Evidence map›Paper›PMID 36869883›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study.

Niek J Vianen, Iscander M Maissan, Dennis den Hartog, Robert J Stolker, Robert J Houmes, Diederik A M P J Gommers, Nico L U Van Meeteren, Sanne E Hoeks, Esther M M Van Lieshout, Michael H J Verhofstad and 2 more

Abstract readConsensus Statement
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Patient profiles and P-HEMS specific interventions performed by a HEMS team in the netherlands; A retrospective cohort study of 18,199 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  3. Article
  4. Article
  5. Observational
  6. 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.

Niek J VianenTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands.
Iscander M MaissanDepartment of Anesthesiology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Dennis den HartogTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands.
Robert J StolkerDepartment of Anesthesiology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Robert J HoumesDepartment of Anesthesiology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Diederik A M P J GommersDepartment of Intensive Care, Erasmus University Medical Center, Rotterdam, Netherlands.
Nico L U Van MeeterenDepartment of Anesthesiology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Sanne E HoeksDepartment of Anesthesiology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Esther M M Van LieshoutTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands.
Michael H J VerhofstadTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands.
Mark G Van VledderTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands. m.vanvledder@erasmusmc.nl.ORCID http://orcid.org/0000-0003-2690-3673
Dutch Opportunities & Barriers in EMS research group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionQuality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands.

methodsThis mixed-methods consensus study consisted of three phases. The first phase consisted of semi-structured interviews with relevant stakeholders. Thematic analysis of qualitative data derived from these interviews was used to identify main themes, which were subsequently discussed in several online focus groups in the second phase. Output from these discussions was used to shape statements for an online Delphi consensus study among relevant stakeholders in EMS research. Consensus was met if 80% of respondents agreed or disagreed on a particular statement.

resultsForty-nine stakeholders participated in the study; qualitative thematic analysis of the interviews and focus group discussions identified four main themes: (1) data registration and data sharing, (2) laws and regulations, (3) financial aspects and funding, and (4) organization and culture. Qualitative data from the first two phases of the study were used to construct 33 statements for an online Delphi study. Consensus was reached on 21 (64%) statements. Eleven (52%) of these statements pertained to the storage and use of EMS patient data.

conclusionBarriers for prehospital EMS research in the Netherlands include issues regarding the use of patient data, privacy and legislation, funding and research culture in EMS organizations. Opportunities to increase scientific productivity in EMS research include the development of a national strategy for EMS data and the incorporation of EMS topics in research agendas of national medical professional associations.

Indexed as

Emergency Medical ServicesHumansNetherlandsQuality ImprovementBarriersEmergency medical servicesEmergency medicineOpportunitiesPrehospitalResearch

Identifiers

PMID36869883
PMCPMC10924026

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Registered trials

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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.