Evidence map›Paper›PMID 33533525›Full record

ArticleJournal of paediatrics and child health2021

Managing low-risk febrile neutropenia in children in the time of COVID-19: What matters to parents and clinicians.

Gabrielle M Haeusler, Richard De Abreu Lourenco, Cindy Bakos, Tracey O'Brien, Monica A Slavin, Julia E Clark, Brendan McMullan, Meredith L Borland, Franz E Babl, Meinir Krishnasamy and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of paediatrics and child health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

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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

13 authors at 8 institutions in 1 country.

Gabrielle M HaeuslerDepartment of Infectious Diseases, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Richard De Abreu LourencoCentre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, New South Wales, Australia.
Cindy BakosLittle Big Steps, Melbourne, Victoria, Australia.
Tracey O'BrienKids Cancer Centre, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Monica A SlavinDepartment of Infectious Diseases, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Julia E ClarkInfection Management Service, Queensland Children's Hospital and Centre for Children's Health Research, CHQ, Brisbane, Queensland, Australia.
Brendan McMullanNHMRC National Centre for Infections in Cancer, Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-5144-3416
Meredith L BorlandDepartment of Emergency Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
Franz E BablDepartment of Infectious Diseases, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.ORCID 0000-0002-1107-2187
Meinir KrishnasamyNHMRC National Centre for Infections in Cancer, Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia.
Marijana VanevskiDepartment of Infectious Diseases, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.ORCID 0000-0001-5548-0337
Karin A ThurskyDepartment of Infectious Diseases, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Lisa HallNHMRC National Centre for Infections in Cancer, Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia.
The University of Melbourne · AURoyal Children's Hospital · AUChildren’s Health Queensland Hospital and Health Service · AUMelbourne School of Theology · AUQueensland Health · AUThe University of Western Australia · AUUniversity of Technology Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe Australian 'There is no place like home' project is implementing a paediatric low-risk febrile neutropenia (FN) programme across eight paediatric hospitals. We sought to identify the impact of the coronavirus disease 2019 (COVID-19) pandemic on programme implementation.

methodsPaediatric oncology, infectious diseases and emergency medicine health-care workers and parent/carers were surveyed to explore the impact of the COVID-19 pandemic on home-based FN care. Online surveys were distributed nationally to health-care workers involved in care of children with FN and to parents or carers of children with cancer.

resultsSurveys were completed by 78 health-care workers and 32 parents/carers. Overall, 95% of health-care workers had confidence in the safety of home-based FN care, with 35% reporting changes at their own hospitals in response to the pandemic that made them more comfortable with this model. Compared to pre-pandemic, >50% of parent/carers were now more worried about attending the hospital with their child and >80% were interested in receiving home-based FN care. Among both groups, increased telehealth access and acceptance of home-based care, improved patient quality of life and reduced risk of nosocomial infection were identified as programme enablers, while re-direction of resources due to COVID-19 and challenges in implementing change during a crisis were potential barriers.

conclusionThere is strong clinician and parent/carer support for home-based management of low-risk FN across Australia. Changes made to the delivery of cancer care in response to the pandemic have generally increased acceptance for home-based treatments and opportunities exist to leverage these to refine the low-risk FN programme.

Indexed as

COVID-19Febrile NeutropeniaAustraliaChildHumansPandemicsParentsQuality of LifeSARS-CoV-2cancerCOVID-19febrile neutropeniahome-based carelow risk

Identifiers

PMID33533525
PMCPMC8013774
OpenAlexW3126172965

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.