Evidence map›Paper›PMID 38070886›Full record

ArticleBMJ open2023

Specialist healthcare services for concussion/mild traumatic brain injury in England: a consensus statement using modified Delphi methodology.

Elika Karvandi, Adel Helmy, Angelos G Kolias, Antonio Belli, Mario Ganau, Clint Gomes, Michael Grey, Michael Griffiths, Timothy Griffiths, Philippa Griffiths and 18 more

Open access · goldAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 9% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Guideline
  2. Review
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

28 authors at 17 institutions in 5 countries.

Elika KarvandiDepartment of Neurosurgery, University of Cambridge, Cambridge, UK eek34@cam.ac.uk.ORCID 0000-0003-1287-8200
Adel HelmyDepartment of Neurosurgery, University of Cambridge, Cambridge, UK.
Angelos G KoliasDepartment of Neurosurgery, University of Cambridge, Cambridge, UK.ORCID 0000-0003-3992-0587
Antonio BelliInflammation and Ageing, University of Birmingham, Birmingham, UK.
Mario GanauNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Clint GomesRoyal Liverpool University Hospital, Liverpool, UK.
Michael GreySchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Michael GriffithsDepartment of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Timothy GriffithsDepartment of Cognitive Neurology, Newcastle University, Newcastle Upon Tyne, UK.
Philippa GriffithsSunderland & South Tyneside Community Acquired Brain Injury Service, Northumberland Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.
Damian HollimanDepartment of Neurosurgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Peter JenkinsWessex Neuroscience Centre, Southampton General Hospital, Southampton, UK.
Ben JonesCarnegie Applied Rugby Research (CARR) Centre, Leeds Beckett University-Headingley Campus, Leeds, UK.ORCID 0000-0002-4274-6236
Tim LawrenceNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Terence McLoughlinRoyal Liverpool University Hospital, Liverpool, UK.
Catherine McMahonManchester Centre for Clinical Neurosciences (MCCN), Salford Royal Infirmary, Northern Care Alliance, Liverpool, UK.
Shrouk MessahelAlder Hey Children's Hospital NHS Foundation Trust, Liverpool, UK.ORCID 0000-0003-0645-3070
Joanne NewtonNewcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Rupert NoadUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.
Vanessa RaymontDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0001-8238-4279
Kanchan SharmaDepartment of Neurology, North Bristol NHS Trust, Westbury on Trym, UK.
Richard SylvesterNational Hospital for Neurology and Neurosurgery, London, London, UK.
Daniel TadmorCarnegie School of Sport, Leeds Beckett University, Leeds, UK.
Peter WhitfieldUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.
Mark WilsonImperial College London, London, UK.
Emma WoodberryDepartment of Neuropsychology, University of Cambridge, Cambridge, UK.
Michael ParkerLove of the Game, London, UK.
Peter John HutchinsonDepartment of Neurosurgery, University of Cambridge, Cambridge, UK.ORCID 0000-0002-2796-1835
University of Cambridge · GBUniversity of Liverpool · GBUniversity of Oxford · GBUniversity Hospitals Plymouth NHS Trust · GBCarnegie Institution for Science · USCumbria Northumberland Tyne and Wear NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBLoughborough University · GBNational Hospital for Neurology and Neurosurgery · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNorth Bristol NHS Trust · GBRoyal Victoria Infirmary · GBSalford Royal Hospital · GBSouthampton General Hospital · GBThe Football Association · GBUniversity College London · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish a consensus on the structure and process of healthcare services for patients with concussion in England to facilitate better healthcare quality and patient outcome.

designThis consensus study followed the modified Delphi methodology with five phases: participant identification, item development, two rounds of voting and a meeting to finalise the consensus statements. The predefined threshold for agreement was set at ≥70%.

settingSpecialist outpatient services.

participantsMembers of the UK Head Injury Network were invited to participate. The network consists of clinical specialists in head injury practising in emergency medicine, neurology, neuropsychology, neurosurgery, paediatric medicine, rehabilitation medicine and sports and exercise medicine in England. PRIMARY OUTCOME MEASURE: A consensus statement on the structure and process of specialist outpatient care for patients with concussion in England.

results55 items were voted on in the first round. 29 items were removed following the first voting round and 3 items were removed following the second voting round. Items were modified where appropriate. A final 18 statements reached consensus covering 3 main topics in specialist healthcare services for concussion; care pathway to structured follow-up, prognosis and measures of recovery, and provision of outpatient clinics.

conclusionsThis work presents statements on how the healthcare services for patients with concussion in England could be redesigned to meet their health needs. Future work will seek to implement these into the clinical pathway.

Indexed as

Brain ConcussionChildCritical PathwaysDelivery of Health CareDelphi TechniqueEnglandHumansPrognosisneurological injurypatient-centered carepublic health

Identifiers

PMID38070886
PMCPMC10729241
OpenAlexW4389504951

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.