Evidence map›Paper›PMID 31854274›Full record

ArticleCurrent pediatric reviews2020

Changes in Care- A Systematic Scoping Review of Transitions for Children with Medical Complexities.

Tara Mantler, Kimberley T Jackson, Jessi Baer, Jenna White, Bridget Ache, Katie Shillington, Nokuzola Ncube

Open access · hybridAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Current pediatric reviews, 2020. 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
1.2field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Emotional impact, burnout, and isolation among primary family caregivers of children with medical complexity.Families, systems & health : the journal of collaborative family healthcare · 2025
    Article
  5. Article
  6. 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

7 authors at 1 institution in 1 country.

Tara MantlerSchool of Health Studies, Faculty of Health Sciences, Western University, London, Canada.
Kimberley T JacksonArthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Canada.
Jessi BaerArthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Canada.
Jenna WhiteArthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Canada.
Bridget AcheArthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Canada.
Katie ShillingtonSchool of Health Studies, Faculty of Health Sciences, Western University, London, Canada.
Nokuzola NcubeSchool of Health Studies, Faculty of Health Sciences, Western University, London, Canada.
Western University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with medical complexity (CMC) and their parents are affected physically and mentally during transitions in care. Coordinated models of care show promise in improving health outcomes.

objectiveThe purpose of this scoping review was to examine research related to CMC and their parents and transitions in care. The aim was 3-fold: (1) to examine the extent, range, and nature of research activity related to the impact of transitions on physical and mental health for CMC and their parents; (2) to summarize and disseminate research findings for key knowledge users; and (3) to identify research gaps in the existing literature to inform future studies.

methodsTwenty-three sources were identified through database searches and five articles met the inclusion criteria of CMC (multi-organ involvement or technology-dependent) (or parents of CMC) transitioning from hospital to alternate levels of care where outcome measures were physical or mental health-related.

resultsNumerical analysis revealed substantial variation in methodological approaches and outcome measures. Content analysis revealed two themes for parents of CMC during this transition: (1) emotional distress, and (2) high expectations; and three themes for CMC: (1) improved health, (2) changes in emotion, and (3) disrupted relationships.

conclusionThe findings from this scoping review reveal for parents, transitions in care are fraught with emotional distress and high expectations; and for CMC there are improvements in quality of life and emotional health post- hospital to home transitions when collaborative models of care are available. This review serves as an early attempt to summarize the literature and demonstrate a need for further research.

Indexed as

Health Services ResearchTransitional CareAdolescentCaregiversChildChild HealthChild, PreschoolHealth StatusHumansInfantInfant, NewbornInterpersonal RelationsMental HealthMultiple Chronic ConditionsOutcome and Process Assessment, Health CareQuality of Health CarecaregiversChildren with medical complexityCMCmental healthphysical healthtransitions in care

Identifiers

PMID31854274
PMCPMC8193810
OpenAlexW2995373307

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.