Transfer of musculoskeletal care from paediatric to adult services for patients with cerebral palsy and chronic neuromuscular conditions: Identifying the unmet need
2024

Transfer of Musculoskeletal Care for Patients with Cerebral Palsy

Sample size: 39 publication Evidence: low

Author Information

Author(s): Sagade Bhushan, Thorn Connor, Portia Ross, May Catherine, Davies Evan, Rad Darius, Edwards Caroline, Aarvold Alexander

Primary Institution: University Hospitals Southampton NHS Foundation Trust

Hypothesis

The study aimed to evaluate the transfer of care for patients with cerebral palsy and chronic neuromuscular conditions from pediatric to adult services.

Conclusion

The transfer of care for patients with cerebral palsy and neuromuscular conditions remains inadequate, highlighting a significant unmet need for musculoskeletal healthcare services.

Supporting Evidence

  • Only 20.5% of patients had a documented transfer of care plan.
  • 56% of respondents reported a decline in musculoskeletal health after transfer.
  • 69% of patients reported lack of an orthopaedic surgeon overseeing their care.

Takeaway

This study found that many young adults with cerebral palsy are not getting the care they need after moving from children's hospitals to adult services.

Methodology

A cross-sectional study using a 10-item questionnaire to evaluate the transfer program and patient satisfaction.

Potential Biases

There may be biases due to the self-reported nature of the questionnaire and the exclusion of families with known safeguarding issues.

Limitations

The study had a small sample size and potential response and recall biases.

Participant Demographics

Patients aged 17 to 28 years, with 23 males and 16 females; 32 had cerebral palsy and 7 had other neuromuscular conditions.

Statistical Information

P-Value

0.09

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.hctj.2024.100078

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