Parental satisfaction after single-event multilevel surgery in ambulatory children with cerebral palsy.
BACKGROUND
The purpose of this study was to analyze parent satisfaction and factors affecting that satisfaction with single-event multilevel surgery outcomes in ambulatory children with cerebral palsy.


METHODS
Two hundred seventy-nine ambulatory patients with cerebral palsy were enrolled in this study. Parental satisfaction after surgery was evaluated using a visual analog scale (0-10), and the explanatory variables were collected by chart review.


RESULTS
Overall mean (SD) satisfaction after surgery was 7.9 (2.0), with mean follow-up of 6.6 years. The parents of patients classified as Gross Motor Function Classification System (GMFCS) level I cerebral palsy were more satisfied than parents of patients classified as GMFCS level II or III cerebral palsy (P = 0.029). Surgical satisfaction was higher for unilaterally involved patients than for bilaterally involved ones (P < 0.001). Multiple regression revealed predictors of satisfaction to be preoperative GMFCS level, diagnosis, age at surgery, and duration of follow-up.


CONCLUSIONS
We believe that this data can be used to help predict the level of parental satisfaction when planning single-event multilevel surgery in ambulatory children with cerebral palsy.


METHODS
Level II-Prognostic studies (investigating the effect of patient characteristic on the outcome of disease).
Lee
Sang Hyeong
SH
Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Sungnam, South Korea.
Chung
Chin Youb
CY
Park
Moon Seok
MS
Choi
In Ho
IH
Cho
Tae-Joon
TJ
Yoo
Won Joon
WJ
Lee
Kyoung Min
KM
D000367:Age Factors; D002547:Cerebral Palsy / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D017060:Patient Satisfaction; D012044:Regression Analysis; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome