Evidence map›Paper›PMID 31390668›Full record

ArticleApplied clinical informatics2019

User-Centered Development of an Online Platform for Drug Dosing Recommendations in Pediatrics.

Wolfgang Rödle, Stefan Wimmer, Julia Zahn, Hans-Ulrich Prokosch, Bernward Hinkes, Antje Neubert, Wolfgang Rascher, Stefan Kraus, Dennis Toddenroth, Brita Sedlmayr

Abstract read
In one paragraph

Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
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  3. Article
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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

10 authors.

Wolfgang RödleDepartment of Medical Informatics, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Stefan WimmerDepartment of Paediatrics and Adolescent Medicine, Universitätsklinikum Erlangen, Erlangen, Germany.
Julia ZahnDepartment of Paediatrics and Adolescent Medicine, Universitätsklinikum Erlangen, Erlangen, Germany.
Hans-Ulrich ProkoschDepartment of Medical Informatics, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Bernward HinkesKinder- und Jugendärzte Forchheim, Forchheim, Germany.
Antje NeubertDepartment of Paediatrics and Adolescent Medicine, Universitätsklinikum Erlangen, Erlangen, Germany.
Wolfgang RascherDepartment of Paediatrics and Adolescent Medicine, Universitätsklinikum Erlangen, Erlangen, Germany.
Stefan KrausDepartment of Medical Informatics, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Dennis ToddenrothDepartment of Medical Informatics, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Brita SedlmayrCenter for Evidence-Based Healthcare, Carl Gustav Carus University Hospital, Technische Universität Dresden, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug therapy in pediatric patients is a complex process. Children are subject to continuous growth and variation in drug-metabolizing enzyme activity, requiring continuous adaption of dosages. In Germany, currently no publicly available database exists that provides evidence-based information on drug dosages in pediatrics. For local drug dosing support, a prototype database has been developed within the Children's Hospital, Erlangen. A user-centered development process was initiated to establish an online platform for evidence-based dosing recommendations, as well as pharmacological and pharmaceutical drug information in pediatrics.

objectivesThe objectives of the study were to survey the demand for such a platform and to assess the usability of the different versions of the developed system.

methodsThe developed prototype was evaluated in a pluralistic walkthrough with prospective end users. After a redesign, the second prototype of the online platform underwent an online usability testing based on a tailored questionnaire and the System Usability Scale (SUS) (

resultsEleven of 12 participants expressed a demand for an online platform for pediatric dosing recommendations. The majority of the participants requested the integration of extended features, such as drug-drug interaction alerts, or information on adverse effects, pharmacokinetics, and pharmacodynamics. Particularly noteworthy is the demand for an online calculator; 5 of a total of 15 participants explicitly requested a calculator for dosages (based on age, weight, body surface) and glomerular filtration rate. The usability of the second prototype was rated "good to excellent" with a median SUS of 81.25.

conclusionLocal domain experts demand an online platform for pediatric dosing recommendations. The application of the user-centered design approach enabled the development of a prototype suitable for practical use. Multiple additional required functionalities have been identified, whereby the importance of an online calculator for patient-individual dosing recommendations was particularly emphasized.

Indexed as

Drug Dosage CalculationsInternetPediatricsUser-Computer InterfaceEvidence-Based MedicineHumansSurveys and Questionnaires

Identifiers

PMID31390668
PMCPMC6685729

What OpenQuestion holds

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Registered trials

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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.