Combined surveillance and treatment register for children with cerebral palsy: the protocol of the Netherlands CP register

• Published in: BMJ open Vol. 13; no. 10; p. e076619
• Main Authors: Andringa, Aukje, Veerkamp, Kirsten, Roebroeck, Marij, Ketelaar, Marjolijn, Klem, Martijn, Dekkers, Hurnet, Voorman, Jeanine, van Driel, Marieke, Buizer, Annemieke
• Format: Journal Article
• Language: English
• Published: London British Medical Journal Publishing Group 28.10.2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Protocol
• Subjects: Brain damage; Caregivers; Cerebral palsy; Children & youth; Collaboration; Decision making; Developmental neurology & neurodisability; Hip dislocation; Medical personnel; Orthopedics; Paediatrics; Patient-Centered Care; Patients; REGISTRIES; Rehabilitation; REHABILITATION MEDICINE; Shared decision making; Surveillance; Therapists; Netherlands
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2023-076619

IntroductionCerebral palsy (CP) is a childhood onset, lifelong, condition. Early detection and timely treatment of potential problems during the child’s development are important to prevent secondary impairments and improve function. Clinical management of children with CP requires a spectrum of multidisciplinary interventions, which have an impact on short-term and long-term outcomes. However, there is a lack of knowledge about a personalised approach in this heterogeneous population. Various CP registers with different aims have been developed worldwide, which has made an important contribution to our understanding of CP. The purpose of this protocol is to describe the unique design of a combined multidisciplinary surveillance and treatment register for children with CP in the Netherlands, which aims to improve quality of care and to enhance an individual treatment approach.Methods and analysisThe Netherlands CP Register combines a multidisciplinary surveillance programme with a standardised protocol for treatment registry. The register systematically collects real-life surveillance and treatment data of children with CP. The register contributes to daily care at the individual level by screening for potential secondary impairments using a decision-support tool, by visualising individual development using a dashboard, and by supporting goal setting and shared decision-making for interventions. The register provides a platform at the national level for quality of care improvement and a comprehensive database of real-life data allowing multicentre studies with a long-term follow-up. People with lived experience of CP, healthcare professionals from different disciplines and researchers collaborated in the development of the register.Ethics and disseminationThe Netherlands CP register was submitted to the Medical Ethics Review Committee of VU University Medical Center (Amsterdam, the Netherlands), who judged the register not to be subject to the Medical Research Involving Human Subjects Act. A scientific board reviews requests for dissemination of data from the register for specific research questions.