Patient-focused outcomes are infrequently reported in pediatric health information technology trials: a systematic review
| Autor: | Daniel B Hawcutt, Matthew T. Neame, Ian Sinha, Jerry Chacko, Jamie J Kirkham |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Epidemiology Pediatric health Psychological intervention MEDLINE Health informatics Pediatrics law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Outcome Assessment Health Care Medicine Humans 030212 general & internal medicine Adverse effect Child Randomized Controlled Trials as Topic business.industry Evidence-based medicine Emergency medicine business 030217 neurology & neurosurgery Medical Informatics |
| Zdroj: | JOURNAL OF CLINICAL EPIDEMIOLOGY |
| Popis: | Objectives Billions of dollars have been invested in Health Information Technologies (HITs), and randomized controlled trials (RCTs) have been conducted to identify the effects of these interventions. Our objective was to identify the types of outcomes that were measured and reported in these RCTs. Study Design and Setting We completed a systematic review (Medline, EMBASE, and CENTRAL databases) of RCTs involving children ( Results We identified 45 RCTs involving 323,945 children. Most studies reported process outcomes (n = 40/45 (88.9%)) but did not include patient-focused outcomes such as patient/carer functioning (n = 12/45 (26.7%)), clinical/physiological health (n = 10/45, 22.2%), quality of life (n = 3/45, 6.7%), or mortality (n = 1/45, 2.2%). Only 3 of 45 (6.7%) studies reported an evaluation of adverse events. In only 14 of 45 (31.1%) studies was it clear that all outcomes that were measured were reported. Conclusion It is difficult to use RCTs to fully evaluate the benefits and risks of using HIT interventions in pediatric health care settings because patient-focused outcomes and adverse events are rarely reported. Measures to improve the quality of future trials may include the publication of study protocols and the development of an outcome reporting framework or core outcome set. |
| Databáze: | OpenAIRE |
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