Neurodevelopmental outcome descriptions in cohorts of extremely preterm children
Autor: | Emma J Mew, Alyssandra Chee-a-tow, Nancy J. Butcher, Martin Offringa, Sharon Ding, Gregory P Moore |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Population Gestational Age Infant Premature Diseases Cerebral palsy 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Cognitive Dysfunction Prospective Studies 030212 general & internal medicine Neonatology Child education Prospective cohort study education.field_of_study business.industry Cerebral Palsy Obstetrics and Gynecology Cognition General Medicine medicine.disease Checklist Data Accuracy Neurodevelopmental Disorders Research Design Infant Extremely Premature Pediatrics Perinatology and Child Health Female Outcomes research business Cohort study |
Zdroj: | Archives of Disease in Childhood - Fetal and Neonatal Edition. 105:510-519 |
ISSN: | 1468-2052 1359-2998 |
DOI: | 10.1136/archdischild-2019-318144 |
Popis: | Background and objectivesCaregivers and clinicians of extremely preterm infants (born before 26 weeks’ gestation) depend on long-term follow-up research to inform clinical decision-making. The completeness of outcome reporting in this area is unknown. The objective of this study was to evaluate the reporting of outcome definitions, selection, measurement and analysis in existing cohort studies that report on neurodevelopmental outcomes of children born extremely preterm.MethodsWe evaluated the completeness of reporting of ‘cognitive function’ and ‘cerebral palsy’ in prospective cohort studies summarised in a meta-analysis that assessed the effect of preterm birth on school-age neurodevelopment. Outcome reporting was evaluated using a checklist of 55 items addressing outcome selection, definition, measurement, analysis, presentation and interpretation. Reporting frequencies were calculated to identify strengths and deficiencies in outcome descriptions.ResultsAll 14 included studies reported ‘cognitive function’ as an outcome; nine reported both ‘cognitive function’ and ‘cerebral palsy’ as outcomes. Studies reported between 26% and 46% of the 55 outcome reporting items assessed; results were similar for ‘cognitive function’ and ‘cerebral palsy’ (on average 34% and 33% of items reported, respectively). Key methodological concepts often omitted included the reporting of masking of outcome assessors, methods used to handle missing data and stakeholder involvement in outcome selection.ConclusionsThe reporting of neurodevelopmental outcomes in cohort studies of infants born extremely preterm is variable and often incomplete. This may affect stakeholders’ interpretation of study results, impair knowledge synthesis efforts and limit evidence-based decision-making for this population. |
Databáze: | OpenAIRE |
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