Australian Hand Difference Register (AHDR)
- Project status: Active
Research area: Genomic Medicine > Reproductive Epidemiology
The Australian Hand Difference Register (AHDR) is a database of children born with a hand difference and/or arm difference.
Congenital hand differences are not that common and occur in up to 30 children in every 10,000 births.
Congenital hand differences are not that common and occur in up to 30 children in every 10,000 births.
Overview
A congenital hand difference is a hand or arm difference that is present at birth. Some of the more common differences include:
- having more or fewer than five fingers
- fingers that will not bend or will not straighten
- fingers that are joined together
- bones in the hand or arm that are too short or missing
Congenital hand differences are not that common and occur in up to 30 children in every 10,000 births, depending on the population studied [1,2,3].
The Australian Hand Difference Register (AHDR) was established in 2017 and contains information about children born with a hand and/or arm difference. The AHDR is managed by the Murdoch Children’s Research Institute, which is located at The Royal Children’s Hospital in Melbourne.
The AHDR will help us to:
- find out how many children are born with various types of hand and or arm difference in Australia
- improve our understanding about causes and risk factors
- gain information to help in planning services
- identify possible participants for future research
- identify the effects of hand differences on children
- decide how to best manage hand differences
More resources
Information for participants
What being part of the register involves
To enable us to collect important information about the number of children born in Australia with various hand or arm differences, the AHDR will include a minimum data set of information about the hand / arm difference of all children notified to the AHDR; however, no information that could identify you / your child will be recorded unless you give your consent for you / your child to be part of the AHDR.
We would like to collect health and related information about you / your child from several sources. Each of these sources is explained below. We would like you to consider giving your permission for each of these, however it is your choice which you agree to. You may decide to agree to some or all of them.
Optional enrolment questionnaire
We would like you to fill in a one-off questionnaire. Ideally, this is filled in by the child’s mother as it includes questions about pregnancy and birth. It also includes questions about family background and child health. The questionnaire takes about 30 minutes to do and can be done online, on printed copy, or by phone interview, whichever you prefer.
Optional access to hospital medical records
We would like to collect and use information from your / your child’s hospital medical record. The information we would collect includes: diagnosis, functioning, treatment, and outcome of treatment.
Optional future research
We would like you to consider letting us send you information about new research projects that may be suitable for you / your child. Any information we send will give you the full details about the project. It is your choice whether you agree to take part / let your child take part in any future project. You are not obliged to take part in any future research you are sent information about.
Optional outcome questionnaires
We would like to send you a series of short questionnaires for you or your child to complete when your child is age 5, 8, 11, 14 and 17 years. The questionnaires will allow us to assess how your child views their hand difference and how it affects their function and behaviour, if at all. This information may help us determine how to best manage hand differences like that of your child’s. It is your choice whether your child completes some, all, or none of the questionnaires.
Research team
Associate Professor David McCombe
Clinical Lead, Hand and Microvascular Surgery, Department of Plastic and Maxillofacial Surgery, The Royal Children’s Hospital
Professor Tony Penington
Jigsaw Professor, Department of Plastic and Maxillofacial Surgery, The Royal Children’s Hospital & Research Group Leader, Plastic Surgery Research, Murdoch Children’s Research Institute
Mr Daniel Wilks
Surgeon, Department of Plastic and Maxillofacial Surgery, The Royal Children’s Hospital
Ms Rose Biggins
Musculoskeletal Stream Leader, Occupational Therapy, The Royal Children’s Hospital
Ms Joanne Kennedy
AHDR Coordinator, Reproductive Epidemiology, Murdoch Children’s Research Institute
Site Principal Investigators
Associate Professor Stuart Bade
Director of Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery, Queensland Children's Hospital
Dr Lewis Blennerhassett
Plastic and Reconstructive Surgeon and Hand Surgeon, Perth Children’s Hospital
Dr David Graham
Hand Surgeon / Orthopaedic Surgeon, Gold Coast University Hospital
Dr Isaac Harvey
Consultant Plastic and Reconstructive Surgeon, Women’s and Children’s Hospital, Adelaide
Dr Frank Kimble
Plastic and Reconstructive Surgeon, Royal Hobart Hospital
Dr Richard Lawson
Unit Director–Hand Surgery, The Children’s Hospital at Westmead, Sydney
Dr Nelson Low
Head, Plastic Surgery Unit, Monash Children’s Hospital, Melbourne
Dr Sean Nicklin
Consultant Hand Surgeon, Sydney Children’s Hospital Randwick
Dr Alexa Potter
Consultant Plastic Surgeon, Flinders Medical Centre, Adelaide
Collaborators
The AHDR has been supported by the
- McNally Family Foundation
- Aussie Hands (a support group for people who have a hand difference and their families)
- Australasian Foundation for Plastic Surgery.
Funding organisations do not have access to any individual or confidential information contained on the AHDR.
We are currently recruiting children and their families from:
- The Royal Children's Hospital, Parkville, Victoria
- Monash Children's Hospital, Clayton, Victoria
- Sydney Children's Hospital, Randwick, New South Wales
- The Children's Hospital at Westmead, New South Wales
- Gold Coast University Hospital, Queensland
- Queensland Children's Hospital, Brisbane, Queensland
- Women's and Children's Hospital, Adelaide, South Australia
- Flinders Medical Centre, Adelaide, South Australia
- Perth Children's Hospital, Western Australia
- Royal Hobart Hospital, Tasmania
Publications
Pre-natal and post-natal diagnosis of congenital upper limb differences: The first 3 years of the Australian Hand Difference Register. David O'Keefe, Joanne Kennedy, David McCombe, Chris Coombs, Lisa Hui, Daniel Wilks, Jane Halliday. J Paediatr Child Health (2021) Aug 3.
The psychosocial impact of congenital hand and upper limb differences on children: a qualitative study. Lucy McDougall, Joanne Kennedy, Christopher Coombs, Anthony Penington. J Hand Surg Eur Vol (2020) Oct 29.
Keeping up to date with classification of congenital upper limb differences: the Australian Perspective. David McCombe, Chris Coombs, Sarah Tolerton. J Hand Surg Eur Vol (2020) Oct 22.
Annual Reports
Contact us
Australian Hand Difference Register
Murdoch Children's Research Institute
The Royal Children's Hospital
50 Flemington Road
Parkville VIC 3052
Australia
Jo Kennedy, Senior Project Coordinator
Email:
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