Evidence map›Paper›PMID 32588118›Full record

ArticlePediatric surgery international2020

Barriers to the implementation of new guidelines among pediatric surgeons: online survey.

Abdulraouf Lamoshi, A Gibbons, S Williams, T Ponsky

Abstract read
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Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Moving toward the Development and Effective Implementation of High-Quality Guidelines in Pediatric Surgery: A Review of the Literature.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024
    Review
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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

4 authors.

Abdulraouf LamoshiDepartment of Pediatric Surgery, Kaleida Health Facility, John R. Oishei Children's Hospital, Conventus 5th Floor, 5324, 1001 Main Street, Buffalo, NY, 14202, USA. Alamoshi@kaleidahealth.org.
A GibbonsDepartment of Pediatric Surgery, Akron Children's Hospital, Akron, OH, USA.
S WilliamsDepartment of Pediatric Surgery, Kaleida Health Facility, John R. Oishei Children's Hospital, Conventus 5th Floor, 5324, 1001 Main Street, Buffalo, NY, 14202, USA.
T PonskyDepartment of Pediatric Surgery, Akron Children's Hospital, Akron, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify barriers that prevent pediatric surgeons from implementing updated practice guidelines.

methodsAn online survey targeting pediatric surgeons was conducted on the StayCurrent MD Application (SCMA) and Pediatric Surgery Education Facebook page (PSE FBP). The survey results for pediatric surgeons of underdeveloped countries (PSUC) and pediatric surgeons of developed countries (PSDC) was compared and analyzed.

resultsBased on the number of active members on PSE FBP and SCA, the response rate was 32.3% (174/539), 66.3% of responses were from PSUC. The majority of PSUC (73%) wanted to have convincing guidelines and the plurality of PSDC (46%) wanted to see approval by the American Pediatric Surgical Association (APSA) for implementation of new guidelines. Lack of resources was the number one response (78%) for PSUC not implementing the most up to date guidelines and about 40% of the PSDC responded "concerned about malpractice liability."

conclusionsPSUC and PSDC identified very different barriers to implementation of new guidelines. It is reassuring that accessibility to treatment is not the primary issue, though resistance to implementation is a resounding concern. Identifying the barriers will highlight areas that need to be addressed, and awareness may help resolve some of the barriers.

Indexed as

Clinical CompetenceGuideline AdherenceChildCross-Sectional StudiesHumansSurgeonsSurveys and QuestionnairesUnited StatesBarriersGuidelinesImplementationPediatric surgeryUpdated

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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.