Evidence map›Paper›PMID 32467035›Full record

ArticleJournal of pediatric surgery2021

Physician perspectives on discussions with parents of infants with suspected ureteropelvic junction obstruction.

Vijaya M Vemulakonda, Allison Kempe, Mika K Hamer, Megan A Morris

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 2 institutions in 1 country.

Vijaya M VemulakondaDepartment of Pediatric Urology, Children's Hospital Colorado; Division of Urology, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA. Electronic address: Vijaya.Vemulakonda@childrenscolorado.org.
Allison KempeAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Mika K HamerAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Megan A MorrisAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · US

Funding

Understanding Practice Variations in Treatment of Infants with Suspected UPJ ObstructionK08HS024597 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI VEMULAKONDA, VIJAYA M. · 2016 to 2020
$744k
AHRQ HHS K08 HS024597
6 · The paper itself

Abstract

introductionThe purpose of this study was to understand pediatric urologists' perceived role of patient characteristics on discussions about treatment of infants with suspected UPJ obstruction.

methodsWe conducted semi-structured interviews with pediatric urologists from three geographically diverse sites. Interview domains included: clinical indications for surgery, discussions with parents, and consideration of parent socioeconomic factors. Transcribed data and field notes were analyzed using a team-based, inductive grounded theory approach.

resultsThirteen physicians were interviewed. Physicians reported a standardized approach to discussions to facilitate parental understanding. While they did not report overt consideration of demographics, they tailored discussions based on educational and cultural background and language barriers. Physicians also reported that concerns about risk of loss to follow up contributed to their treatment recommendations. Most physicians recognized that the lack of clear data often led to use of personal experience to guide recommendations.

conclusionPhysicians recognize a gap in data to guide surgical decisions and utilize personal experience to augment this gap. They also recognize the influence of educational and language barriers on discussions with families and consider risk of loss to follow up when making recommendations, suggesting an implicit consideration of demographics. These findings suggest that development of evidence-based guidelines may reduce treatment variations. LEVEL OF EVIDENCE: Not applicable (qualitative research study written in compliance with COREQ guidelines).

Indexed as

PhysiciansUreteral ObstructionChildHumansInfantParentsQualitative ResearchUrologistsHydronephrosisSurgical decision-makingTreatment variationUPJ obstruction

Identifiers

PMID32467035
PMCPMC7606351
OpenAlexW3023604125

What OpenQuestion holds

Textmetadata
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.