PMID: 8461175Feb 1, 1993Paper

Paediatric management practices in Down syndrome: a follow-up survey

Journal of Paediatrics and Child Health
P J Foreman, E Manning

Abstract

In a follow-up survey to a 1984 study, 339 paediatricians in Australia were invited to complete a brief questionnaire in 1990, in which they indicated their usual recommendations, practices and advice when managing children with Down syndrome. The response rate was 67%. The results indicated that the most frequent paediatrician-initiated referrals were for early intervention and for discussion with other parents; these options were selected more frequently in 1990 than in 1984. While referral to a social worker was the next most frequent choice, it occurred less in 1990 than in 1984. Other increases in referrals were for physiotherapy and speech therapy. Paediatricians were more likely to support referral to a geneticist, speech therapist or cosmetic surgeon in response to a specific parental enquiry, and less likely to support referral to a social worker or to full-time care. There had been significant increases since 1984 in the likelihood that paediatricians would order audiology and investigation of thyroid and cardiac function. There was less opposition to the use of sedatives, and virtual cessation of the use of tryptophan. Paediatricians were more optimistic about the likelihood of persons with Down syndrome living indep...Continue Reading

References

Jan 1, 1990·Archives of Disease in Childhood·M SelikowitzS Wright
Aug 1, 1986·Australian Paediatric Journal·P J Foreman, J Ward
Jan 1, 1985·Applied Research in Mental Retardation·S M Pueschel

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Citations

Feb 1, 1996·Journal of Intellectual Disability Research : JIDR·J G Wishart, G Manning

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