Methods of skeletal age assessment using hand and wrist radiographs in children and their applicability across different ethnicities: systematic review and meta-analysis protocol

Sameera Wijayawardhana, Deepan Jayapala, Cree Gaskin, Jerrard Fernando, Yasith Mathagasinghe, Pujitha Wickramasinghe · 2026

Read Methods of skeletal age assessment using hand and wrist radiographs in children and their applicability across different ethnicities: systematic review and meta-analysis protocol by Sameera Wijayawardhana, Deepan Jayapala, Cree Gaskin, Jerrard Fernando, Yasith Mathagasinghe, Pujitha Wickramasinghe (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13371705.txt.

Description

Sameera Wijayawardhana and colleagues lay out a plan to review bone age methods in children across ethnic groups in a 2026 protocol paper. Hand and wrist X-rays are widely used to judge biological maturity when exact age is unknown or when endocrine, genetic, or developmental disorders are suspected. Yet skeletal maturity varies by ethnicity, casting doubt on universal reference charts.

The planned review will search five major databases, screen studies with two independent reviewers, and pool results on method accuracy by ethnicity. Quality will be assessed and results reported with a PRISMA flow diagram. Because this is a protocol, no findings are reported yet. The completed review should tell clinicians which bone age charts travel safely across populations and which do not.

Catalog record

CREATORSameera Wijayawardhana, Deepan Jayapala, Cree Gaskin, Jerrard Fernando, Yasith Mathagasinghe, Pujitha Wickramasinghe
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE21 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13371705

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