Evidence map›Paper›PMID 41957166›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis: a national multidisciplinary survey.

Alain Cuna, Julie D Thai, Kera McNelis, Loren Berman, Katie Huff, Sujir Pritha Nayak, Amy E O'Connell, Catherine J Hunter, Hala Chaaban, Eshanika Manchanda and 11 more

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

Alain CunaChildren's Mercy Hospital, Kansas City, MO, USA. accuna@cmh.edu.ORCID http://orcid.org/0000-0002-8174-4487
Julie D ThaiFetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Kera McNelisEmory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-2592-8046
Loren BermanNemours Children's Hospital-Delaware, Wilmington, DE, USA.ORCID http://orcid.org/0000-0001-5861-5129
Katie HuffCincinnati Children's Hospital Medical Center; University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0001-8646-8402
Sujir Pritha NayakUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0009-0006-3167-1423
Amy E O'ConnellBoston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9298-6991
Catherine J HunterOklahoma Children's Hospital at OU Health, Oklahoma City, OK, USA.
Hala ChaabanOklahoma Children's Hospital at OU Health, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0002-7112-564X
Eshanika ManchandaUniversity of Missouri-Kansas City, Kansas City, MO, USA.
Amina M BhatiaEmory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Kate Louise M MangonaUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Leeann PavlekPediatrix Medical Group, Phoenix, AZ, USA.ORCID http://orcid.org/0000-0001-7447-416X
Parvesh GargWake Forest University School of Medicine, Winston-Salem, NC, USA.
Lauren C FrazerDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Mohan PammiBaylor College of Medicine, Houston, TX, USA.
Catalina Le CacheuxChildren's Mercy Hospital, Kansas City, MO, USA.
Bhuvaneshwari JagadesanUniversity of Tennessee Health Science Center, Memphis, TN, USA.
Toby D YanowitzUPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-3973-0559
Irfan AhmadCHOC Children's Hospital, Orange, CA, USA.ORCID http://orcid.org/0000-0001-7528-6443
Muralidhar H PremkumarBaylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0003-1401-9354

Funding

Regulation of signaling pathways mediating epithelial cell injury in the neonatal intestineK08DK140604 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRAZER, LAUREN CAROLE · 2024 to 2025
$348k
NIAID NIH HHS L40 AI178971NIDDK NIH HHS K08 DK140604
6 · The paper itself

Abstract

objectiveTo characterize availability, utilization, and barriers to bowel ultrasound (BUS) for necrotizing enterocolitis (NEC).

methodsA survey of neonatologists, surgeons, and radiologists at Children's Hospitals' Neonatal Consortium (CHNC) sites. Quantitative data were analyzed descriptively; open-ended responses underwent thematic analysis.

resultsIn total, 104 respondents from 42/46 institutions participated. BUS was available at 83% of level IV NICU sites, with 64% reporting 24/7 availability. However, only 42% of affiliated level III NICUs had BUS available. BUS was primarily used alongside radiographs in cases of diagnostic uncertainty and variably used to guide surgical decisions. Radiologists frequently used protocols while neonatologists and surgeons reported limited training and few institutional guidelines. Key barriers included lack of standardization, inadequate training, and unclear clinical utility.

conclusionBUS is increasingly available in level IV NICUs but less so in level III NICUs. Even when available, clinical integration is inconsistent due to gaps in standardization, training, and supporting evidence.

Indexed as

Enterocolitis, NecrotizingHealth Services AccessibilityIntestinesHumansInfant, NewbornIntensive Care Units, NeonatalNeonatologistsNeonatologySurveys and QuestionnairesUltrasonographyUnited States

Identifiers

PMID41957166

What OpenQuestion holds

Textmetadata
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.