Evidence map›Paper›PMID 29977566›Full record

ArticleBMC hematology2018

Adapting medical guidelines to be patient-centered using a patient-driven process for individuals with sickle cell disease and their caregivers.

Robert Michael Cronin, Tilicia L Mayo-Gamble, Sarah-Jo Stimpson, Sherif M Badawy, Lori E Crosby, Jeannie Byrd, Emmanuel J Volanakis, Adetola A Kassim, Jean L Raphael, Velma M Murry and 1 more

Open access · hybridAbstract read
In one paragraph

Article in BMC hematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. TRAUMA: making trauma clinical guidance more implementable.Trauma surgery & acute care open · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Digital behavioural interventions for people with sickle cell disease.The Cochrane database of systematic reviews · 2021
    Article
  14. How to identify, incorporate and report patient preferences in clinical guidelines: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  15. Article
  16. Article
  17. 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

11 authors at 6 institutions in 1 country.

Robert Michael Cronin1Department of Biomedical Informatics, Vanderbilt University Medical Center, 2525 West End Blvd., Suite 1475, Nashville, TN 37232 USA.ORCID 0000-0003-1916-6521
Tilicia L Mayo-Gamble4Department of Family and Community Medicine, Meharry Medical College, Nashville, TN USA.
Sarah-Jo Stimpson5Department of Pediatrics, Division of Hematology/Oncology, Vanderbilt-Meharry Center for Excellence in Sickle Cell Disease, Vanderbilt University Medical Center, Nashville, TN USA.
Sherif M Badawy6Department of Pediatrics, Division of Hematology, Oncology and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL USA.
Lori E Crosby7Division of Behavioral Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and the University of Cincinnati, College of Medicine, Cincinnati, OH USA.
Jeannie Byrd5Department of Pediatrics, Division of Hematology/Oncology, Vanderbilt-Meharry Center for Excellence in Sickle Cell Disease, Vanderbilt University Medical Center, Nashville, TN USA.
Emmanuel J Volanakis5Department of Pediatrics, Division of Hematology/Oncology, Vanderbilt-Meharry Center for Excellence in Sickle Cell Disease, Vanderbilt University Medical Center, Nashville, TN USA.
Adetola A Kassim8Department of Medicine, Division of Hematology/Oncology, Vanderbilt-Meharry Center for Excellence in Sickle Cell Disease, Vanderbilt University Medical Center, Nashville, TN USA.
Jean L Raphael9Department of Pediatrics, Section of Hematology-Oncology and Section of Academic General Pediatrics, Baylor College of Medicine, Houston, TX USA.
Velma M Murry10Department of Human & Organizational Development, Vanderbilt University, Nashville, TN USA.
Michael R DeBaun5Department of Pediatrics, Division of Hematology/Oncology, Vanderbilt-Meharry Center for Excellence in Sickle Cell Disease, Vanderbilt University Medical Center, Nashville, TN USA.
Vanderbilt University Medical Center · USBaylor College of Medicine · USCincinnati Children's Hospital Medical Center · USMeharry Medical College · USNorthwestern University · USVanderbilt University · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Using Patient-Centered Guidelines in a Technology Platform to Improve Health Care in Adults with Sickle Cell DiseaseK23HL141447 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CRONIN, ROBERT M · 2018 to 2022
$921k
AHRQ HHS K12 HS023011NCATS NIH HHS UL1 TR000445NHLBI NIH HHS K23 HL141447
6 · The paper itself

Abstract

backgroundEvidence-based guidelines for sickle cell disease (SCD) health maintenance and management have been developed for primary health care providers, but not for individuals with SCD. To improve the quality of care delivered to individuals with SCD and their caregivers, the main purposes of this study were to: (1) understand the desire for patient-centered guidelines among the SCD community; and (2) adapt guideline material to be patient-centered using community-engagement strategies involving health care providers, community -based organizations, and individuals with the disease.

methodsFrom May-December 2016, a volunteer sample of 107 individuals with SCD and their caregivers gave feedback at community forums (

resultsIn community forums (n = 64), almost all participants (91%) wanted direct access to the content of the guidelines. Participants wanted guidelines in more than one format including paper (73%) and mobile devices (79%). Guidelines were adapted to be patient-centered. After multiple iterations of feedback, 100% of participants said the guidelines were understandable, most (88%) said they were actionable, and everyone (100%) would use these adapted guidelines to discuss their medical care with their health care providers.

conclusionsIndividuals with SCD and their caregivers want access to guidelines through multiple channels, including technology. Guidelines written for health care providers can be adapted to be patient-centered using Community-engaged research involving providers and patients. These patient-centered guidelines provide a framework for patients to discuss their medical care with their health care providers.

Indexed as

Clinical practice guidelinesCommunity-engaged researchPatient-centeredPatient decision makingQualitative methodsSickle cell diseaseTechnology

Identifiers

PMID29977566
PMCPMC5994026
OpenAlexW2807146417

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.