Browse by author
Lookup NU author(s): Peter Tennant,
Professor Judith Rankin
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
AIM: To explore the provision of care, and variations in care, for children and young people with cerebral palsies registered with the population-based North of England Collaborative Cerebral Palsy Survey (NECCPS). METHODS: Retrospective multi-centre record audit of 389 children, born 1995-2002. Data collected on: cranial magnetic resonance imaging (MRI), hip and spine surveillance and management, pain presence and management. Variations over time, between the districts in the North of England (Northumberland, North and West Cumbria, North and South Tyneside, Newcastle-upon-Tyne, Gateshead, Sunderland, Durham, Darlington, Bishop Auckland, Hartlepool, Stockton-on-Tees, Middlesborough, Redcar and Cleveland), and by socio-economic status (estimated from the Index of Multiple Deprivation 2004) were estimated by generalised estimating equations. RESULTS: There was significant variation between districts in access to MRI (p<0.0001), orthopaedic surgeons (p=0.005), recording state of spine (p<0.0001), and discussions about pain (p<0.0001). 57% (95% CI: 52-62) had evidence of a reported MRI brain scan, the proportion of which increased over time (p<0.0001). 67% (95% CI: 62-71) had a discussion about pain recorded. Of those in pain, 87% (95% CI: 80-93) had a pain management plan. The proportion with documented discussion about pain increased with increasing socio-economic status (p=0.04). INTERPRETATION: The provision of care for children with cerebral palsies in the North of England varies between districts. Internationally agreed, evidence-based standards are urgently needed to ensure more equitable healthcare and improved outcomes for all.
Author(s): Horridge K, Tennant PWG, Balu J, Rankin J
Publication type: Article
Publication status: Published
Journal: Developmental Medicine & Child Neurology
Print publication date: 01/09/2015
Online publication date: 24/03/2015
Acceptance date: 24/01/2015
ISSN (print): 0012-1622
ISSN (electronic): 1469-8749
Publisher: Wiley-Blackwell Publishing Ltd
Altmetrics provided by Altmetric