Trends in Slipped Capital Femoral Epiphysis: is the Rate Declining?

Overview

Journal J Child Orthop

Publisher Sage Publications

Specialty Pediatrics

Date 2018 Oct 9

PMID 30294366

Citations 4

Authors

I M Gutman

S R Gilbert

Affiliations

Soon will be listed here.

Abstract

Purpose: Slipped capital femoral epiphysis (SCFE) is an adolescent hip condition with a high risk of complication. The purpose of this study was to evaluate trends in treatment using a prospectively collected paediatric nationally representative database.

Methods: A total of 9034 patients undergoing treatment for idiopathic SCFE were selected by querying the Healthcare Cost and Utilization Project's Kids' Inpatient Database for the years 1997, 2000, 2003, 2006, 2009 and 2012. The selected patients were separated based on operative approach and these cohorts were analyzed based on temporal and categorical differences in operative approach, patient demographics and clinical characteristics. Univariate and multivariate analyses were used when appropriate and the Mantel-Haenszel test for trend was used in temporal analysis.

Results: Overall SCFE procedures have decreased 27.5% (p < 0.001). Closed procedures have decreased 28.5% (p < 0.001), while open procedures have decreased 44.8% (p < 0.001). Bilateral closed procedures have increased 7.2% (p < 0.001). The ratio of open to closed procedures decreased in patients aged nine to 12 years and increased in patients aged 13 to 16 years (p < 0.001).

Conclusion: Here we report age stratified trends in treatment for idiopathic SCFE using nationally representative data and show an overall decrease in admissions and procedures over time.

Level Of Evidence: Level III, retrospective comparison study.

Citing Articles

Examining delays in diagnosis for slipped capital femoral epiphysis from a health disparities perspective.

Purcell M, Reeves R, Mayfield M PLoS One. 2022; 17(6):e0269745.

PMID: 35749448 PMC: 9231816. DOI: 10.1371/journal.pone.0269745.

Comparing complications of outpatient management of slipped capital femoral epiphysis and Blount's disease: A database study.

Jardaly A, Torrez T, McGwin G, Gilbert S World J Orthop. 2022; 13(4):373-380.

PMID: 35582157 PMC: 9048495. DOI: 10.5312/wjo.v13.i4.373.

Temporal changes in slipped upper femoral epiphysis at a regional level: a declining incidence and literature review.

Tucker A, Ballard J, Cosgrove A J Child Orthop. 2019; 13(5):445-456.

PMID: 31695811 PMC: 6808072. DOI: 10.1302/1863-2548.13.190037.

[Fixation techniques for slipped capital femoral epiphysis : Principles, surgical techniques, and complications].

Lederer C, Hosalkar H, Tiderius C, Westhoff B, Bittersohl B, Krauspe R Orthopade. 2019; 48(8):659-667.

PMID: 31119306 DOI: 10.1007/s00132-019-03733-6.

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