{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:36:05Z","timestamp":1772987765712,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T00:00:00Z","timestamp":1735603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T00:00:00Z","timestamp":1735603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010342","name":"Gillbergska stiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010342","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Hydrocephalus surgery with a ventriculoperitoneal shunt is a life\u2010saving treatment, but it has been associated with a high risk of dysfunction and complications. We investigated whether infants who received a ventriculoperitoneal shunt below 12\u2009months of age had a reduced risk of acute shunt dysfunction if they were included in a structured follow\u2010up programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A population\u2010based, retrospective chart review was performed at Uppsala University Children's Hospital, Sweden. Patients were identified by International Classification of Diseases, Tenth Revision codes and surgical codes from 1 January 2005 to 31 December 2019. Those who received the structured follow\u2010up programme from April 2012 were compared with historical controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 95 patients (66% male): 47 in the follow\u2010up group and 48 controls. Their mean age was 2.6 (range 0\u201312) months. There was a high 44% acute shunt dysfunction rate during the first year after primary surgery: 38% in the follow\u2010up group and 50% in the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.25). The difference was not significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The structured follow\u2010up programme was not associated with a significant reduction in acute shunt dysfunction. Predictive models could help to identify patients at risk for shunt dysfunction and complications and improve surveillance and follow\u2010up programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.17562","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T05:19:59Z","timestamp":1735622399000},"page":"1267-1274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Systematic follow\u2010ups were not associated with reduced acute ventriculoperitoneal shunt dysfunction in infancy"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4667-4038","authenticated-orcid":false,"given":"Gunnar","family":"Liminga","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"},{"name":"Uppsala University Children's Hospital  Uppsala 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 Uppsala Sweden"},{"name":"Uppsala University Children's Hospital  Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,31]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0204926"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2017.10.JNS17439"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-021-05157-0"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejmg.2014.06.002"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2018-319927"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2005.tb01972.x"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60694-8"},{"key":"e_1_2_16_9_1","volume-title":"Nelson Textbook of Pediatrics","author":"Behrman 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