Evidence map›Paper›PMID 33244427›Full record

ArticleJournal of clinical and translational science2019

Outpatient healthcare access and utilization for neonatal abstinence syndrome children: A systematic review.

Adam Van Horn, Whitney Powell, Ashley Wicker, Anthony D Mahairas, Liza M Creel, Matthew L Bush

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical and translational science, 2019. 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
0.7field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

Adam Van HornDepartment of Otolaryngology - Head and Neck Surgery, University of Kentucky Medical Center, Lexington, KY, USA.
Whitney PowellUniversity of Kentucky College of Medicine, Lexington, KY, USA.
Ashley WickerUniversity of Kentucky College of Medicine, Lexington, KY, USA.
Anthony D MahairasDepartment of Otolaryngology - Head and Neck Surgery, University of Kentucky Medical Center, Lexington, KY, USA.
Liza M CreelDepartment of Health Management and Systems Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA.
Matthew L BushDepartment of Otolaryngology - Head and Neck Surgery, University of Kentucky Medical Center, Lexington, KY, USA.ORCID https://orcid.org/0000-0003-1460-5038
University of Kentucky · USUniversity of Louisville · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Dynamic requirements of Ras signaling during cancerR01CA123031 · NCI · DUKE UNIVERSITY · PI COUNTER, CHRISTOPHER M · 2007 to 2018
$3.5M
The effect of oncogenic Ras signaling strength on cancerR01CA154630 · NCI · DUKE UNIVERSITY · PI COUNTER, CHRISTOPHER M · 2013 to 2016
$796k
Promoting Early Diagnosis of Congenital Hearing Loss through Patient NavigationK23DC014074 · NIDCD · UNIVERSITY OF KENTUCKY · PI BUSH, MATTHEW LEE · 2015 to 2017
$685k
NCATS NIH HHS UL1 TR000117NCATS NIH HHS UL1 TR001998NCI NIH HHS R01 CA123031NCI NIH HHS R01 CA154630NIDCD NIH HHS K23 DC014074
6 · The paper itself

Abstract

objectiveThe objective of this study was to systematically assess the literature regarding postnatal healthcare utilization and barriers/facilitators of healthcare in neonatal abstinence syndrome (NAS) children.

methodsA systematic search was performed in PubMed, Cochrane Database of Systematic Reviews, PsychINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science to identify peer-reviewed research. Eligible studies were peer-reviewed articles reporting on broad aspects of primary and specialty healthcare utilization and access in NAS children. Three investigators independently reviewed all articles and extracted data. Study bias was assessed using the Newcastle-Ottawa Assessment Scale and the National Institute of Health Study Quality Assessment Tool.

resultsThis review identified 14 articles that met criteria. NAS children have poorer outpatient appointment adherence and have a higher rate of being lost to follow-up. These children have overall poorer health indicated by a significantly higher risk of ER visits, hospital readmission, and early childhood mortality compared with non-NAS infants. Intensive multidisciplinary support provided through outpatient weaning programs facilitates healthcare utilization and could serve as a model that could be applied to other healthcare fields to improve the health among this population.

conclusionsThis review investigated the difficulties in accessing outpatient care as well as the utilization of such care for NAS infants. NAS infants tend to have decreased access to and utilization of outpatient healthcare following hospital birth discharge. Outpatient weaning programs have proven to be effective; however, these programs require intensive resources and care coordination that has yet to be implemented into other healthcare areas for NAS children.

Indexed as

healthcare accesshealthcare utilizationNeonatal abstinence syndrome

Identifiers

PMID33244427
PMCPMC7681131
OpenAlexW2970414425

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.