Priority 23 from the Paediatric Lower Limb Surgery PSP

UNCERTAINTY: What is the effect of surgeon and centre experience on the outcome of orthopaedic lower limb surgery in Cerebral Palsy children? (JLA PSP Priority 23)
Overall ranking	23
JLA question ID	0081/23
Explanatory note	Not available for this PSP
Evidence	Schiariti V et al. Comparing contents of outcome measures in cerebral palsy using the International Classification of Functioning (ICF-CY): a systematic review. Eur J Paediatr Neurol. 2014 Jan;18(1):1-12.
Health Research Classification System category	Neurological

Extra information provided by this PSP
Original uncertainty examples	If surgery is going to be performed on children especially those with rare or relatively rare and complex conditions like CP and SB should that surgery only be determined and performed by a limited number of consultants who are high trained in the condition and the surgical and other options for management of those conditions. In this way the children and families get the best opinions and treatment and outcomes can be monitored, and the centres of excellence can coordinate easily to improve the national standards of care for children and families. This happens in other highly complex conditions requiring surgery eg heart surgery.
Submitted by	Physiotherapist x 2 ~ Parent x 1 ~ Orthopaedic surgeon x 1

Extra information provided by this PSP

Original uncertainty examples

If surgery is going to be performed on children especially those with rare or relatively rare and complex conditions like CP and SB should that surgery only be determined and performed by a limited number of consultants who are high trained in the condition and the surgical and other options for management of those conditions. In this way the children and families get the best opinions and treatment and outcomes can be monitored, and the centres of excellence can coordinate easily to improve the national standards of care for children and families. This happens in other highly complex conditions requiring surgery eg heart surgery.

Submitted by

Physiotherapist x 2 ~ Parent x 1 ~ Orthopaedic surgeon x 1

PSP information
PSP unique ID	0081
PSP name	Paediatric Lower Limb Surgery
Total number of uncertainties identified by this PSP.	75 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	17 November 2018