Evidence map›Paper›PMID 32710252›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021

Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective.

Diane Armao, Terry S Hartman, Laurence Katz, Christopher M Shea, Jenna Koschnitzky, Richard Yang, J Keith Smith, Carolyn Quinsey

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 4 institutions in 1 country.

Diane Armao *Department of Radiology, University of North Carolina, Campus Box 7510, Chapel Hill, NC, 27599-7510, USA. diane_armao@med.unc.edu.ORCID 0000-0002-5540-5422
Terry S Hartman *Department of Radiology, University of North Carolina, Campus Box 7510, Chapel Hill, NC, 27599-7510, USA.
Laurence KatzDepartment of Emergency Medicine, University of North Carolina, Chapel Hill, NC, USA.
Christopher M SheaDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Jenna KoschnitzkyHydrocephalus Association, Bethesda, MD, USA.
Richard YangSchool of Osteopathic Medicine, Campbell University, Buies Creek, NC, USA.
J Keith SmithDepartment of Radiology, University of North Carolina, Campus Box 7510, Chapel Hill, NC, 27599-7510, USA.
Carolyn QuinseyDepartment of Neurosurgery, University of North Carolina, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USCampbell University · USHydrocephalus Association · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgically treated hydrocephalus patients are frequently imaged with head computed tomography (CT), and risk/benefit communication with families is inconsistent and unknown. We aimed to educate patients and caregivers about radiation safety in CT and explore their communication preferences.

methodsWe conducted a pediatric CT radiation safety and diagnostic imaging educational workshop for patients and caregivers at a national conference on hydrocephalus to characterize current practice and desired communication about CT imaging. Our workshop consisted of an interactive educational intervention with pre-/post-session surveys followed by feedback from participants.

resultsOur session included 34 participants (100% response rate for surveys) with 28 being parents of individuals with hydrocephalus. A total of 76% (n = 26) participants showed an increase in knowledge after the session (p < 0.01). All participants (N = 34) uniformly desired risk/benefit discussions before CT scans. However, 71% stated that they were not informed of risks/benefits of CT scans by a medical professional. Following the session, the number of participants indicating that informed consent should be obtained before CT scans increased from 30 to 33. Respondents also revealed that 14% of children and young adults had received > 100 CT scans for shunt evaluation with the median being 25 scans (IQR 20).

conclusionsCaregivers desire and deserve to be empowered through education and social support, and continuously engaged through sharing decisions and co-designing care plans. The neurosurgical community is in an ideal position to collaborate with radiologists, primary care providers, and parents in the development and testing of credible, high-quality online and social media resources.

Indexed as

HydrocephalusCaregiversChildHeadHumansNeuroimagingRadiation DosageTomography, X-Ray ComputedYoung AdultHead CTHydrocephalusPediatricRadiation exposureRadiation safety education

Identifiers

PMID32710252
OpenAlexW3044260952

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.