Evidence map›Paper›PMID 23347677›Full record

ArticleBMC pediatrics2013

A modified Delphi study of screening for fetal alcohol spectrum disorders in Australia.

Rochelle E Watkins, Elizabeth J Elliott, Jane Halliday, Colleen M O'Leary, Heather D'Antoine, Elizabeth Russell, Lorian Hayes, Elizabeth Peadon, Amanda Wilkins, Heather M Jones and 9 more

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  8. The health professionals' perspectives of support needs of adult head and neck cancer survivors and their families: a Delphi study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 1 country.

Rochelle E WatkinsTelethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Perth, Australia. rwatkins@ichr.uwa.edu.au
Elizabeth J Elliott
Jane Halliday
Colleen M O'Leary
Heather D'Antoine
Elizabeth Russell
Lorian Hayes
Elizabeth Peadon
Amanda Wilkins
Heather M Jones
Anne McKenzie
Sue Miers
Lucinda Burns
Raewyn C Mutch
Janet M Payne
James P Fitzpatrick
Maureen Carter
Jane Latimer
Carol Bower
The Kids Research Institute Australia · AUThe University of Sydney · AUCharles Darwin University · AUThe George Institute for Global Health · AUThe University of Melbourne · AUThe University of Queensland · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is little reliable information on the prevalence of fetal alcohol spectrum disorders (FASD) in Australia and no coordinated national approach to facilitate case detection. The aim of this study was to identify health professionals' perceptions about screening for FASD in Australia.

methodA modified Delphi process was used to assess perceptions of the need for, and the process of, screening for FASD in Australia. We recruited a panel of 130 Australian health professionals with experience or expertise in FASD screening or diagnosis. A systematic review of the literature was used to develop Likert statements on screening coverage, components and assessment methods which were administered using an online survey over two survey rounds.

resultsOf the panel members surveyed, 95 (73%) responded to the questions on screening in the first survey round and, of these, 81 (85%) responded to the second round. Following two rounds there was consensus agreement on the need for targeted screening at birth (76%) and in childhood (84%). Participants did not reach consensus agreement on the need for universal screening at birth (55%) or in childhood (40%). Support for targeted screening was linked to perceived constraints on service provision and the need to examine the performance, costs and benefits of screening.For targeted screening of high risk groups, we found highest agreement for siblings of known cases of FASD (96%) and children of mothers attending alcohol treatment services (93%). Participants agreed that screening for FASD primarily requires assessment of prenatal alcohol exposure at birth (86%) and in childhood (88%), and that a checklist is needed to identify the components of screening and criteria for referral at birth (84%) and in childhood (90%).

conclusionsThere is an agreed need for targeted but not universal screening for FASD in Australia, and sufficient consensus among health professionals to warrant development and evaluation of standardised methods for targeted screening and referral in the Australian context. Participants emphasised the need for locally-appropriate, evidence-based approaches to facilitate case detection, and the importance of ensuring that screening and referral programs are supported by adequate diagnostic and management capacity.

Indexed as

Attitude of Health PersonnelMass ScreeningAustraliaDelphi TechniqueFemaleFetal Alcohol Spectrum DisordersHumansMalePregnancySurveys and Questionnaires

Identifiers

PMID23347677
PMCPMC3583688
OpenAlexW2150813338

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.