Management preferences of orthopedic surgeons in rickets patients in Turkey: Results of a nationwide survey

Basit Öğe Kaydı
dc.contributor.authorTurhan, Banu
dc.contributor.authorYasar, Niyazi Erdem
dc.contributor.authorSungur, Mehmet Ali
dc.contributor.authorTurhan, Yalcin
dc.contributor.authorBekmez, Senol
dc.date.accessioned2025-10-11T20:48:01Z
dc.date.available2025-10-11T20:48:01Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractAim Rickets remains a significant health issue, particularly in developing countries. This study evaluated the management preferences of orthopedic surgeons in Turkey regarding rickets and analyzed these approaches from a pediatric endocrinology perspective. Methods An online survey was developed based on a comprehensive literature review and previous similar studies. The survey link was distributed via email to members of the Turkish Orthopedic and Traumatology Association and the Pediatric Orthopedics Association. The questionnaire included 14 multiple-choice items addressing sociodemographic characteristics and the general approach to the diagnosis and treatment of rickets. Prior to dissemination, the survey was reviewed by 13 board-certified orthopedic surgeons from various institutions to ensure clarity and content validity. Results Of the 257 respondents, 198 met the inclusion criteria and were included in the analysis. Orthopedic surgeons with more than 10 years of experience (n = 111,56.1%) were significantly less likely to refer rickets patients to a pediatric endocrinologist (p = 0.009) and more likely to recommend oral or intramuscular 25-OH-vitamin D3 ampoule treatment rather than oral drops or capsules (p < 0.001). Surgeons who saw fewer than 25% pediatric patients in daily practice (n = 110,55.6%) were more inclined to refer patients without ordering diagnostic tests or initiating treatment (p = 0.011). The presence of a pediatric endocrinologist within the same institution (n = 96,48.5%) was also associated with increased referral rates without preliminary testing or treatment (p = 0.003/p = 0.002, respectively). Physicians who encountered at least one rickets patient per week (n = 78,39.4%) demonstrated better knowledge of normal serum 25-OH-vitamin D3 levels (p = 0.042) and were significantly less likely to refer patients to a pediatric endocrinologist (p < 0.001). Conclusion Management approaches to rickets among orthopedic and traumatology specialists in Turkey vary significantly depending on clinical experience, practice setting, and access to a pediatric endocrinologist. To prevent both undertreatment and unnecessary referrals, newly diagnosed rickets patients in orthopedic clinics should be appropriately evaluated and referred when necessary. Establishing a standardized diagnostic and referral algorithm based on international guidelines and incorporating it into orthopedic training programs is strongly recommended.en_US
dc.identifier.doi10.1371/journal.pone.0329944
dc.identifier.issn1932-6203
dc.identifier.issue8en_US
dc.identifier.pmid40773440en_US
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0329944
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21706
dc.identifier.volume20en_US
dc.identifier.wosWOS:001546469400020en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPublic Library Scienceen_US
dc.relation.ispartofPlos Oneen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.titleManagement preferences of orthopedic surgeons in rickets patients in Turkey: Results of a nationwide surveyen_US
dc.typeArticleen_US

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