Evidence map›Paper›PMID 28031304›Full record

Trial reportGlobal health, science and practice2016

Web-Based Quality Assurance Process Drives Improvements in Obstetric Ultrasound in 5 Low- and Middle-Income Countries.

Jonathan O Swanson, David Plotner, Holly L Franklin, David L Swanson, Victor Lokomba Bolamba, Adrien Lokangaka, Irma Sayury Pineda, Lester Figueroa, Ana Garces, David Muyodi and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Global health, science and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

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  8. Introduction of robot-assisted obstetric ultrasound in rural Northern Norway.Acta obstetricia et gynecologica Scandinavica · 2026
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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

21 authors.

Jonathan O SwansonUniversity of Washington Medical Center, Seattle, WA, USA. swanson5@uw.edu.
David PlotnerRTI International, Durham, NC, USA.
Holly L FranklinRTI International, Durham, NC, USA.
David L SwansonUniversity of Washington Medical Center, Seattle, WA, USA.
Victor Lokomba BolambaUniversity of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Adrien LokangakaUniversity of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Irma Sayury PinedaInstituto de Nutrición de Centroamérica y Panamá (INCAP), Guatemala City, Guatemala.
Lester FigueroaInstituto de Nutrición de Centroamérica y Panamá (INCAP), Guatemala City, Guatemala.
Ana GarcesInstituto de Nutrición de Centroamérica y Panamá (INCAP), Guatemala City, Guatemala.
David MuyodiMoi University School of Medicine, Eldoret, Kenya.
Fabian EsamaiMoi University School of Medicine, Eldoret, Kenya.
Nancy KanaizaMoi University School of Medicine, Eldoret, Kenya.
Waseem MirzaAga Khan University, Karachi, Pakistan.
Farnaz NaqviAga Khan University, Karachi, Pakistan.
Sarah SaleemAga Khan University, Karachi, Pakistan.
Musaku MwenechanyaUniversity Teaching Hospital, Lusaka, Zambia.
Melody ChiwilaUniversity Teaching Hospital, Lusaka, Zambia.
Dorothy HamsumondeUniversity Teaching Hospital, Lusaka, Zambia.
Elizabeth M McClureRTI International, Durham, NC, USA.
Robert L GoldenbergColumbia University, New York, NY, USA.
Robert O NathanUniversity of Washington Medical Center, Seattle, WA, USA.

Funding

Columbia University/Aga Khan University Global Network Research UnitU10HD078438 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOLDENBERG, ROBERT L · 2013 to 2017
$3.2M
NICHD NIH HHS U10 HD078438
6 · The paper itself

Abstract

High quality is important in medical imaging, yet in many geographic areas, highly skilled sonographers are in short supply. Advances in Internet capacity along with the development of reliable portable ultrasounds have created an opportunity to provide centralized remote quality assurance (QA) for ultrasound exams performed at rural sites worldwide. We sought to harness these advances by developing a web-based tool to facilitate QA activities for newly trained sonographers who were taking part in a cluster randomized trial investigating the role of limited obstetric ultrasound to improve pregnancy outcomes in 5 low- and middle-income countries. We were challenged by connectivity issues, by country-specific needs for website usability, and by the overall need for a high-throughput system. After systematically addressing these needs, the resulting QA website helped drive ultrasound quality improvement across all 5 countries. It now offers the potential for adoption by future ultrasound- or imaging-based global health initiatives.

Indexed as

InternetQuality ImprovementCongoDeveloping CountriesFemaleGuatemalaHumansKenyaObstetricsPakistanPregnancyTelemedicineUltrasonographyZambia

Identifiers

PMID28031304
PMCPMC5199182

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.