Journal article
Outcome domains and measures after lower limb orthopaedic surgery for ambulant children with cerebral palsy: an updated scoping review
- Abstract:
- Aim: To determine the reported outcome domains and measures used to assess lower limb orthopaedic surgery of ambulant children and young people with cerebral palsy (CP) and map these outcomes to the International Classification of Functioning, Disability and Health – Children and Youth (ICF-CY) framework. Method: This updated scoping review included studies published between January 2016 and July 2019 in five databases: MEDLINE, PubMed, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials. Studies were included if participants were ambulant individuals with CP aged between 0 and 20 years who had undergone lower limb orthopaedic surgery. Health outcome domains and measures were identified and classified using the ICF-CY framework. Results: Forty-four eligible studies were identified with a total of 40 different outcome domains recorded. Among eligible studies, 44 (100%) measured body function and structural impairment and seven (16%) measured activity limitation and participation restriction. The most frequently reported outcome was gait pattern (n=37, 84%). Few studies reported adverse effects of surgery (n=13, 30%). Twenty-nine different outcome measures were identified. Patient-reported outcomes measures were used in 10 studies (23%). Interpretation: The review highlights a heterogeneity in the reported outcome domains and measures used in CP studies. The majority of the reported outcomes focus on the ICF-CY domain of body function and structure. The review also highlights a notable shift towards patient-reported outcomes in recent years. Development of a core outcome set for lower limb orthopaedic surgery would guide researchers to use more consistent and complete measurement sets.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, 247.7KB, Terms of use)
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- Publisher copy:
- 10.1111/dmcn.14599
Authors
- Publisher:
- Wiley
- Journal:
- Developmental Medicine and Child Neurology More from this journal
- Volume:
- 62
- Issue:
- 10
- Pages:
- 1138-1146
- Publication date:
- 2020-06-22
- Acceptance date:
- 2020-05-07
- DOI:
- EISSN:
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1469-8749
- ISSN:
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0012-1622
- Language:
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English
- Keywords:
- Pubs id:
-
1108469
- Local pid:
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pubs:1108469
- Deposit date:
-
2020-06-03
Terms of use
- Copyright holder:
- Almoajil et al.
- Copyright date:
- 2020
- Rights statement:
- © 2020 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Licence:
- CC Attribution (CC BY)
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