Evidence map›Paper›PMID 36119672›Full record

ArticleFrontiers in neurology2022

The Charlotte Project: Recommendations for patient-reported outcomes and clinical parameters in Dravet syndrome through a qualitative and Delphi consensus study.

Ángel Aledo-Serrano, Ana Mingorance, Vicente Villanueva, Juan José García-Peñas, Antonio Gil-Nagel, Susana Boronat, JoséÁngel Aibar, Silvia Cámara, María José Yániz, Luis Miguel Aras and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. 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
1.2field-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

3 citing papers in PubMed, 8 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

12 authors at 7 institutions in 2 countries.

Ángel Aledo-SerranoEpilepsy Program, Neurology Department, Ruber Internacional Hospital, Madrid, Spain.
Ana MingoranceDracaena Consulting SL, Loulou Foundation, London, United Kingdom.
Vicente VillanuevaHospital Universitario y Politécnico La Fe, Valencia, Spain.
Juan José García-PeñasHospital Infantil Universitario Niño Jesús, Madrid, Spain.
Antonio Gil-NagelEpilepsy Program, Neurology Department, Ruber Internacional Hospital, Madrid, Spain.
Susana BoronatHospital de la Santa Creu i Sant Pau, Barcelona, Spain.
JoséÁngel AibarFundación Síndrome de Dravet, Madrid, Spain.
Silvia CámaraHospital Infantil Universitario Niño Jesús, Madrid, Spain.
María José YánizClínica Universidad Navarra, Pamplona, Spain.
Luis Miguel ArasApoyo Dravet, San Sebastian, Spain.
Bárbara BlancoHospital Universitario Virgen del Rocío, Seville, Spain.
Rocío Sánchez-CarpinteroClínica Universidad Navarra, Pamplona, Spain.
Clinica Universidad de Navarra · ESHospital Infantil Universitario Niño Jesús · ESHospital Ruber Internacional · ESHospital de Sant Pau · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Virgen del Rocío · ESLoulou Foundation · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The appropriate management of patients with Dravet Syndrome (DS) is challenging, given the severity of symptoms and the burden of the disease for patients and caregivers. This study aimed to identify, through a qualitative methodology and a Delphi consensus-driven process, a set of recommendations for the management of DS to guide clinicians in the assessment of the clinical condition and quality of life (QoL) of DS patients, with a special focus on patient- and caregiver-reported outcomes (PROs). Methods: This study was conducted in five phases, led by a multidisciplinary scientific committee (SC) including pediatric neurologists, epileptologists, a neuropsychologist, an epilepsy nurse, and members of DS patient advocates. In phases 1 and 2, a questionnaire related to patients' QoL was prepared and answered by caregivers and the SC. In phase 3, the SC generated, based on these answers and on a focus group discussion, a 70-item Delphi questionnaire, covering six topic categories on a nine-point Likert scale. In phase 4, 32 panelists, from different Spanish institutions and with a multidisciplinary background, answered the questionnaire. Consensus was obtained and defined as strong or moderate if ≥80% and 67-79% of panelists, respectively, rated the statement with ≥7. Phase 5 consisted of the preparation of the manuscript. Results: The panelists agreed on a total of 69 items (98.6%), 54 (77.14%), and 15 (21.43%) with strong and moderate consensus, respectively. The experts' recommendations included the need for frequent assessment of patient and caregivers QoL parameters. The experts agreed that QoL should be assessed through specific questionnaires covering different domains. Likewise, the results showed consensus regarding the regular evaluation of several clinical parameters related to neurodevelopment, attention, behavior, other comorbidities, and sudden unexpected death in epilepsy (SUDEP). A consensus was also reached on the instruments, specific parameters, and caregivers' education in the routine clinical management of patients with DS. Conclusions: This consensus resulted in a set of recommendations for the assessment of clinical and QoL parameters, including PROs, related to the general evaluation of QoL, neurodevelopment, attention, behavior, other comorbidities affecting QoL, SUDEP, and QoL of caregivers/relatives and patients with DS.

Indexed as

caregiversdevelopmental and epileptic encephalopathiesepilepsygenetic epilepsyneurodevelopmentpatient-reported outcomesSCN1A

Identifiers

PMID36119672
PMCPMC9481303
OpenAlexW4294589519

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.