Radiographic Hip Screening in Cerebral Palsy: Developing POSNA-Wide Consensus
Bibliographic record
Abstract
Population based studies have found that approximately 33% of children with cerebral palsy are at risk for progressive lateral hip displacement/subluxation during childhood. There is growing evidence supporting the practice of hip surveillance for children with cerebral palsy and many developed countries have established national and state surveillance programs. However, across POSNA there is a lack of consensus regarding a radiographic hip screening protocol for children with cerebral palsy. Therefore, the purpose of this quality initiative was to develop a POSNA-wide radiographic hip screening schedule using a Modified Delphi technique. A group of 24 pediatric orthopedic surgeons participated in the Modified Delphi technique to achieve consensus regarding a hip radiographic screening protocol. The development of a POSNA - wide radiographic hip screening protocol has the potential to standardize screening practices across our society, decrease practice variation and ultimately improve the quality of health care delivery for children with cerebral palsy and other neuromuscular conditions.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.000 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".