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PREDICT-CP: study protocol of implementation of comprehensive surveillance to predict outcomes for school-aged children with cerebral palsy

ObjectivesCerebral palsy (CP) remains the world’s most common childhood physical disability with total annual costs of care and lost well-being of $A3.87b. The PREDICT-CP (NHMRC 1077257 Partnership Project: Comprehensive surveillance to PREDICT outcomes for school age children with CP) study will in...

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Published in:BMJ open 2017-07, Vol.7 (7), p.e014950-e014950
Main Authors: Boyd, Roslyn N, Davies, Peter SW, Ziviani, Jenny, Trost, Stewart, Barber, Lee, Ware, Robert, Rose, Stephen, Whittingham, Koa, Sakzewski, Leanne, Bell, Kristie, Carty, Christopher, Obst, Steven, Benfer, Katherine, Reedman, Sarah, Edwards, Priya, Kentish, Megan, Copeland, Lisa, Weir, Kelly, Davenport, Camilla, Brooks, Denise, Coulthard, Alan, Pelekanos, Rebecca, Guzzetta, Andrea, Fiori, Simona, Wynter, Meredith, Finn, Christine, Burgess, Andrea, Morris, Kym, Walsh, John, Lloyd, Owen, Whitty, Jennifer A, Scuffham, Paul A
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cited_by cdi_FETCH-LOGICAL-b472t-5b4f69cba882f27a1b486b2da5fb55c7cdb3fb15aec48ef61e51b1598df22cf83
cites cdi_FETCH-LOGICAL-b472t-5b4f69cba882f27a1b486b2da5fb55c7cdb3fb15aec48ef61e51b1598df22cf83
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container_start_page e014950
container_title BMJ open
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creator Boyd, Roslyn N
Davies, Peter SW
Ziviani, Jenny
Trost, Stewart
Barber, Lee
Ware, Robert
Rose, Stephen
Whittingham, Koa
Sakzewski, Leanne
Bell, Kristie
Carty, Christopher
Obst, Steven
Benfer, Katherine
Reedman, Sarah
Edwards, Priya
Kentish, Megan
Copeland, Lisa
Weir, Kelly
Davenport, Camilla
Brooks, Denise
Coulthard, Alan
Pelekanos, Rebecca
Guzzetta, Andrea
Fiori, Simona
Wynter, Meredith
Finn, Christine
Burgess, Andrea
Morris, Kym
Walsh, John
Lloyd, Owen
Whitty, Jennifer A
Scuffham, Paul A
description ObjectivesCerebral palsy (CP) remains the world’s most common childhood physical disability with total annual costs of care and lost well-being of $A3.87b. The PREDICT-CP (NHMRC 1077257 Partnership Project: Comprehensive surveillance to PREDICT outcomes for school age children with CP) study will investigate the influence of brain structure, body composition, dietary intake, oropharyngeal function, habitual physical activity, musculoskeletal development (hip status, bone health) and muscle performance on motor attainment, cognition, executive function, communication, participation, quality of life and related health resource use costs. The PREDICT-CP cohort provides further follow-up at 8–12 years of two overlapping preschool-age cohorts examined from 1.5 to 5 years (NHMRC 465128 motor and brain development; NHMRC 569605 growth, nutrition and physical activity).Methods and analysesThis population-based cohort study undertakes state-wide surveillance of 245 children with CP born in Queensland (birth years 2006–2009). Children will be classified for Gross Motor Function Classification System; Manual Ability Classification System, Communication Function Classification System and Eating and Drinking Ability Classification System. Outcomes include gross motor function, musculoskeletal development (hip displacement, spasticity, muscle contracture), upper limb function, communication difficulties, oropharyngeal dysphagia, dietary intake and body composition, participation, parent-reported and child-reported quality of life and medical and allied health resource use. These detailed phenotypical data will be compared with brain macrostructure and microstructure using 3 Tesla MRI (3T MRI). Relationships between brain lesion severity and outcomes will be analysed using multilevel mixed-effects models.Ethics and disseminationThe PREDICT-CP protocol is a prospectively registered and ethically accepted study protocol. The study combines data at 1.5–5 then 8–12 years of direct clinical assessment to enable prediction of outcomes and healthcare needs essential for tailoring interventions (eg, rehabilitation, orthopaedic surgery and nutritional supplements) and the projected healthcare utilisation.Trial registration numberACTRN: 12616001488493
doi_str_mv 10.1136/bmjopen-2016-014950
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The PREDICT-CP (NHMRC 1077257 Partnership Project: Comprehensive surveillance to PREDICT outcomes for school age children with CP) study will investigate the influence of brain structure, body composition, dietary intake, oropharyngeal function, habitual physical activity, musculoskeletal development (hip status, bone health) and muscle performance on motor attainment, cognition, executive function, communication, participation, quality of life and related health resource use costs. The PREDICT-CP cohort provides further follow-up at 8–12 years of two overlapping preschool-age cohorts examined from 1.5 to 5 years (NHMRC 465128 motor and brain development; NHMRC 569605 growth, nutrition and physical activity).Methods and analysesThis population-based cohort study undertakes state-wide surveillance of 245 children with CP born in Queensland (birth years 2006–2009). Children will be classified for Gross Motor Function Classification System; Manual Ability Classification System, Communication Function Classification System and Eating and Drinking Ability Classification System. Outcomes include gross motor function, musculoskeletal development (hip displacement, spasticity, muscle contracture), upper limb function, communication difficulties, oropharyngeal dysphagia, dietary intake and body composition, participation, parent-reported and child-reported quality of life and medical and allied health resource use. These detailed phenotypical data will be compared with brain macrostructure and microstructure using 3 Tesla MRI (3T MRI). Relationships between brain lesion severity and outcomes will be analysed using multilevel mixed-effects models.Ethics and disseminationThe PREDICT-CP protocol is a prospectively registered and ethically accepted study protocol. The study combines data at 1.5–5 then 8–12 years of direct clinical assessment to enable prediction of outcomes and healthcare needs essential for tailoring interventions (eg, rehabilitation, orthopaedic surgery and nutritional supplements) and the projected healthcare utilisation.Trial registration numberACTRN: 12616001488493</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2016-014950</identifier><identifier>PMID: 28706091</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Brain research ; Caregivers ; Cerebral palsy ; Cerebral Palsy - diagnosis ; Child ; Children &amp; youth ; Classification ; Cohort Studies ; Communication ; Costs ; Health surveillance ; Humans ; Paediatrics ; Population Surveillance ; Preferences ; Prognosis ; Quality of life ; Research Design ; Well being</subject><ispartof>BMJ open, 2017-07, Vol.7 (7), p.e014950-e014950</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2017 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Family Health Database (Proquest)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boyd, Roslyn N</au><au>Davies, Peter SW</au><au>Ziviani, Jenny</au><au>Trost, Stewart</au><au>Barber, Lee</au><au>Ware, Robert</au><au>Rose, Stephen</au><au>Whittingham, Koa</au><au>Sakzewski, Leanne</au><au>Bell, Kristie</au><au>Carty, Christopher</au><au>Obst, Steven</au><au>Benfer, Katherine</au><au>Reedman, Sarah</au><au>Edwards, Priya</au><au>Kentish, Megan</au><au>Copeland, Lisa</au><au>Weir, Kelly</au><au>Davenport, Camilla</au><au>Brooks, Denise</au><au>Coulthard, Alan</au><au>Pelekanos, Rebecca</au><au>Guzzetta, Andrea</au><au>Fiori, Simona</au><au>Wynter, Meredith</au><au>Finn, Christine</au><au>Burgess, Andrea</au><au>Morris, Kym</au><au>Walsh, John</au><au>Lloyd, Owen</au><au>Whitty, Jennifer A</au><au>Scuffham, Paul A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PREDICT-CP: study protocol of implementation of comprehensive surveillance to predict outcomes for school-aged children with cerebral palsy</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>7</volume><issue>7</issue><spage>e014950</spage><epage>e014950</epage><pages>e014950-e014950</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesCerebral palsy (CP) remains the world’s most common childhood physical disability with total annual costs of care and lost well-being of $A3.87b. The PREDICT-CP (NHMRC 1077257 Partnership Project: Comprehensive surveillance to PREDICT outcomes for school age children with CP) study will investigate the influence of brain structure, body composition, dietary intake, oropharyngeal function, habitual physical activity, musculoskeletal development (hip status, bone health) and muscle performance on motor attainment, cognition, executive function, communication, participation, quality of life and related health resource use costs. The PREDICT-CP cohort provides further follow-up at 8–12 years of two overlapping preschool-age cohorts examined from 1.5 to 5 years (NHMRC 465128 motor and brain development; NHMRC 569605 growth, nutrition and physical activity).Methods and analysesThis population-based cohort study undertakes state-wide surveillance of 245 children with CP born in Queensland (birth years 2006–2009). Children will be classified for Gross Motor Function Classification System; Manual Ability Classification System, Communication Function Classification System and Eating and Drinking Ability Classification System. Outcomes include gross motor function, musculoskeletal development (hip displacement, spasticity, muscle contracture), upper limb function, communication difficulties, oropharyngeal dysphagia, dietary intake and body composition, participation, parent-reported and child-reported quality of life and medical and allied health resource use. These detailed phenotypical data will be compared with brain macrostructure and microstructure using 3 Tesla MRI (3T MRI). Relationships between brain lesion severity and outcomes will be analysed using multilevel mixed-effects models.Ethics and disseminationThe PREDICT-CP protocol is a prospectively registered and ethically accepted study protocol. The study combines data at 1.5–5 then 8–12 years of direct clinical assessment to enable prediction of outcomes and healthcare needs essential for tailoring interventions (eg, rehabilitation, orthopaedic surgery and nutritional supplements) and the projected healthcare utilisation.Trial registration numberACTRN: 12616001488493</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28706091</pmid><doi>10.1136/bmjopen-2016-014950</doi><orcidid>https://orcid.org/0000-0001-5395-544X</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 2044-6055
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2044-6055
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source BMJ Open Access Journals; BMJ; Publicly Available Content Database; PubMed Central(OpenAccess)
subjects Brain research
Caregivers
Cerebral palsy
Cerebral Palsy - diagnosis
Child
Children & youth
Classification
Cohort Studies
Communication
Costs
Health surveillance
Humans
Paediatrics
Population Surveillance
Preferences
Prognosis
Quality of life
Research Design
Well being
title PREDICT-CP: study protocol of implementation of comprehensive surveillance to predict outcomes for school-aged children with cerebral palsy
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