Transitioning in hydrocephalus: Current practices in Canadian Paediatric Neurosurgery centres

Navneet Singh1, Patrick J McDonald1,2,3,4

  • 1Division of Neurosurgery, BC Children's Hospital, Vancouver, British Columbia.

Insights

Transitioning adolescents with hydrocephalus to adult care in Canada is inconsistent. Improved transition programs are needed to enhance care for this growing population.

Area of Science:

  • Pediatric Neurosurgery
  • Adult Neurology
  • Healthcare Transition

Background:

  • Advances in perinatal care increase survival of children with chronic conditions into adulthood.
  • Hydrocephalus affects 10,000 North American children annually, with most surviving to adulthood.
  • Fragmented transition processes from pediatric to adult care increase morbidity and hospital admissions.

Purpose of the Study:

  • To assess current transition practices for adolescents with hydrocephalus in Canada.
  • To identify inconsistencies and challenges in existing transition programs.
  • To gather neurosurgeon perspectives on improving transition care.

Main Methods:

  • Email survey distributed to pediatric neurosurgical centers across Canada.
  • Descriptive analysis of collected data on transition practices and attitudes.
  • Inquiry into age of transition, availability of adult clinics, and referral patterns.

Main Results:

  • Eleven of 12 Canadian centers responded to the survey.
  • Transition age varied between 16 and 18 years; only four centers had dedicated Adult Hydrocephalus Clinics.
  • Significant inconsistencies in referral practices and neurosurgeon dissatisfaction with current transition arrangements were reported.

Conclusions:

  • Formalizing standards and developing national guidelines for hydrocephalus patient transition is recommended.
  • Further research into patient needs is crucial for standardizing the transition process.
  • Multidisciplinary input from patients, families, and healthcare professionals is essential for effective transition programs.
Abstract

Related Concept Videos

Phase Transitions02:31

Phase Transitions

Whether solid, liquid, or gas, a substance's state depends on the order and arrangement of its particles (atoms, molecules, or ions). Particles in the solid pack closely together, generally in a pattern. The particles vibrate about their fixed positions but do not move or squeeze past their neighbors. In liquids, although the particles are closely spaced, they are randomly arranged. The position of the particles are not fixed—that is, they are free to move past their neighbors to...
23.2K
Properties of Transition Metals02:58

Properties of Transition Metals

Transition metals are defined as those elements that have partially filled d orbitals. As shown in Figure 1, the d-block elements in groups 3–12 are transition elements. The f-block elements, also called inner transition metals (the lanthanides and actinides), also meet this criterion because the d orbital is partially occupied before the f orbitals.
29.8K
Cooperative Allosteric Transitions01:58

Cooperative Allosteric Transitions

Cooperative allosteric transitions can occur in multimeric proteins, where each subunit of the protein has its own ligand-binding site. When a ligand binds to any of these subunits, it triggers a conformational change that affects the binding sites in the other subunits; this can change the affinity of the other sites for their respective ligands. The ability of the protein to change the shape of its binding site is attributed to the presence of a mix of flexible and stable segments in the...
8.7K
Cooperative Allosteric Transitions01:58

Cooperative Allosteric Transitions

2.7K
Phase Transitions: Vaporization and Condensation02:39

Phase Transitions: Vaporization and Condensation

The physical form of a substance changes on changing its temperature. For example, raising the temperature of a liquid causes the liquid to vaporize (convert into vapor). The process is called vaporization—a surface phenomenon. Vaporization occurs when the thermal motion of the molecules overcome the intermolecular forces, and the molecules (at the surface) escape into the gaseous state. When a liquid vaporizes in a closed container, gas molecules cannot escape. As these gas phase molecules...
21.3K
Phase Transitions: Sublimation and Deposition02:33

Phase Transitions: Sublimation and Deposition

Some solids can transition directly into the gaseous state, bypassing the liquid state, via a process known as sublimation. At room temperature and standard pressure, a piece of dry ice (solid CO2) sublimes, appearing to gradually disappear without ever forming any liquid. Snow and ice sublimate at temperatures below the melting point of water, a slow process that may be accelerated by winds and the reduced atmospheric pressures at high altitudes. When solid iodine is warmed, the solid sublimes...
20.2K