Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Public Health and Disability—The Importance of Keeping up the Good Work

Version 1 : Received: 4 March 2021 / Approved: 5 March 2021 / Online: 5 March 2021 (11:51:51 CET)

A peer-reviewed article of this Preprint also exists.

Alriksson-Schmidt, A.I.; Hägglund, G. Public Health and Disability: A Real-Life Example of the Importance of Keeping up the Good Work. Disabilities 2021, 1, 151-160. Alriksson-Schmidt, A.I.; Hägglund, G. Public Health and Disability: A Real-Life Example of the Importance of Keeping up the Good Work. Disabilities 2021, 1, 151-160.

Journal reference: Disabilities 2021, 1, 12
DOI: 10.3390/disabilities1030012

Abstract

Secondary and tertiary prevention strategies targeting people with disabilities to improve their health and wellbeing is important. In Sweden, >95% of all children with cerebral palsy (CP) participate in a follow-up program, where one of the goals is the prevention of hip dislocations. We reviewed the incidence of hip dislocations from 2010 to 2019 and the number of children who underwent different types of hip surgeries. The number of hip dislocations was reduced from 8.8% before introduction of the program to 0.3-0.4% up to 2015, followed by a gradual increase to 0.8% in 2019. The proportion of children who underwent adductor-psoas lengthening as their primary preventive surgery decreased from 50% in 2017 to 37% in 2019 with a corresponding increase of children undergoing femoral osteotomy, indicating more children underwent surgery at a later stage. Reasons for the increased number of children with hip dislocation may be that more children have moved to Sweden in recent years without corresponding compensation in health care resources and increased waiting times for surgery due to, among other things, a shortage of nurses. The results highlight the importance of constantly monitoring follow-up programs.

Keywords

disability; quality of life; cerebral palsy; surveillance

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