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Child's Nervous System

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01-08-2013 | Original Paper

A decision analysis tool for the assessment of posterior fossa tumour surgery outcomes in children—the “Liverpool Neurosurgical Complication Causality Assessment Tool”

Authors: Rasheed Zakaria, Jonathan Ellenbogen, Catherine Graham, Barry Pizer, Conor Mallucci, Ram Kumar

Published in: Child's Nervous System | Issue 8/2013

Abstract

Introduction

Complications may occur following posterior fossa tumour surgery in children. Such complications are subjectively and inconsistently reported even though they may have significant long-term behavioural and cognitive consequences for the child. This makes comparison of surgeons, programmes and treatments problematic.

Materials and methods

We have devised a causality tool for assessing if an adverse event after surgery can be classified as a surgical complication using a series of simple questions, based on a tool used in assessing adverse drug reactions. This tool, which we have called the “Liverpool Neurosurgical Complication Causality Assessment Tool”, was developed by reviewing a series of ten posterior fossa tumour cases with a panel of neurosurgery, neurology, oncology and neuropsychology specialists working in a multidisciplinary paediatric tumour treatment programme.

Discussion and conclusion

We have demonstrated its use and hope that it may improve reliability between different assessors both in evaluating the outcomes of existing programmes and treatments as well as aiding in trials which may directly compare the effects of surgical and medical treatments.

Available only for authorised users

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Title: A decision analysis tool for the assessment of posterior fossa tumour surgery outcomes in children—the “Liverpool Neurosurgical Complication Causality Assessment Tool”
Authors: Rasheed Zakaria
Jonathan Ellenbogen
Catherine Graham
Barry Pizer
Conor Mallucci
Ram Kumar
Publication date: 01-08-2013
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 8/2013
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-013-2065-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A decision analysis tool for the assessment of posterior fossa tumour surgery outcomes in children—the “Liverpool Neurosurgical Complication Causality Assessment Tool”

Abstract

Introduction

Materials and methods

Discussion and conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Discussion and conclusion

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