Abstract
BackgroundManagement of children with disorders of cerebrospinal fluid (CSF) circulation is a common aspect of paediatric neurosurgical practice. Sport and physical activity play an integral role in the lives of patients in this age group. However, there is little evidence to support the dissemination of appropriate advice to children regarding such activities. The aim of this study was to evaluate the perspectives of clinicians across the UK regarding the participation of children with disorders of CSF circulation in sports.MethodsQuestionnaires were distributed to Consultant Paediatric Neurosurgeons practising across the UK via the Society of British Neurological Surgeons (SBNS). Five different patient scenarios were supplied, and participants were asked to choose whether they would advise participation in the following sports: Taekwondo, rugby, skiing, and football.ResultsAn overall response rate of 66.7% (36 out of 54 paediatric neurosurgeons) was achieved. The following percentages of clinicians advocated football, rugby, Taekwondo, and skiing across all scenarios: 96%, 75%, 77%, and 97%, respectively. The majority of responders (91.2%) relied on personal experience when providing advice, whilst 50% used available literature and 19.4% used available guidelines.ConclusionsThere is a paucity of evidence in the literature to support the dissemination of appropriate advice to children with disorders of CSF circulation regarding participation in sports. Our findings demonstrate that the majority of clinicians rely on personal experience to make such decisions, emphasizing the necessity of larger scale studies to inform evidence-based guidelines.
Highlights
Managing children with disorders of cerebrospinal fluid (CSF) circulation is common in paediatric neurosurgical practice
Given the paucity of evidence to support the dissemination of appropriate advice to patients, we aimed to identify perspectives of paediatric neurosurgeons across the UK
In this study, we performed a nationwide survey of paediatric neurosurgeons to elucidate current practice regarding recommendations being given to children with disorders of CSF circulation who wish to participate in sport activities
Summary
Managing children with disorders of cerebrospinal fluid (CSF) circulation is common in paediatric neurosurgical practice. Given the paucity of evidence to support the dissemination of appropriate advice to patients, we aimed to identify perspectives of paediatric neurosurgeons across the UK. In this study, we performed a nationwide survey of paediatric neurosurgeons to elucidate current practice regarding recommendations being given to children with disorders of CSF circulation who wish to participate in sport activities. Management of children with disorders of cerebrospinal fluid (CSF) circulation is a common aspect of paediatric neurosurgical practice. There is little evidence to support the dissemination of appropriate advice to children regarding such activities. The aim of this study was to evaluate the perspectives of clinicians across the UK regarding the participation of children with disorders of CSF circulation in sports
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