Evidence map›Paper›PMID 37899466›Full record

ArticleBMC pediatrics2023

Cerebral Palsy - Early Diagnosis and Intervention Trial: protocol for the prospective multicentre CP-EDIT study with focus on diagnosis, prognostic factors, and intervention.

Christina Engel Hoei-Hansen, Lene Weber, Mette Johansen, Rebecca Fabricius, Jonas Kjeldbjerg Hansen, Anne-Cathrine F Viuff, Gitte Rønde, Gitte Holst Hahn, Elsebet Østergaard, Morten Duno and 12 more

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2023. 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
2.2field-weighted citation impact, top 12% 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, 10 citations in OpenAlex.

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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

22 authors at 9 institutions in 2 countries.

Christina Engel Hoei-HansenDepartment of Paediatrics and Adolescent Medicine, University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark. christina.hoei-hansen@regionh.dk.
Lene WeberDepartment of Paediatrics and Adolescent Medicine, University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.
Mette JohansenSection for Biostatistics and Evidence-Based Research, the Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Rebecca FabriciusDepartment of Paediatrics and Adolescent Medicine, University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.
Jonas Kjeldbjerg HansenDepartment of Paediatrics and Adolescent Medicine, University Hospital Aalborg, Aalborg, Denmark.
Anne-Cathrine F ViuffDepartment of Paediatrics and Adolescent Medicine, University Hospital Aalborg, Aalborg, Denmark.
Gitte RøndeDepartment of Paediatrics and Adolescent Medicine, University Hospital Herlev, Herlev, Denmark.
Gitte Holst HahnDepartment of Neonatology, University Hospital Rigshospitalet, Copenhagen, Denmark.
Elsebet ØstergaardDepartment Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Morten DunoDepartment of Clinical Genetics, University Hospital Rigshospitalet, Copenhagen, Denmark.
Vibeke Andrée LarsenDepartment of Radiology, University Hospital Rigshospitalet, Copenhagen, Denmark.
Camilla Gøbel MadsenRadiological Section, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark.
Katrine RøhderDepartment of Psychology, University of Copenhagen, Copenhagen, Denmark.
Ann-Kristin Gunnes ElvrumDepartment of Neuromedicine and Movement Science (INB), Norwegian University of Science and Technology, Norwegian University of Science and Technology, Trondheim, Norway.
Britt LaugesenClinical Nursing Research Unit, Aalborg University Hospital, Centre for Clinical Guidelines, Aalborg University, Aalborg, Denmark.
Melanie GanzDatalogisk Institut, Københavns Universitet, Copenhagen, Denmark.
Kathrine Skak MadsenDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.
Maria Willerslev-OlsenDepartment of Neuroscience, University of Copenhagen and Elsass Foundation, Copenhagen, Denmark.
Nanette Mol DebesDepartment Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Jan ChristensenDepartment of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Robin ChristensenSection for Biostatistics and Evidence-Based Research, the Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Gija RackauskaiteDepartment Clinical Medicine, University of Aarhus, Aarhus, Denmark.
Rigshospitalet · DKUniversity of Copenhagen · DKAalborg University Hospital · DKCopenhagen University Hospital · DKAarhus University · DKAarhus University Hospital · DKHerlev Hospital · DKNorwegian University of Science and Technology · NOUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly diagnosis of cerebral palsy (CP) is important to enable intervention at a time when neuroplasticity is at its highest. Current mean age at diagnosis is 13 months in Denmark. Recent research has documented that an early-diagnosis set-up can lower diagnostic age in high-risk infants. The aim of the current study is to lower diagnostic age of CP regardless of neonatal risk factors. Additionally, we want to investigate if an early intervention program added to standard care is superior to standard care alone.

methodsThe current multicentre study CP-EDIT (Early Diagnosis and Intervention Trial) with the GO-PLAY intervention included (Goal Oriented ParentaL supported home ActivitY program), aims at testing the feasibility of an early diagnosis set-up and the GO-PLAY early intervention. CP-EDIT is a prospective cohort study, consecutively assessing approximately 500 infants at risk of CP. We will systematically collect data at inclusion (age 3-11 months) and follow a subset of participants (n = 300) with CP or at high risk of CP until the age of two years. The GO-PLAY early intervention will be tested in 80 infants with CP or high risk of CP. Focus is on eight areas related to implementation and perspectives of the families: early cerebral magnetic resonance imaging (MRI), early genetic testing, implementation of the General Movements Assessment method, analysis of the GO-PLAY early intervention, parental perspective of early intervention and early diagnosis, early prediction of CP, and comparative analysis of the Hand Assessment for Infants, Hammersmith Infant Neurological Examination, MRI, and the General Movements method. DISCUSSION: Early screening for CP is increasingly possible and an interim diagnosis of "high risk of CP" is recommended but not currently used in clinical care in Denmark. Additionally, there is a need to accelerate identification in mild or ambiguous cases to facilitate appropriate therapy early. Most studies on early diagnosis focus on identifying CP in infants below five months corrected age. Little is known about early diagnosis in the 50% of all CP cases that are discernible later in infancy. The current study aims at improving care of patients with CP even before they have an established diagnosis.

trial registrationClinicalTrials.gov ID 22013292 (reg. date 31/MAR/2023) for the CP-EDIT cohort and ID 22041835 (reg. date 31/MAR/2023) for the GO-PLAY trial.

Indexed as

Cerebral PalsyChild, PreschoolEarly DiagnosisHandHumansInfantInfant, NewbornMulticenter Studies as TopicPrognosisProspective StudiesBrain imagingCerebral palsyEarly diagnosisGeneral movements assessmentGenomicsHand assessment for infantsIntervention

Identifiers

PMID37899466
PMCPMC10614332
OpenAlexW4388035311

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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.