Evidence map›Paper›PMID 33639920›Full record

ArticleBMC medical informatics and decision making2021

Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability.

Fraser Philp, Alice Faux-Nightingale, Sandra Woolley, Ed de Quincey, Anand Pandyan

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Upper Limb Rehabilitation in Facioscapulohumeral Muscular Dystrophy: A Patients' Perspective.Archives of rehabilitation research and clinical translation · 2021
    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

5 authors at 1 institution in 1 country.

Fraser PhilpSchool of Allied Health Professions, Keele University, Keele, UK. f.d.philp@keele.ac.uk.ORCID 0000-0002-8552-7869
Alice Faux-NightingaleSchool of Pharmacy and Bioengineering, Keele University, Keele, UK.ORCID 0000-0002-4865-181X
Sandra WoolleySchool of Computing and Mathematics, Keele University, Keele, UK.ORCID 0000-0002-7623-2866
Ed de QuinceySchool of Computing and Mathematics, Keele University, Keele, UK.ORCID 0000-0002-3824-4444
Anand PandyanSchool of Allied Health Professions, Keele University, Keele, UK.ORCID 0000-0002-2180-197X
Keele University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently the diagnosis of shoulder instability, particularly in children, is difficult and can take time. These diagnostic delays can lead to poorer outcome and long-term complications. A Diagnostic Decision Support System (DDSS) has the potential to reduce time to diagnosis and improve outcomes for patients. The aim of this study was to develop a concept map for a future DDSS in shoulder instability.

methodsA modified nominal focus group technique, involving three clinical vignettes, was used to elicit physiotherapists decision-making processes.

resultsTwenty-five physiotherapists, (18F:7 M) from four separate clinical sites participated. The themes identified related to 'Variability in diagnostic processes and lack of standardised practice' and 'Knowledge and attitudes towards novel technologies for facilitating assessment and clinical decision making'.

conclusionNo common structured approach towards assessment and diagnosis was identified. Lack of knowledge, perceived usefulness, access and cost were identified as barriers to adoption of new technology. Based on the information elicited a conceptual design of a future DDSS has been proposed. Work to develop a systematic approach to assessment, classification and diagnosis is now proposed. Trial Registraty This was not a clinical trial and so no clinical trial registry is needed.

Indexed as

Joint InstabilityShoulder JointChildFocus GroupsHumansShoulderClinical decision support systemPaediatricsPhysiotherapyShoulder instabilityUser centred design

Identifiers

PMID33639920
PMCPMC7912970
OpenAlexW3134135334

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.