title: [Approach to severe functional deficiencies: evaluating the efficacy of a special multidisciplinary consultation].
abstract: A global approach is required to evaluate severe functional deficits. We have developed a multidisciplinary consultation and assessed its usefulness after one year. A total of 62 patients were evaluated (mean age 35 years), usually for neurological functional deficit (50%). Among the 62 patients, surgery was proposed in 72.6% (operations performed in 66%). Others were managed with non-surgical procedures or abstention. The functional outcome as assessed by patients and physicians was poor (or no result) for 6%, fair for 15%, good or very good for 79%. These results suggest that such a multidisciplinary approach is worth being pursued. Some adjustments for psychological dysfunction may further improve outcomes.
authors.affiliation: Service de Neurochirurgie, CHU, Poitiers.
authors.forename: F
authors.initials: F
authors.lastname: Lapierre
authors.forename: L E
authors.initials: LE
authors.lastname: Gayet
authors.forename: C
authors.initials: C
authors.lastname: Delaubier
authors.forename: G
authors.initials: G
authors.lastname: Duport
authors.forename: J M
authors.initials: JM
authors.lastname: Servant
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003677:Deficiency Diseases / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery; D009985:Orthopedics; D017060:Patient Satisfaction; D012017:Referral and Consultation; D013518:Surgery, Plastic
vernacular_title: Approche des déficiences fonctionnelles graves: bilan de l'activité d'une consultation pluridisciplinaire dédiée.