Evidence map›Paper›PMID 37208433›Full record

ArticlePediatric research2023

Evaluating the feasibility of a multicenter teleneonatology clinical effectiveness trial.

Jennifer L Fang, Rachel A Umoren, Hilary Whyte, Jamie Limjoco, Abhishek Makkar, Supriya Behl, Mark D Lo, Lauren White, Marko Culjat, Jennifer S Taylor and 7 more

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06087224 (The TELENEO Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 87% 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.

NCT06087224 narecruitingnot on this mapstarted 2024, after this paper: background citation

The TELENEO Trial: A Multicenter Trial of Telemedicine for Advanced Neonatal Resuscitations in Community Hospitals

TypeinterventionalSponsorMayo ClinicRan2024 to 2029Enrolled947ConditionsDeath, Neonatal, Morbidity, NewbornArmsTeleneonatology
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 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

17 authors at 12 institutions in 2 countries.

Jennifer L FangDivision of Neonatal Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN, USA. fang.jennifer@mayo.edu.
Rachel A UmorenDivision of Neonatology, Department of Pediatrics, University of Washington & Seattle Children's Hospital, Seattle, WA, USA.
Hilary WhyteThe Hospital for Sick Children, Toronto, ON, Canada.
Jamie LimjocoUniversity of Wisconsin, Madison, WI, USA.
Abhishek MakkarUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Supriya BehlChildren's Research Center, Mayo Clinic, Rochester, MN, USA.
Mark D LoDivision of Emergency Medicine, Department of Pediatrics, University of Washington & Seattle Children's Hospital, Seattle, WA, USA.
Lauren WhiteUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Marko CuljatThe Hospital for Sick Children, Toronto, ON, Canada.
Jennifer S TaylorSkagit Valley Hospital, Mount Vernon, WA, USA.
Sangeet KathuriaWilliam Osler Health Centre-Brampton Civic Hospital, Brampton, ON, Canada.
Malinda O WebbStillwater Medical Center, Stillwater, OK, USA.
Todd SchadSauk Prairie Healthcare, Prairie du Sac, WI, USA.
Sue ShafranskiSauk Prairie Healthcare, Prairie du Sac, WI, USA.
Rosanna YankanahThe Hospital for Sick Children, Toronto, ON, Canada.
Jeph HerrinDivision of Cardiology, Yale School of Medicine, New Haven, CT, USA.
Bart M DemaerschalkDepartment of Neurology and Center for Digital Health, Mayo Clinic College of Medicine and Science, Scottsdale, AZ, USA.
Hospital for Sick Children · CAPrairie Vascular Institute · USUniversity of Oklahoma Health Sciences Center · USBrampton Civic Hospital · CAMayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · USSeattle Children's Hospital · USSkagit Valley Hospital · USUniversity of Washington · USUniversity of Wisconsin–Madison · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur research consortium is preparing for a prospective multicenter trial evaluating the impact of teleneonatology on the health outcomes of at-risk neonates born in community hospitals. We completed a 6-month pilot study to determine the feasibility of the trial protocol.

methodsFour neonatal intensive care units ("hubs") and four community hospitals ("spokes") participated in the pilot-forming four hub-spoke dyads. Two hub-spoke dyads implemented synchronous, audio-video telemedicine consultations with a neonatologist ("teleneonatology"). The primary outcome was a composite feasibility score that included one point for each of the following: site retention, on-time screening log completion, no eligibility errors, on-time data submission, and sponsor site-dyad meeting attendance (score range 0-5).

resultsFor the 20 hub-spoke dyad months, the mean (range) composite feasibility score was 4.6 (4, 5). All sites were retained during the pilot. Ninety percent (18/20) of screening logs were completed on time. The eligibility error rate was 0.2% (3/1809). On-time data submission rate was 88.4% (84/95 case report forms). Eighty-five percent (17/20) of sponsor site-dyad meetings were attended by both hub and spoke site staff.

conclusionsA multicenter teleneonatology clinical effectiveness trial is feasible. Learnings from the pilot study may improve the likelihood of success of the main trial. IMPACT: A prospective, multicenter clinical trial evaluating the impact of teleneonatology on the early health outcomes of at-risk neonates born in community hospitals is feasible. A multidimensional composite feasibility score, which includes processes and procedures fundamental to completing a clinical trial, is useful for quantitatively measuring pilot study success. A pilot study allows the investigative team to test trial methods and materials to identify what works well or requires modification. Learnings from a pilot study may improve the quality and efficiency of the main effectiveness trial.

Indexed as

TelemedicineFeasibility StudiesHumansInfant, NewbornPilot ProjectsProspective StudiesTreatment Outcome

Identifiers

PMID37208433
OpenAlexW4377096054

What OpenQuestion holds

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Registered trials

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.