental dysplasia of the hip (DDH), which may lead to later diagnosis, more invasive treatments, and long-term adverse health outcomes. With the goal of developing a care pathway for DDH in Sri Lanka, we first surveyed relevant medical specialties regarding their experience with DDH screening, diagnosis, and treatment to understand current screening and diagnosis practices. A panel composed of four members affiliated with three Sri Lankan organizations collaborated with our team of researchers to inform the development of three specialty specific surveys. We distributed the surveys electronically to radiologists, pediatricians, neonatologists, and orthopedic surgeons. From the surveys, we gained an understanding of the present screening procedures. We identified potential areas to improve screening and diagnosis, including investigating the reliability of ultrasound (US) imaging reports and providing guidance on conducting appropriate referrals. These results will help inform the development of a DDH care pathway specific to the local context and needs in Sri Lanka. Care pathway development must be mindful of resource availability and strive to increase awareness of best care practices among healthcare practitioners.