Does the child with shunted hydrocephalus require long-term neurosurgical follow-up?
| Autor: | A. T. H. Kleinlugtebeld, R. D. Hayward, E. Kimmings, A. T. H. Casey |
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| Rok vydání: | 1996 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent business.industry Mental Disorders Concordance Follow up studies Infant General Medicine medicine.disease Cerebrospinal Fluid Shunts Hydrocephalus Disability Evaluation El Niño Child Preschool medicine Humans Female Surgery Neurology (clinical) Child Prospective cohort study business |
| Zdroj: | British Journal of Neurosurgery. 10:77-81 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.1080/02688699650040557 |
| Popis: | A prospective study was initiated to investigate parents' and doctors' attitudes towards how the follow-up of children treated with shunts for hydrocephalus should be undertaken. Twenty-three out of 85 (27%) of families whose children had been treated more than 6 months previously failed to attend for their clinic appointment compared with 15% of those attending for other (non-hydrocephalus-related) problems. The possible reasons for this discrepancy have been analysed together with the results of a questionnaire filled in by both the parents and the clinic doctors at the time of the appointment. Although both parties felt that there was a sizeable group of patients for whom continuing neurosurgical follow-up was no longer required there was little concordance in identifying who these patients actually were. Also taken into account were the economic factors which influence both parental and medical decision-making. In the light of our study, new ways of managing the follow-up of these children have been formulated. |
| Databáze: | OpenAIRE |
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