1. The development of Australian Standards of Care for Hip Surveillance in Children with Cerebral Palsy: How did we reach consensus?
- Author
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Pam Thomason, Megan Kentish, Meredith Wynter, H Kerr Graham, S Love, and Noula Gibson
- Subjects
medicine.medical_specialty ,Consensus ,Evidence-based practice ,Best practice ,Patient demographics ,MEDLINE ,Physical Therapy, Sports Therapy and Rehabilitation ,Population based ,Pediatrics ,Cerebral palsy ,Health services ,Health care ,medicine ,Hip Dislocation ,Humans ,Child ,Policy Making ,business.industry ,Cerebral Palsy ,Rehabilitation ,Australia ,Standard of Care ,medicine.disease ,Population Surveillance ,Family medicine ,Practice Guidelines as Topic ,Pediatrics, Perinatology and Child Health ,Physical therapy ,business - Abstract
Progressive hip displacement is the second most common deformity in children with cerebral palsy (CP). For many decades, the methods of monitoring hip health and development in children with CP varied widely between facilities. Recently, systematic population based studies have identified some of the factors and characteristics of children with CP who would most benefit from hip surveillance. Health services providing hip surveillance within Australia identified a need for clinical guidelines to assist in provision of comprehensive and best practice health care for children with CP across all patient demographics. Guidelines providing clear, evidence based information on specific timing for commencement, frequency, and discharge have not previously been published. This article analyses the supportive evidence for comprehensive hip surveillance, discusses the development of draft guidelines in Australia, and describes the process for achieving national consensus resulting in the Consensus Statement on Hip Surveillance for Children with Cerebral Palsy: Australian Standards of Care. These standards of care are being followed in clinical facilities across Australia and are endorsed by the Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM).
- Published
- 2011
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