Evidence mapPaperPMID 39322607Full record

SynthesisBMJ paediatrics open2024

Neonatal encephalopathy: a systematic review of reported treatment outcomes.

Fiona Quirke, Linda Biesty, Malcolm Battin, Frank Harry Bloomfield, Mandy Daly, Elaine Finucane, Patricia Healy, Tim Hurley, Jamie J Kirkham, Eleanor Molloy and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

16 authors.

Fiona QuirkeNeonatal Encephalopathy PhD Training Network, Health Research Board, Dublin, Ireland 22306056@studentmail.ul.ie.ORCID http://orcid.org/0000-0001-9155-5543
Linda BiestySchool of Nursing & Midwifery, University of Galway, Galway, Ireland.
Malcolm BattinAuckland City Hospital, Auckland, New Zealand.ORCID http://orcid.org/0000-0001-9622-0523
Frank Harry BloomfieldLiggins Institute, University of Auckland, Auckland, New Zealand.ORCID http://orcid.org/0000-0001-6424-6577
Mandy DalyAdvocacy and Policymaking Irish Neonatal Health Alliance, Wicklow, Ireland.ORCID http://orcid.org/0000-0001-7539-4874
Elaine FinucaneEvidence Synthesis Ireland, University of Galway, Galway, Ireland.
Patricia HealySchool of Nursing & Midwifery, University of Galway, Galway, Ireland.
Tim HurleyNeonatal Encephalopathy PhD Training Network, Health Research Board, Dublin, Ireland.
Jamie J KirkhamCentre for Biostatistics, Manchester Academic Health Science Centre, Manchester University, Manchester, UK.ORCID http://orcid.org/0000-0003-2579-9325
Eleanor MolloyPaediatrics, Trinity College Dublin, Dublin, Ireland.
David M HaasDepartment of Obstetrics and Gynecology, Indiana University, Bloomington, Indiana, USA.
Shireen MeherBirmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Elaine Ní BhraonáinIrish Neonatal Health Alliance, Wicklow, Ireland.
Karen WalkerGrace Centre for Newborn Care, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-4149-2270
James WebbeAcademic Neonatal Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-8546-3212
Declan DevaneHealth Research Board -Trials Methodology Research Network (HRB-TMRN), University of Galway, Galway, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal encephalopathy (NE) is a multi-organ condition potentially leading to death or long-term neurodisability. Therapeutic hypothermia is the standard treatment for NE; however, long-term impairments remain common. Studies of new treatments for NE often measure and report different outcomes. Core outcome sets (COSs), a minimum set of outcomes to be measured and reported in all studies for a condition, address this problem. This paper aimed to identify outcomes reported (primary, secondary, adverse events and other reported outcomes) in (1) randomised trials and (2) systematic reviews of randomised trials of interventions for the treatment of NE in the process of developing a COS for interventions for the treatment of NE.

methodsWe completed a systematic search for outcomes used to evaluate treatments for NE using MEDLINE, Embase, Cochrane CENTRAL, the Cochrane Database of Systematic Reviews and the WHO International Clinical Trials Registry Platform. Two reviewers screened all included articles independently. Outcomes were extracted verbatim, similar outcomes were grouped and outcome domains were developed.

results386 outcomes were reported in 116 papers, from 85 studies. Outcomes were categorised into 18 domains. No outcome was reported by all studies, a single study reported 11 outcomes and it was not explicitly stated that outcomes had input from parents. DISCUSSION: Heterogeneity in reported outcomes means that synthesis of studies evaluating new treatments for NE remains difficult. A COS, that includes parental/family input, is needed to ensure consistency in measuring and reporting outcomes, and to enable comparison of randomised trials.

Indexed as

Brain DiseasesHypothermia, InducedHumansInfant, NewbornInfant, Newborn, DiseasesOutcome Assessment, Health CareRandomized Controlled Trials as TopicTreatment OutcomeNeonatology

Identifiers

PMID39322607
PMCPMC11425948

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.