Evidence map›Paper›PMID 27574569›Full record

ArticleNeurology. Clinical practice2016

Knowledge translation of an online tool to determine candidacy for epilepsy surgery evaluation.

Khara M Sauro, Jayna Holroyd-Leduc, Samuel Wiebe, Hude Quan, Lara Cooke, J Helen Cross, Gary W Mathern, Heather Armson, Julie Stromer, Nathalie Jetté

Abstract read
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In one paragraph

Article in Neurology. Clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Khara M SauroDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Jayna Holroyd-LeducDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Samuel WiebeDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Hude QuanDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Lara CookeDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
J Helen CrossDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Gary W MathernDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Heather ArmsonDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Julie StromerDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.
Nathalie JettéDepartment of Clinical Neurosciences & Hotchkiss Brain Institute (KMS, SW, LC, NJ), Department of Community Health Sciences & O'Brien Institute for Public Health (KMS, JH-L, SW, HQ, NJ), Department of Medicine (JH-L), Department of Family Medicine (HA), and Ward of the 21st Century (JS), Cumming School of Medicine, University of Calgary, Alberta, Canada; UCL Institute of Child Health & Great Ormond Street Hospital for Children (JHC), London, UK; and Department of Neurosurgery, Ronald Reagan UCLA Medical Center, University of California (GWM), Los Angeles.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines recommend that surgery be considered in patients with drug-resistant epilepsy, yet delays to epilepsy surgery still exist. A Web-based, evidence-informed clinical decision tool (www.toolsforepilepsy.com) was developed to help physicians determine which patients are appropriate for an epilepsy surgery evaluation. We evaluated the usability and feasibility of the tool with the intended end users in order to improve implementation into practice.

methodsUsability testing was conducted with relevant end users. After the tool was modified based on usability results, another group of end users trialed the tool in their clinical practice. This latter group of end users then participated in focus groups and semi-structured interviews to address barriers and facilitators to tool implementation. Finally, a stakeholder meeting was held with domain experts and end users to discuss further changes to the tool and implementation strategies.

resultsSix overall themes were identified through usability testing, and an additional 11 themes were identified through the focus groups and interviews. The tool was modified based on these findings, which were then presented at the stakeholder meeting of experts and end users for further refinement. The findings were also used to guide discussions of potential implementation strategies at the meeting.

conclusionThis study provides guidance on how to improve the usability of clinical decision tools by engaging end users, experts, and other key stakeholders. The modifications to the tool should facilitate its implementation in clinical practice and ultimately enhance the quality of care persons with epilepsy receive.

Identifiers

PMID27574569
PMCPMC4987121

What OpenQuestion holds

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Registered trials

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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.