Evidence map›Paper›PMID 37611406›Full record

ArticlePediatric neurology2023

Life on the Frontlines: Caregiver Experience of Pediatric Cerebrospinal Shunt Malfunction.

Rebecca A Dorner, Renee D Boss, Turaj Vazifedan, Erin Johnson, Amanda Garzón, Monica E Lemmon

Open access · greenAbstract read
In one paragraph

Article in Pediatric neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. 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

6 authors at 5 institutions in 1 country.

Rebecca A DornerNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, California. Electronic address: Rebecca.Dorner@sharp.com.
Renee D BossDivision of Perinatal-Neonatal Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland; Johns Hopkins University Phoebe R. Berman Institute of Bioethics, Baltimore, Maryland.
Turaj VazifedanDepartment of Pediatrics, Children's Hospital of The King's Daughters, Norfolk, Virginia.
Erin JohnsonDepartment of Pediatrics, Children's Hospital of The King's Daughters, Norfolk, Virginia.
Amanda GarzónHydrocephalus Association, Bethesda, Maryland.
Monica E LemmonDepartments of Pediatrics and Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
Children's Hospital of The King's Daughters · USDuke University · USHydrocephalus Association · USJohns Hopkins University · USSharp Mary Birch Hospital for Women & Newborns · US

Funding

Decision Making for Infants with Neurologic ConditionsK23NS116453 · NINDS · DUKE UNIVERSITY · PI LEMMON, MONICA · 2020 to 2024
$942k
NINDS NIH HHS K23 NS116453
6 · The paper itself

Abstract

backgroundWe aimed to characterize the caregiver experience in the detection and evaluation of pediatric cerebrospinal shunt malfunction.

methodsIn this descriptive qualitative study, we recruited English-speaking caregivers of children aged five years or less in collaboration with a stakeholder organization. Semistructured interviews were completed; content targeted the caregiver experience of shunt malfunction. Interviews were audio-recorded, transcribed, and deidentified. Qualitative data were analyzed using a conventional content analysis approach.

resultsWe enrolled 20 caregivers (n = 20 mothers). The median child age at the time of the interview was 2.8 years; about half (n = 11) were born prematurely and the majority (n = 15) had shunts placed at age less than six months. Caregiver experiences of shunt malfunction were grouped into three major themes: (1) my error could be life or death: the high stakes of shunt malfunction and the ambiguity of malfunction symptoms exacerbated baseline caregiver vigilance; (2) finding and engaging people who can help: hurdles during malfunction evaluation included locating trusted clinicians and advocating for parental intuition; and (3) how the shunt defines our family: caregivers described evolving expertise and modifications made to everyday life due to the threat of malfunction.

conclusionsIn this study, caregivers highlighted the challenges associated with recognizing shunt malfunction, accessing necessary treatment, and the impact of their child's shunt on family life. Future work should leverage these findings to inform counseling about shunt malfunction, develop interventions to better support families in shunt malfunction identification, and educate medical providers.

Indexed as

CaregiversMothersChildFemaleHumansInfantParentsQualitative ResearchChildrenHydrocephalusInfantParentQualitative research

Identifiers

PMID37611406
PMCPMC10578452
OpenAlexW4385494864

What OpenQuestion holds

Textmetadata
LicenceTDM
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.