ArticlePediatrics2020
Network Implementation of Guideline for Early Detection Decreases Age at Cerebral Palsy Diagnosis.
Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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.
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.
Who cites it
49 citing papers in PubMed, 112 citations in OpenAlex.
- Early developmental trajectories of the impaired hand in infants with unilateral cerebral palsy.Developmental medicine and child neurology · 2025Trial
- Standardizing early cerebral palsy detection in high-risk infants: reducing age at diagnosis through a quality improvement initiative.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Spontaneous Leg Movements Measured by Wearable Sensors in Infancy Differentiate Later Risk for Cerebral Palsy.Pediatric neurology · 2026Article
- Bridging the Gap in Early Cerebral Palsy Detection: Primary Care Providers' and Specialists' Perspectives on Implementing PROMPTs for Referral.Child: care, health and development · 2026Article
- "Implementation of general movements assessment for early detection and treatment of infants at-risk of cerebral palsy - translating evidence into practice in a low resource setting".BMC pediatrics · 2026Article
- Predicting neurodevelopmental outcomes in Australian First Nations infants: The transdiagnostic utility of early screening tools.Developmental medicine and child neurology · 2026Article
- Selective Control Assessment of the Lower Extremity for Infants and Toddlers (Mini-SCALE): Development and validation of a clinical assessment.Developmental medicine and child neurology · 2026Article
- Sustainable care quality improvement: a scoping literature review of performance measurement in lean healthcare implementations.BMC health services research · 2025Article
- A Pilot Investigation on the Relationship Between Infant Vocal Characteristics at 12 Months and Speech Motor Impairment at 4-5 Years.Journal of speech, language, and hearing research : JSLHR · 2025Article
- Caregiver Perceptions of Communication About Early Cerebral Palsy or High-Risk Designation in Infants.JAMA network open · 2025Article
- 'Feeling like you can't do anything because you don't know where to start'-Parents' Perspectives of Barriers and Facilitators to Accessing Early Detection for Children at Risk of Cerebral Palsy.Child: care, health and development · 2025Article
- Longitudinal Hammersmith Infant Neurological Examination (HINE) Trajectories in Children with Cerebral Palsy Identified in High-Risk Follow-Up.Journal of clinical medicine · 2025Article
- Automated detection of abnormal general movements from pressure and positional information in hospitalized infants.Pediatric research · 2025Article
- Caregiver and clinician perceptions of barriers to cerebral palsy healthcare-mixed methods findings and systems change recommendations.Frontiers in public health · 2025Article
- Development and Initial Outcomes of the Interdisciplinary 'Early Identification and Intervention for Infants Network' (Ei3) in Los Angeles.Journal of clinical medicine · 2024Article
- Social Determinants of Health in Cerebral Palsy.Journal of clinical medicine · 2024Article
- Evidence-Based Infant Assessment for Cerebral Palsy: Diagnosis Timelines and Intervention Access in a Newborn Follow-up Setting.Journal of child neurology · 2024Article
- Article
- Families as partners in neonatal neuro-critical care programs.Pediatric research · 2024Review
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors at 6 institutions in 2 countries.
Funding
Abstract
BACKGROUND AND
objectivesEarly diagnosis of cerebral palsy (CP) is critical in obtaining evidence-based interventions when plasticity is greatest. In 2017, international guidelines for early detection of CP were published on the basis of a systematic review of evidence. Our study aim was to reduce the age at CP diagnosis throughout a network of 5 diverse US high-risk infant follow-up programs through consistent implementation of these guidelines.
methodsThe study leveraged plan-do-study-act and Lean methodologies. The primary outcome was age at CP diagnosis. Data were acquired during the corresponding 9-month baseline and quarterly throughout study. Balancing measures were clinic no-show rates and parent perception of the diagnosis visit. Clinic teams conducted strengths, weaknesses, opportunities, and threats analyses, process flow evaluations, standardized assessments training, and parent questionnaires. Performance of a 3- to 4-month clinic visit was a critical process step because it included a Hammersmith Infant Neurologic Examination, a General Movements Assessment, and standardized assessments of motor function.
resultsThe age at CP diagnosis decreased from a weighted average of 19.5 (95% confidence interval 16.2 to 22.8) to 9.5 months (95% confidence interval 4.5 to 14.6), with
conclusionsLarge-scale implementation of international guidelines for early detection of CP is feasible in diverse high-risk infant follow-up clinics. The initiative was received positively by families and without adversely affecting clinic operational flow. Additional parent support and education are necessary.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.