The transition from childhood to adulthood in neurosurgery: a description

Neuro-Chirurgie
M Vinchon, P Dhellemmes

Abstract

The transition from childhood to adulthood is a difficult period for neurosurgical patients, who are at risk of interrupted follow-up, causing delayed diagnosis of complications and compromised outcome. Many of these patients harbor chronic diseases that have an impact on their adult life, may present new developments and sometimes decompensate suddenly. The authors review their experience with 601 patients treated for hydrocephalus, myelomeningocele, or tumors, and followed after their 20th birthday. Mortality, morbidity and socioprofessional outcome statistics are provided, showing the magnitude of the health problem in this population. The authors then review the obstacles to the transition from childhood to adulthood and propose possible solutions. Some problems stem from the patient's lack of information, remedied by early education. Others involve physicians, whose skills may be fragmented and who lack clinical data; this requires greater awareness of this entity, inclusion of lectures on this topic in the medical curriculum and increased clinical research in this field. Finally, obstacles in hospital organization and healthcare financing require that patient support groups and medical societies unite to lobby for improve...Continue Reading

References

Aug 18, 1999·Archives of Disease in Childhood·R Viner
Dec 22, 1999·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·E R Laws
Jun 16, 2000·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·G V McDonnell, J P McCann
Jul 24, 2003·Journal of Neurology, Neurosurgery, and Psychiatry·C Tuffrey, A Pearce

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Citations

May 14, 2011·Neurología : publicación oficial de la Sociedad Española de Neurología·J López PisónJ L Peña Segura
Mar 13, 2013·Developmental Neurorehabilitation·Pascale BaumannKarin Diserens

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