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PubMed · 16308957

Day case surgery: a modern view.

Bill Horton·Brigid Doyle
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Abstract

For several decades day surgery clinicians have championed the invaluable contribution that can be made to the provision of elective surgical care. It is now acknowledged as high impact change number one: treat day surgery rather than inpatient surgery as the norm for elective surgery. However, the potential is much greater and ambulatory practice will be the vanguard for modernizing the delivery of all surgical services of the future. It has been described as crucial to the future of health care.

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Ambulatory Surgical ProceduresElective Surgical ProceduresHumansMedical Staff, HospitalPatient-Centered CarePersonnel SelectionPreoperative CareJournal ArticleReview

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Bill Horton, Brigid Doyle. 2005. Day case surgery: a modern view.. https://doi.org/10.12968/hmed.2005.66.11.20025

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PubMed2007

The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

Ambulatory Surgical Procedures↗