Compliance to service standards for congenital upper limb deficiency: the Northern Ireland experience.

Abstract:

BACKGROUND:In 2003, the British Society of Rehabilitation Medicine (BSRM) published guidelines on amputee and prosthetic rehabilitation, including those with congenital limb deficiency. OBJECTIVES:The aim of the study was to evaluate the service provided by the Regional Disablement Service (RDS) to children with congenital upper limb deficiency, against BSRM guidelines. STUDY DESIGN:Retrospective chart review. METHODS:Chart review. RESULTS:Analysis of the group (n = 44) showed 52% were male, with 61% of children affected on the left side, and 73% having a transverse deficiency. Compliance to individual aspects of the guidelines varied considerably. Only 14 (32%) of children had met with the multidisciplinary team by the recommended age of six months. Analysis of referral sources and timings suggested that children were initially seen elsewhere and later referred to RDS after consultation with a surgeon. CONCLUSIONS:RDS compliance with the BSRM guidelines was variable. Particularly disappointing was the low rate of children and families meeting the multidisciplinary team at an early age (< 6 months). The low rate of early referral prompted us to contact all paediatricians in Northern Ireland highlighting the guidelines, the benefits of early contact with RDS and encouraging referral on diagnosis.

journal_name

Prosthet Orthot Int

authors

Hillan J,Graham LE

doi

10.1177/0309364611427070

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

39-44

issue

1

eissn

0309-3646

issn

1746-1553

pii

0309364611427070

journal_volume

36

pub_type

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