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X-rays had little value in diagnosing children's abnormal skull shapes, and primary care clinicians should refer concerns to specialist teams.
O'Sullivan, Hugh Bracken , Shirley Doyle, Jodie Twomey, Eilish Murray, Dylan J Kyne, Louise
O'Sullivan, Hugh
Bracken , Shirley
Doyle, Jodie
Twomey, Eilish
Murray, Dylan J
Kyne, Louise
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Date
2020-12-03
Date Submitted
Keywords
abnormal skull shape
craniofacial surgery
craniosynostosis
deformational plagiocephaly
skull X-rays
craniofacial surgery
craniosynostosis
deformational plagiocephaly
skull X-rays
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APA-110-1330.pdf
Adobe PDF, 610.96 KB
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Abstract
Aim: This study examined the consensus between the primary care radiological diagnosis and specialist clinical diagnosis of abnormal skull shapes in children.
Methods: We performed a retrospective review of children treated at the National Paediatric Craniofacial Centre at Children's Health Ireland, Dublin, Ireland. Group 1 were referred by primary care colleagues concerned about suspected abnormal skull shapes from 1 January 2015 to 30 May 2017. These included cases where they sought specialist confirmation that the skull shape was normal. Group 2 underwent surgery for craniosynostosis from 1 January 2011 to 25 October 2017. The primary care skull X-ray reports were examined for both groups to see whether they matched the specialist diagnosis.
Results: Group 1 comprised 300 children, and 59 (20%) had pre-referral skull X-rays. The primary care X-ray reports and specialist diagnoses agreed in 44 (75%) cases, including 19 (43%) who had a normal skull shape. Group 2 comprised 274 children, and 63 (23%) had pre-referral skull X-rays. In this group, there was agreement in 41 (65%) diagnoses; however, the primary care X-ray reports did not diagnose craniosynostosis for the remaining 22 (35%) children.
Conclusion: X-rays were of little value in diagnosing abnormal skull shapes, especially craniosynostosis, and primary care clinicians should refer concerns to specialist teams.
Language
en
Citation
ISSN
eISSN
1651-2227
ISBN
DOI
10.1111/apa.15686
PMID
33226692