Evidence map›Paper›PMID 27257018›Full record

ReviewEuropean journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society2017

Securing a future for responsible neuromodulation in children: The importance of maintaining a broad clinical gaze.

John Gardner

Abstract readReview
In one paragraph

Review in European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Neuroethics of Neuromodulation: An Update.Current opinion in biomedical engineering · 2018
    Article
  3. Article
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

1 author.

John GardnerScience and Technology Studies Unit, Department of Sociology, University of York, York, YO10 5DD, United Kingdom. Electronic address: john.gardner@york.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis perspective paper provides an overview of several key tensions and challenges within the social context of neuromodulation, and it suggests a means of securing the future of paediatric neuromodulation in light of these.

resultsTensions and challenges relate to: the considerable clinical and economic need for new therapies to manage neurological diseases; significant commercial involvement in the field; funding pressures; public perceptions (particularly unrealistic expectations); and the emerging Responsible Research and Innovation initiative. This paper argues that managing these challenges and tensions requires that clinicians working within the field adopt what could be called a broad clinical gaze. This paper will define the broad clinical gaze, and it will propose several ways in which a broad clinical gaze can be - and indeed is being - operationalised in recent advances in neuromodulation in children. These include the use of multidisciplinary and interdisciplinary clinical team structures, the adoption of clinical assessment tools that capture day-to-day functionality, and the use of patient registries.

conclusionBy adopting a broad clinical gaze, clinicians and investigators can ensure that the field as a whole can responsibly and ethically deliver on its significant clinical potential.

Indexed as

AdultAttitude of Health PersonnelBrainChildDeep Brain StimulationEpilepsyEthics, MedicalHumansInterdisciplinary CommunicationIntersectoral CollaborationMovement DisordersNervous System DiseasesNeuronal PlasticityPatient-Centered CarePhilosophy, MedicalRisk AssessmentBioethicsDeep brain stimulationEthicsPatient-centred medicineResponsible research and innovation

Identifiers

PMID27257018
PMCPMC5282397

What OpenQuestion holds

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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.