Evidence map›Paper›PMID 30065044›Full record

ArticleBMJ supportive & palliative care2022

Research barriers in children and young people with life-limiting conditions: a survey.

Jordana Natalie Peake, Emma Beecham, Linda J M Oostendorp, Briony F Hudson, Patrick Stone, Louise Jones, Monica Lakhanpaul, Myra Bluebond-Langner

Abstract read
In one paragraph

Article in BMJ supportive & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Antiemetic medications for preventing chemotherapy-induced nausea and vomiting in children: a systematic review and Bayesian network meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
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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

8 authors.

Jordana Natalie PeakeThe Louis Dundas Centre for Children's Palliative Care, UCL Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0002-5775-5960
Emma BeechamThe Louis Dundas Centre for Children's Palliative Care, UCL Institute of Child Health, London, UK.
Linda J M OostendorpThe Louis Dundas Centre for Children's Palliative Care, UCL Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0001-5544-2672
Briony F HudsonMarie Curie Palliative Care Research Department, University College London Division of Psychiatry, London, UK.
Patrick StoneMarie Curie Palliative Care Research Department, University College London Division of Psychiatry, London, UK.ORCID http://orcid.org/0000-0002-5765-9047
Louise JonesMarie Curie Palliative Care Research Department, University College London Division of Psychiatry, London, UK.
Monica LakhanpaulPopulation, Policy and Practice Programme, UCL Institute of Child Health, London, UK.
Myra Bluebond-LangnerThe Louis Dundas Centre for Children's Palliative Care, UCL Institute of Child Health, London, UK bluebond@ucl.ac.uk.

Funding

Marie Curie MCCC-FCO-11-U
6 · The paper itself

Abstract

Studies indicate research ethics committee (REC) approval and clinician gatekeeping are two key barriers in recruiting children and young people (CYP) with life-limiting conditions (LLCs) and life-threatening illnesses (LTIs) and their families to research.

objectivesTo explore the reported experiences, difficulties and proposed solutions of chief investigators (CIs) recruiting CYP with LLCs/LTIs and families in the UK.

methods61 CIs conducting studies with CYP with LLCs/LTIs and their families, identified from the UK National Institute of Health Research portfolio, completed an anonymous, web-based questionnaire, including both closed and open-ended questions. Descriptive statistics and inductive and deductive coding were used to analyse responses.

resultsUK CIs cited limitations on funding, governance procedures including Research and Development, Site-Specific and REC approval processes, and clinician gatekeeping as challenges to research. CIs offered some solutions to overcome identified barriers such as working with CYP and their families to ensure their needs are adequately considered in study design and communicated to ethics committees; and designing studies with broad inclusion criteria and developing effective relationships with clinicians in order to overcome clinician gatekeeping.

conclusionsMany of the challenges and solutions reported by UK CIs have applicability beyond the UK setting. The involvement of clinicians, patients and their families at the inception of and throughout paediatric palliative care research studies is essential. Other important strategies include having clinician research champions and increasing the visibility of research. Further research on the perspectives of all stakeholders, leading to mutually agreed guidance, is required if care and treatment are to improve.

Indexed as

Palliative CareResearch DesignAdolescentChildHumansSurveys and Questionnairesclinical decisionsethicsmethodological researchpaediatricssymptoms and symptom management

Identifiers

PMID30065044
PMCPMC9606545

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.