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Diagnostic Accuracy Ofultrasonography for Identification of Elbow Fractures in Children; a Systematic Review and Meta-Analysis Publisher



Khameneh SMH1 ; Amanibeni R2 ; Ahadiat SA3 ; Kahrizi MS4 ; Jafari S5 ; Seyedinnavade S4 ; Manzelat AMR6 ; Mashatan N7 ; Beheshtiparvar D2 ; Fard AM4 ; Lotfi H8 ; Arhami H4 ; Barati R18 ; Hasanvand R4 Show All Authors
Authors
  1. Khameneh SMH1
  2. Amanibeni R2
  3. Ahadiat SA3
  4. Kahrizi MS4
  5. Jafari S5
  6. Seyedinnavade S4
  7. Manzelat AMR6
  8. Mashatan N7
  9. Beheshtiparvar D2
  10. Fard AM4
  11. Lotfi H8
  12. Arhami H4
  13. Barati R18
  14. Hasanvand R4
  15. Boorboor S4
  16. Khodaei E9
  17. Dadashzadehasl D4
  18. Zamani F10
  19. Khorram R4
  20. Ebrahimpour M11
  21. Abdollahi Z12
  22. Shabani M13
  23. Latifi N4
  24. Vafadar R4
  25. Hosseini SS4
  26. Khodashenas M14
  27. Kazemi SM1
  28. Noshahr RM1
  29. Ghayyem H15
  30. Farahani A4
  31. Saeidi D16
  32. Jadidi S17
  33. Goodarzy B18
  34. Farrokhi M4
Show Affiliations
Authors Affiliations
  1. 1. Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Bimolecular and Biomedicine, University of Girona, Passeig Ave, Girona, Salt-Girona, 17190, Spain
  4. 4. ERIS Research Institute, Tehran, Iran
  5. 5. Department of Prosthodontics, School of Dentistry, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Accident and Emergency Department, Southend Hospital NHS Trust, Westcliff-on-sea, United Kingdom
  7. 7. School of Applied Sciences, University of Brighton, Brighton, United Kingdom
  8. 8. Department of Medical Sciences, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran
  9. 9. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  10. 10. Student Research Committee, Mazandaran University ofMedical Sciences, Sari, Iran
  11. 11. School of Medicine, Kerman University ofMedical Sciences, Kerman, Iran
  12. 12. Department of Radiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  13. 13. School of Biology, Azad University of Lahijan, Guilan, Iran
  14. 14. School of medicine, Alborz University of Medical Sciences, Karaj, Iran
  15. 15. School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  16. 16. Students Research Committee, Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
  17. 17. Urology and Nephrology Research Center, Department of Urology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  18. 18. School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Source: Archives of Academic Emergency Medicine Published:2023


Abstract

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. © (2023). All Rights Reserved.
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