title: Issues of concern before single event multilevel surgery in patients with cerebral palsy.
abstract: BACKGROUND
  This study was performed to identify the issues of concern of parents of patients with cerebral palsy before single event multilevel surgery (SEMS).
  
  
  METHODS
  The parental concerns of 64 patients [34 males, 30 females, mean age 15 y and 5 mo (SD 8 y and 10 mo)] with cerebral palsy were obtained using a questionnaire preoperatively. The issues of parental concern were evaluated using 59 items specifically designed for this study. The individual items were scored using a 5-point Likert scale (1 to 5).
  
  
  RESULTS
  The top 5 issues of concern were as follows: postoperative rehabilitation, duration of rehabilitation, immediate postoperative pain, general anesthesia, and medical cost. Sporting activities and poor compliance to wearing orthosis were included in the top 5 issues of parental concern in patients with unilateral involvement. The overall parental concern in patients with unilateral involvement was lower than that in bilateral involvement (P=0.054). Parents of younger patients showed significantly higher concern score than those of older patients (P=0.020). There was no significant difference in the overall concern score between the parents of patients scheduled for bony procedures and those of patients scheduled for soft tissue procedures (P=0.298). Multiple regression analysis revealed the patient's age (P=0.018) and responding parent (father vs. mother, P=0.025) to be the factors that significantly affected the overall concern score (adjusted R(2)=0.281).
  
  
  CONCLUSIONS
  An understanding of the issues of concern will enhance communication between physicians and parents, which would assist in preoperative discussion.
  
  
  METHODS
  Diagnostic level II.
authors.affiliation: Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Sungnam, Kyungki, Korea.
authors.forename: Moon Seok
authors.initials: MS
authors.lastname: Park
authors.forename: Chin Youb
authors.initials: CY
authors.lastname: Chung
authors.forename: Kyoung Min
authors.initials: KM
authors.lastname: Lee
authors.forename: Sang Hyeong
authors.initials: SH
authors.lastname: Lee
authors.forename: In Ho
authors.initials: IH
authors.lastname: Choi
authors.forename: Tae-Joon
authors.initials: TJ
authors.lastname: Cho
authors.forename: Won Joon
authors.initials: WJ
authors.lastname: Yoo
authors.forename: Kyung Hwan
authors.initials: KH
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000175:diagnosis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D010149:Postoperative Pain / Q000503:physiopathology; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011183:Postoperative Complications / Q000503:physiopathology; D011300:Preoperative Care / Q000379:methods; D011788:Quality of Life; D012044:Regression Analysis; D012086:Reoperation / Q000379:methods; D011795:Surveys and Questionnaires; D016896:Treatment Outcome