Evidence map›Paper›PMID 32166463›Full record

ArticlePediatric radiology2020

After-hours radiology coverage in children's hospitals: a multi-center survey.

Michael R Aquino, Hillel S Maresky, Afsaneh Amirabadi, George C Koberlein, David Dinan, Victor M Ho-Fung, Susan D John

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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

6 citing papers in PubMed.

  1. Review
  2. Gastrostomy tube check radiographs: performance of an alternative diagnostic exam.Diagnostic and interventional radiology (Ankara, Turkey) · 2026
    Article
  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

7 authors.

Michael R AquinoSection of Pediatric Overnight Imaging, Cleveland Clinic Imaging Institute, 9500 Euclid Ave., Cleveland, OH, 44195, USA. aquinom3@ccf.org.
Hillel S MareskyDepartment of Radiology, Temple University, Philadelphia, PA, USA.
Afsaneh AmirabadiDepartment of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.
George C KoberleinDepartment of Radiology, Section of Pediatric Radiology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
David DinanDepartment of Medical Imaging, Nemours Children's Health System, Orlando, FL, USA.
Victor M Ho-FungDepartment of Radiology, Children's Hospital of Philadelphia and Perelman School of Medicine, Philadelphia, PA, USA.
Susan D JohnDepartment of Diagnostic and Interventional Imaging, McGovern Medical School, UTHealth at Houston, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the provision of pediatric emergency and trauma radiology has become increasingly prevalent in North America over the last few years, many hospitals differ in their models of providing after-hours coverage.

objectiveTo describe the scope of after-hours radiology services provided in children's hospitals in North America, and the means by which different radiology departments deliver this coverage. MATERIALS AND

methodsThe Society for Pediatric Radiology Emergency and Trauma Imaging Committee developed a survey that we electronically distributed to a single representative from each of the 79 hospitals represented in the Society of Chiefs of Radiology at Children's Hospitals (SCORCH).

resultsCompleted questionnaires were submitted between Aug. 2, 2017, and Sept. 29, 2017, by 44/79 (56%) SCORCH representatives. Contemporaneous after-hours interpretation of radiographs (81%), ultrasounds (81%), body CT (79%) and neurologic CT (75%) with preliminary or final reports was common. Coverage was accomplished most commonly by a combination of evening and overnight shifts 17/44 (39%). Eleven of 44 (25%) hospitals used a model in which radiologists rotate working blocks of overnight service followed by blocks off service. Only 2/44 (5%) hospitals exclusively provided pager coverage after hours. Attending pediatric radiologists were assigned to the majority of after-hours shifts 110/175 (63%), but radiology trainees provided interpretations independently for varying periods of time at 19/44 (43%) surveyed hospitals. Incentives to work after hours included the option to work remotely, as well as additional income, time off, and academic time.

conclusionThe model for delivering after-hours pediatric radiology coverage varies. Most hospitals, however, provide contemporaneous interpretations of radiographs, US, body CT and neurologic CT. Most institutions use evening shifts to extend coverage later, with many providing subsequent overnight coverage. Although most shifts are staffed by attending pediatric radiologists, radiology trainees commonly interpret studies independently for varying durations of time after hours.

Indexed as

After-Hours CareDiagnostic ImagingHospitals, PediatricHumansNorth AmericaPractice Patterns, Physicians'Radiology Department, HospitalSurveys and QuestionnairesAfter-hours coverageChildrenChildren’s hospitalsEmergency radiologyHospitalsPediatric radiologySurvey

Identifiers

PMID32166463

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.