دورية أكاديمية
Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures in Children; a Systematic Review and Meta-analysis.
| العنوان: | Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures in Children; a Systematic Review and Meta-analysis. |
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| المؤلفون: | Hosseini Khameneh SM; Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University ofMedical Sciences, Tehran, Iran., Amani-Beni R; School ofMedicine, Isfahan University ofMedical Sciences, Isfahan, Iran., Ahadiat SA; Department of Bimolecular and Biomedicine, University of Girona, Passeig Ave, Salt-Girona, 17190, Girona, Spain., Kahrizi MS; ERIS Research Institute, Tehran, Iran., Jafari S; Department of Prosthodontics, School of Dentistry, Iran University ofMedical Sciences, Tehran, Iran., Seyedinnavade S; ERIS Research Institute, Tehran, Iran., Rafie Manzelat AM; Accident and Emergency Department, Southend Hospital NHS Trust,Westcliff-on-sea, United Kingdom., Mashatan N; Accident and Emergency Department, Southend Hospital NHS Trust,Westcliff-on-sea, United Kingdom., Beheshtiparvar D; School ofMedicine, Isfahan University ofMedical Sciences, Isfahan, Iran., Moghadam Fard A; ERIS Research Institute, Tehran, Iran., Lotfi H; Department ofMedical Sciences, Faculty ofMedicine, Birjand University ofMedical Sciences, Birjand, Iran., Arhami H; ERIS Research Institute, Tehran, Iran., Barati R; School ofMedicine, Iran University ofMedical Sciences, Tehran, Iran., Hasanvand R; ERIS Research Institute, Tehran, Iran., Boorboor S; ERIS Research Institute, Tehran, Iran., Khodaei E; School ofMedicine, Tehran University ofMedical Sciences, Tehran, Iran., Dadashzadehasl D; ERIS Research Institute, Tehran, Iran., Zamani F; Student Research Committee,Mazandaran University ofMedical Sciences, Sari, Iran., Khorram R; ERIS Research Institute, Tehran, Iran., Ebrahimpour M; School ofMedicine, Kerman University ofMedical Sciences, Kerman, Iran., Abdollahi Z; Department of Radiology, School ofMedicine, Ahvaz Jundishapur University ofMedical Sciences, Ahvaz, Iran., Shabani M; School of Biology, Azad University of Lahijan, Guilan, Iran., Latifi N; ERIS Research Institute, Tehran, Iran., Vafadar R; ERIS Research Institute, Tehran, Iran., Shah Hosseini S; ERIS Research Institute, Tehran, Iran., Khodashenas M; School ofmedicine, Alborz University ofMedical Sciences, Karaj, Iran., Kazemi SM; Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University ofMedical Sciences, Tehran, Iran., Minaei Noshahr R; Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University ofMedical Sciences, Tehran, Iran., Ghayyem H; School ofMedicine, Shahid Beheshti University ofMedical Sciences, Tehran, Iran., Farahani A; ERIS Research Institute, Tehran, Iran., Saeidi D; Students Research Committee, Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University ofMedical Sciences, Isfahan, Iran., Jadidi S; Urology and Nephrology Research Center, Department of Urology, Shahid LabbafinejadMedical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Goodarzy B; School ofMedicine, Iran University ofMedical Sciences, Tehran, Iran., Farrokhi M; ERIS Research Institute, Tehran, Iran. |
| المصدر: | Archives of academic emergency medicine [Arch Acad Emerg Med] 2023 Sep 10; Vol. 11 (1), pp. e62. Date of Electronic Publication: 2023 Sep 10 (Print Publication: 2023). |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Shahid Beheshti University of Medical Sciences Country of Publication: Iran NLM ID: 101740147 Publication Model: eCollection Cited Medium: Internet ISSN: 2645-4904 (Electronic) Linking ISSN: 26454904 NLM ISO Abbreviation: Arch Acad Emerg Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Tehran] : Shahid Beheshti University of Medical Sciences, [2019]- |
| مستخلص: | Introduction: In spite of the results of previous studies regarding the benefits of ultrasonography for diagnosis of elbow fractures in children, the exact accuracy of this imaging modality is still under debate. Therefore, in this diagnostic systematic review and meta-analysis, we aimed to investigate the accuracy of ultrasonography in this regard. Methods: Two independent reviewers performed systematic search in Web of Science, Embase, PubMed, Cochrane, and Scopus for studies published from inception of these databases to May 2023. Quality assessment of the included studies was performed using Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS-2). Meta-Disc software version 1.4 and Stata statistical software package version 17.0 were used for statistical analysis. Results: A total of 648 studies with 1000 patients were included in the meta-analysis. The pooled sensitivity and specificity were 0.95 (95% CI: 0.93-0.97) and 0.87 (95% CI: 0.84-0.90), respectively. Pooled positive likelihood ratio (PLR) was 6.71 (95% CI: 3.86-11.67), negative likelihood ratio (NLR) was 0.09 (95% CI: 0.03-0.22), and pooled diagnostic odds ratio (DOR) of ultrasonography in detection of elbow fracture in children was 89.85 (95% CI: 31.56-255.8). The area under the summary receiver operating characteristic (ROC) curve for accuracy of ultrasonography in this regard was 0.93. Egger's and Begg's analyses showed that there is no significant publication bias (P=0.11 and P=0.29, respectively). Conclusion: Our meta-analysis revealed that ultrasonography is a relatively promising diagnostic imaging modality for identification of elbow fractures in children. However, clinicians employing ultrasonography for diagnosis of elbow fractures should be aware that studies included in this meta-analysis had limitations regarding methodological quality and are subject to risk of bias. Future high-quality studies with standardization of ultrasonography examination protocol are required to thoroughly validate ultrasonography for elbow fractures. Competing Interests: None. |
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| فهرسة مساهمة: | Keywords: Child; Diagnosis; Elbow Fractures; Meta-analysis; Ultrasonography |
| تواريخ الأحداث: | Date Created: 20231016 Latest Revision: 20231020 |
| رمز التحديث: | 20231021 |
| مُعرف محوري في PubMed: | PMC10568949 |
| DOI: | 10.22037/aaem.v11i1.2078 |
| PMID: | 37840871 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2645-4904 |
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| DOI: | 10.22037/aaem.v11i1.2078 |