Evidence map›Paper›PMID 31668291›Full record

ArticleSeminars in pediatric surgery2019

Development of a decision support tool in pediatric Differences/Disorders of Sex Development.

David E Sandberg, Melissa Gardner, Kristin Kopec, Megan Urbanski, Nina Callens, Catherine E Keegan, Beverly M Yashar, Patricia Y Fechner, Margarett Shnorhavorian, Eric Vilain and 2 more

Abstract read
In one paragraph

Article in Seminars in pediatric surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Review
  2. Differences of sex development.Nature reviews. Disease primers · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. 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

12 authors.

David E SandbergDepartment of Pediatrics, Child Health, Evaluation and Research (CHEAR) Center, University of Michigan, 300 N Ingalls Bldg, 6C23, Ann Arbor, MI 48109, United States. Electronic address: dsandber@med.umich.edu.
Melissa GardnerDepartment of Pediatrics, Child Health, Evaluation and Research (CHEAR) Center, University of Michigan, 300 N Ingalls Bldg, 6C23, Ann Arbor, MI 48109, United States.
Kristin KopecTemple University, United States.
Megan UrbanskiSocial and Behavioral Sciences, Temple University, United States.
Nina CallensDepartment of Pediatrics, Child Health Evaluation and Research (CHEAR) Center, Belgian American Educational Foundation (BAEF Inc), University of Michigan, United States.
Catherine E KeeganDepartment of Human Genetics, University of Michigan, United States.
Beverly M YasharDepartment of Human Genetics, University of Michigan, United States.
Patricia Y FechnerDivision of Endocrinology, Seattle Children's Hospital, United States.
Margarett ShnorhavorianDepartment of Urology, Division of Pediatric Urology, Seattle Children's Hospital, University of Washington, United States.
Eric VilainChildren's National Health System, Center for Genetic Medicine Research, Children's Research Institute, United States.
Stefan TimmermansDepartment of Sociology, University of California Los Angeles, United States.
Laura A SiminoffDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, United States.

Funding

Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI HOFFMAN, ERIC P. · 2016 to 2020
$5.9M
Disorders/Differences of Sex Development (DSD) - Translational Research NetworkR01HD093450 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SANDBERG, DAVID ERIC, VILAIN, ERIC J. · 2018 to 2022
$3.9M
NICHD NIH HHS R01 HD093450NICHD NIH HHS U54 HD090257
6 · The paper itself

Abstract

Decisions about how best to clinically care for young children born with Disorders of Sex Development (DSD) can be challenging because some decisions are irreversible, have lasting physical and mental health effects, and are frequently made before the affected person is able to participate in decision-making. This multi-stage study involved (1) the development of a web-based decision support tool (DST) for parents of infants or young children and the clinicians caring for them; (2) the assessment of communications and decision making between DSD specialists and parents both before and after introduction of the DST; and (3) interviews with a broad range of stakeholders regarding optimizing the DST and integrating it into usual care. Experience over the course of the 3 stages of this research suggests the need for further refinement of the DST to increase acceptability to all stakeholder groups, the necessity to address misperceptions by providers that they are already accomplishing all aspects of SDM in regular care without a DST and misunderstandings by parents that decisions are unnecessary because only a single option is apparent, and to better incorporate the tool into regular clinic workflow.

Indexed as

Decision Making, SharedDecision Support TechniquesParentsChildCommunicationDisorders of Sex DevelopmentHumansDecision support toolDisorders of Sex DevelopmentShared decision-making

Identifiers

PMID31668291
PMCPMC6911706

What OpenQuestion holds

Textmetadata
LicenceTDM
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.