Evidence map›Paper›PMID 34013068›Full record

ArticleHealth science reports2021

Evidence of support used for drug treatments in pediatric cardiology.

Julia Back, Håkan Wåhlander, Katarina Hanseus, Gunnar Bergman, Estelle Naumburg

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 4 institutions in 1 country.

Julia BackInstitution of Clinical Science, Paediatrics Umeå University Umeå Sweden.
Håkan WåhlanderDepartment of Cardiology, Paediatric Heart Centre, Queen Silvia's Children's Hospital, Institution of Clinical Sciences, Department of Paediatrics University of Gothenburg Gothenburg Sweden.
Katarina HanseusDepartment of Cardiology, Paediatric Heart Centre Skåne University Hospital Lund and Lund University Lund Sweden.
Gunnar BergmanDepartment of Women's and Children's Health Karolinska Institute Stockholm Sweden.
Estelle NaumburgInstitution of Clinical Science, Paediatrics Umeå University Umeå Sweden.ORCID https://orcid.org/0000-0001-6090-494X
Umeå University · SEDrottning Silvias barn- och ungdomssjukhus · SEKarolinska Institutet · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsClinical support systems are widely used in pediatric care. The aim of this study was to assess the support for drug treatments used at pediatric cardiac wards and intensive care units in Sweden.

methodsDrug information, such as type of drug, indication, dose, and route of administration, for all in-hospital pediatric cardiac patients, was included in the study. Treatments were classified as either on-label (based on product information) or off-label. Support for off-label treatment was stratified by the use of clinical support systems (the national database on drugs, local, or other clinical experience guidelines).

resultsIn all, 28 patients were included in the study. The total number of drug treatments was 233, encompassing 65 different drugs. Overall, 175 (75%) treatments were off-label. A majority of off-label drug treatments were supported by other sources of information shared by experts. A total of 7% of the drug treatments were used without support.

conclusionOff-label drug treatment is still common in Swedish pediatric cardiac care. However, the majority of treatments were supported by the experience shared in clinical support systems. KEY POINTS: Seventy-five percent of all prescriptions in pediatric cardiology care were off-label.A majority of patients received three or more drug treatments off-label.Use of clinical support systems and guidelines was common, but in 7% of all drug treatments, no support was found for the chosen treatment.

Indexed as

drugsmedical support systemsoff‐labelpediatric cardiologypediatrics

Identifiers

PMID34013068
PMCPMC8112816
OpenAlexW3163730233

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.