Evidence map›Paper›PMID 28288355›Full record

ArticleJournal of critical care2017

Time required to initiate outbreak and pandemic observational research.

Asgar H Rishu, Nicole Marinoff, Lisa Julien, Mariana Dumitrascu, Nicole Marten, Shauna Eggertson, Su Willems, Stacy Ruddell, Dan Lane, Bruce Light and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of critical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Preparing intensive care for the next pandemic influenza.Critical care (London, England) · 2019
    Review
  11. Article
  12. What treating Ebola means for pandemic influenza.Journal of public health policy · 2018
    Article
  13. Regulatory and Operational Complexities of Conducting a Clinical Treatment Trial During an Ebola Virus Disease Epidemic.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  14. Article
  15. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Asgar H RishuDepartment of Critical Care Medicine, Sunnybrook Health Sciences Center, Toronto, Ontario, M4N 3M5, Canada.
Nicole MarinoffDepartment of Critical Care Medicine, Sunnybrook Health Sciences Center, Toronto, Ontario, M4N 3M5, Canada.
Lisa JulienDivision of Critical Care Medicine, Dalhousie University and the Capital District Health Authority, Halifax, Nova Scotia, B3H 1V7, Canada.
Mariana DumitrascuDépartement de Pédiatrics et Soins Intensifs, Hôpital Ste-Justine, l'Université de Montréal, Montréal, Québec, H3T 1C5, Canada.
Nicole MartenSection of Critical Care Medicine, St Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, R2H 2A6, Canada.
Shauna EggertsonSection of Critical Care Medicine, St Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, R2H 2A6, Canada.
Su WillemsDepartment of Critical Care Medicine, Royal Columbian Hospital, University of British Columbia, Vancouver, British Columbia, V3L 3W7, Canada.
Stacy RuddellDepartment of Critical Care Medicine, Foothills Hospital, University of Calgary, Alberta, Canada T2N 2T9.
Dan LaneDepartment of Critical Care Medicine, Foothills Hospital, University of Calgary, Alberta, Canada T2N 2T9.
Bruce LightSection of Critical Care Medicine, St Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, R2H 2A6, Canada.
Henry T StelfoxDepartment of Critical Care Medicine, Foothills Hospital, University of Calgary, Alberta, Canada T2N 2T9.
Philippe JouvetDépartement de Pédiatrics et Soins Intensifs, Hôpital Ste-Justine, l'Université de Montréal, Montréal, Québec, H3T 1C5, Canada.
Richard HallDivision of Critical Care Medicine, Dalhousie University and the Capital District Health Authority, Halifax, Nova Scotia, B3H 1V7, Canada.
Steven ReynoldsDepartment of Critical Care Medicine, Royal Columbian Hospital, University of British Columbia, Vancouver, British Columbia, V3L 3W7, Canada.
Nick DanemanDivision of Infectious Diseases, Department of Medicine and Clinical Epidemiology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada M4N 3M5.
Robert A FowlerDepartments of Medicine and Critical Care Medicine, Sunnybrook Health Sciences Center, Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada M4N 3M5. Electronic address: rob.fowler@sunnybrook.ca.
Canadian Critical Care Trials Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObservational research focused upon emerging infectious diseases such as Ebola virus, Middle East respiratory syndrome, and Zika virus has been challenging to quickly initiate. We aimed to determine the duration of start-up procedures and barriers encountered for an observational study focused upon such infectious outbreaks. MATERIALS AND

methodsAt 1 pediatric and 5 adult intensive care units, we measured durations from protocol receipt to a variety of outbreak research milestones, including research ethics board (REB) approval, data sharing agreement (DSA) execution, and patient study screening initiation.

resultsThe median (interquartile range) time from site receipt of the protocol to REB submission was 73 (30-126) days; to REB approval, 158 (42-188) days; to DSA completion, 276 (186-312) days; and to study screening initiation, 293 (269-391) days. The median time from REB submission to REB approval was 43 (13-85) days. The median time for all start-up procedures was 335 (188-335) days.

conclusionsThere is a lengthy start-up period required for outbreak-focused research. Completing DSAs was the most time-consuming step. A reactive approach to newly emerging threats such as Ebola virus, Middle East respiratory syndrome, and Zika virus will likely not allow sufficient time to initiate research before most outbreaks are advanced.

Indexed as

Observational Studies as TopicPandemicsBenchmarkingCommunicable Diseases, EmergingEpidemiologic MethodsHumansOntarioResearch DesignCanadaCriticalIntensive careOutbreakPandemicResearch

Identifiers

PMID28288355
PMCPMC7126421

What OpenQuestion holds

Textmetadata
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.