Evidence map›Paper›PMID 34078159›Full record

ArticleJournal of child neurology2021

Choice and Trade-offs: Parent Decision Making for Neurotechnologies for Pediatric Drug-Resistant Epilepsy.

Viorica Hrincu, Patrick J McDonald, Mary B Connolly, Mark J Harrison, George M Ibrahim, Robert P Naftel, Winston Chiong, Armaghan Alam, Urs Ribary, Judy Illes

Open access · hybridAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Journal of child neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Ethical Considerations for Discrete Choice Experiments with Caregivers.Journal of empirical research on human research ethics : JERHRE · 2022
    Article
  6. Article
  7. Article
  8. 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

10 authors at 5 institutions in 2 countries.

Viorica Hrincu8166University of British Columbia, Division of Neurology, Department of Medicine, Vancouver, British Columbia, Canada.
Patrick J McDonald8166University of British Columbia, Division of Neurology, Department of Medicine, Vancouver, British Columbia, Canada.
Mary B ConnollyDepartment of Pediatrics, Division of Neurology, BC Children's Hospital, Vancouver, British Columbia, Canada.
Mark J HarrisonFaculty of Pharmaceutical Sciences, 8166University of British Columbia, Vancouver, British Columbia, Canada.
George M IbrahimDivision of Neurosurgery, 483367Hospital for Sick Children and Toronto Western Hospital, Toronto, Ontario, Canada.
Robert P NaftelDepartment of Neurosurgery, 12328Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Winston ChiongWeill Institute for Neurosciences, Department of Neurology, Memory and Aging Center, 550067University of California San Francisco, San Francisco, CA, USA.
Armaghan Alam8166University of British Columbia, Division of Neurology, Department of Medicine, Vancouver, British Columbia, Canada.
Urs RibaryFaculty of Medicine, Division of Neurosurgery, Department of Surgery, 8166University of British Columbia, Vancouver, British Columbia, Canada.
Judy Illes8166University of British Columbia, Division of Neurology, Department of Medicine, Vancouver, British Columbia, Canada.ORCID 0000-0002-4791-8084
University of British Columbia · CABC Children's Hospital · CAToronto Western Hospital · CAUniversity of California, San Francisco · USVanderbilt University Medical Center · US

Funding

Achieving ethical integration in the development of novel neurotechnologiesR01MH114860 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHIONG, WINSTON, DOHAN, DANIEL P. · 2017 to 2020
$2.0M
Informing Choice for Neurotechnological Innovation in Pediatric Epilepsy SurgeryRF1MH117805 · NIMH · UNIVERSITY OF BRITISH COLUMBIA · PI ILLES, JUDY, MCDONALD, PATRICK · 2018 to 2018
$534k
NIMH NIH HHS R01 MH114860NIMH NIH HHS RF1 MH117805
6 · The paper itself

Abstract

This qualitative study investigated factors that guide caregiver decision making and ethical trade-offs for advanced neurotechnologies used to treat children with drug-resistant epilepsy. Caregivers with affected children were recruited to semi-structured focus groups or interviews at one of 4 major epilepsy centers in Eastern and Western Canada and the USA (n = 22). Discussions were transcribed and qualitative analytic methods applied to examine values and priorities (eg, risks, benefits, adherence, invasiveness, reversibility) of caregivers pertaining to novel technologies to treat drug-resistant epilepsy. Discussions revealed 3 major thematic branches for decision making: (1) features of the intervention-risks and benefits, with an emphasis on an aversion to perceived invasiveness; (2) decision drivers-trust in the clinical team, treatment costs; and (3) quality of available information about neurotechnological options. Overall, caregivers' definition of treatment success is more expansive than seizure freedom. The full involvement of their values and priorities must be considered in the decision-making process.

Indexed as

Decision MakingAdolescentAdultCanadaCaregiversChildChild, PreschoolDrug Resistant EpilepsyElectric Stimulation TherapyFemaleFocus GroupsHumansLaser TherapyMaleMiddle AgedParentschilddecision makingepilepsyneuroethicsneurosurgeryneurotechnologyparents

Identifiers

PMID34078159
PMCPMC8458226
OpenAlexW3164143410

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.