Evidence map›Paper›PMID 28420357›Full record

ArticleBMC health services research2017

In search of quality indicators for Down syndrome healthcare: a scoping review.

Francine A van den Driessen Mareeuw, Mirjam I Hollegien, Antonia M W Coppus, Diana M J Delnoij, Esther de Vries

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Health in Down syndrome: creating a conceptual model.Journal of intellectual disability research : JIDR · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

5 authors at 2 institutions in 1 country.

Francine A van den Driessen MareeuwTranzo, Scientific Center for Care and Welfare, Faculty of Social and Behavioural Sciences, Tilburg University, PO Box 90153 (T-329), 5000 LE, Tilburg, The Netherlands.
Mirjam I HollegienTranzo, Scientific Center for Care and Welfare, Faculty of Social and Behavioural Sciences, Tilburg University, PO Box 90153 (T-329), 5000 LE, Tilburg, The Netherlands.
Antonia M W CoppusDichterbij, Center for the Intellectually Disabled, Gennep, The Netherlands.
Diana M J DelnoijTranzo, Scientific Center for Care and Welfare, Faculty of Social and Behavioural Sciences, Tilburg University, PO Box 90153 (T-329), 5000 LE, Tilburg, The Netherlands.
Esther de VriesTranzo, Scientific Center for Care and Welfare, Faculty of Social and Behavioural Sciences, Tilburg University, PO Box 90153 (T-329), 5000 LE, Tilburg, The Netherlands. e.devries@tilburguniversity.edu.ORCID http://orcid.org/0000-0003-4311-3550
Tilburg University · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe medical care chain around Down syndrome (DS) is complex, with many multidisciplinary challenges. The current quality of care is unknown. Outcome-oriented quality indicators have the potential to improve medical practice and evaluate whether innovations are successful. This is particularly interesting for the evolving care for people with DS and intellectual disabilities (ID). The aim of this study was to identify existing indicators for medical DS care, by reviewing the literature.

methodsWe systematically searched six databases (PubMed, EMBASE, Web of Science, CINAHL, PsycINFO, Google Scholar) for studies concerning the development and implementation of quality indicators for DS and/or ID care, published until February 1

resultsWe identified 13 studies concerning quality indicators for ID care that obtained data originating from questionnaires (patient/family/staff), medical files and/or national databases. We did not find any indicator sets specifically for DS care. Consulted stakeholders did not come up with additional indicator sets. Existing indicators for ID care predominantly focus on support services. Indicators in care for people with ID targeting medical care are scarce. Of the 70 indicators within the 13 indicator sets, 10% are structure indicators, 34% process, 32% outcome and 24% mixed. Ten of the 13 sets include indicators on the WHO quality dimensions 'patient-centeredness', 'effectiveness' and 'efficiency' of care. 'Accessibility' is covered by nine sets, 'equitability' by six, and 'safety' by four. Most studies developed indicators in a multidisciplinary manner in a joint effort with all relevant stakeholders; some used focus groups to include people with ID.

conclusionTo our knowledge, this is the first review that searched for studies on quality indicators in DS care. Hence, the study contributes to existing knowledge on DS care as well as on measuring quality of care. Future research should address the development of a compact set of quality indicators for the DS care chain as a whole. Indicators should preferably be patient-centred and outcome-oriented, including user perspectives, while developed in a multidisciplinary way to achieve successful implementation.

Indexed as

AdultChildDelivery of Health CareDown SyndromeHumansQuality Indicators, Health CareQuality of Health CareSurveys and QuestionnairesDown syndromeIntegrated delivery of health careIntellectual disabilityQuality indicatorsQuality measuresQuality of health care

Identifiers

PMID28420357
PMCPMC5395825
OpenAlexW2606740244

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.