Evidence map›Paper›PMID 32666891›Full record

ArticleJournal of child neurology2020

Care Delivery for Children With Epilepsy During the COVID-19 Pandemic: An International Survey of Clinicians.

Elaine C Wirrell, Zachary M Grinspan, Kelly G Knupp, Yuwu Jiang, Biju Hammeed, John R Mytinger, Anup D Patel, Rima Nabbout, Nicola Specchio, J Helen Cross and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of child neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. COVID-19, de novo seizures, and epilepsy: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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  7. The Impact of COVID-19 on Children and Adolescents with Chronic Illness.Advances in experimental medicine and biology · 2024
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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

11 authors at 10 institutions in 6 countries.

Elaine C WirrellDivisions of Child and Adolescent Neurology and Epilepsy, Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Zachary M GrinspanDepartments of Population Sciences and Pediatrics, Weill Cornell Medicine, New York, NY, USA.
Kelly G KnuppDepartment of Pediatrics and Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Yuwu JiangDepartment of Pediatrics, 12465Peking University First Hospital, Beijing, China.
Biju HammeedPaediatric Neurosciences, 4956Great Ormond Street Children's Hospital, London, United Kingdom.
John R MytingerDepartment of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Anup D PatelDepartment of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.ORCID 0000-0001-9313-1541
Rima NabboutCentre de Reference Epilepsies Rares, Department of Pediatric Neurology, 37072Necker Enfants Malades Hospital, Imagine Institute, Paris Descartes University, Paris, France.
Nicola SpecchioRare and Complex Epilepsy Unit, Department of Neuroscience, Bambino Gesu' Children's Hospital, IRCCS, Rome, Italy and Member of European Reference Network EpiCARE.
J Helen CrossDevelopmental Neurosciences, UCL NIHR BRC Great Ormond Street Institute of Child Health, London, WC1 N 1EH, & and Member of European Reference Network EpiCARE.
Renée A ShellhaasDepartment of Pediatrics (Pediatric Neurology), Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-3175-3908
Nationwide Children's Hospital · USBambino Gesù Children's Hospital · ITCornell University · USERN GUARD-Heart · NLGreat Ormond Street Hospital · GBMayo Clinic · USMichigan Medicine · USPeking University · CNUniversité Paris Cité · FRUniversity of Colorado Anschutz Medical Campus · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of the COVID-19 pandemic on global access to care and practice patterns for children with epilepsy.

methodsWe conducted a cross-sectional, online survey of pediatric neurologists across the world affiliated with the International Child Neurology Association, the Chinese Child Neurology Society, the Child Neurology Society, and the Pediatric Epilepsy Research Consortium. Results were analyzed in relation to regional burden of COVID-19 disease.

resultsFrom April 10 to 24, 2020, a sample of 212 respondents from 49 countries indicated that the COVID-19 pandemic has dramatically changed many aspects of pediatric epilepsy care, with 91.5% reporting changes to outpatient care, 90.6% with reduced access to electroencephalography (EEG), 37.4% with altered management of infantile spasms, 92.3% with restrictions in ketogenic diet initiation, 93.4% with closed or severely limited epilepsy monitoring units, and 91.3% with canceled or limited epilepsy surgery. Telehealth use had increased, with 24.7% seeing patients exclusively via telehealth. Changes in practice were related both to COVID-19 burden and location.

conclusionsIn response to COVID-19, pediatric epilepsy programs have implemented crisis standards of care that include increased telemedicine, decreased EEG use, changes in treatments of infantile spasms, and cessation of epilepsy surgery. The long-term impact of these abrupt changes merit careful study.

Indexed as

BetacoronavirusInternationalityChildCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDelivery of Health CareElectroencephalographyEpilepsyGlobal HealthHealth Care SurveysHumansNeurologistsNeurologyPandemicsPediatriciansepilepsyepilepsy surgeryinfantile spasmstelemedicine

Identifiers

PMID32666891
PMCPMC7364331
OpenAlexW3043549098

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.