{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:25:24Z","timestamp":1790375124457,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,8,31]],"date-time":"2018-08-31T00:00:00Z","timestamp":1535673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007382","name":"La Fondation Motrice","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007382","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To analyse the health care usage of individuals with cerebral palsy (\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      ) as a function of age and ambulatory status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      In total, 970 self\u2010administered questionnaires relating to health care usage were sent, via a clinical network of professionals and institutions, to children and adults with\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      in Brittany, France. Frequency of use of different aspects of health care were analysed as a function of age and ambulatory status. Multivariate logistic regression evaluated differences in the frequency of each health care type with age; the transition from childhood to adulthood was specifically analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The response rate was 53% (282 adults, 230 children). Use of medication (particularly psychotropic and analgesic) increased with age, while physical\u2010types of health care (rehabilitation, physical medicine and rehabilitation follow\u2010up, and equipment) decreased with age, independently of ambulatory status. Use of other treatments, such as botulinum toxin injections, was not influenced by age. The provision of rehabilitation was particularly affected by the period of transition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Although health care needs change naturally in adulthood, the large decrease in usage of specific types of rehabilitation after the transition to adulthood suggested individuals had difficulty accessing this type of health care after childhood. These results provide objectives for the development of patient\u2010centred, transitional consultations, and longitudinal studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What this paper adds<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Use of medication, particularly psychotropic and analgesic drugs, increased with age in individuals with cerebral palsy.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Use of orthoses, physical medicine and rehabilitation physician follow\u2010up, and rehabilitation decreased with age.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Transition from childhood to adulthood involved significant changes in health care usage.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.14003","type":"journal-article","created":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T01:19:15Z","timestamp":1535764755000},"page":"1271-1277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["From childhood to adulthood: health care use in individuals with cerebral palsy"],"prefix":"10.1111","volume":"60","author":[{"given":"Marion","family":"Roquet","sequence":"first","affiliation":[{"name":"M\u00e9decine Physique et de R\u00e9adaptation CHRU Brest Brest France"},{"name":"Fondation Ildys Brest France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronan","family":"Garlantezec","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Sant\u00e9 Publique CHRU Rennes Rennes 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