Dutch guidelines on care for extremely premature infants: Navigating between personalisation and standardization
| Autor: | Marije Hogeveen, Lien De Proost, I K M Reiss, E.J.T (Joanne) Verweij, Rosa Geurtzen, A A E Verhagen |
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| Přispěvatelé: | Obstetrics & Gynecology, Pediatrics |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Standardization MEDLINE Gestational Age Pediatrics Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] GESTATIONAL-AGE INFANTS Surveys and Questionnaires MANAGEMENT Medicine Humans Extremely premature OUTCOMES Science & Technology Health professionals business.industry RESUSCITATION Infant Newborn Obstetrics and Gynecology Gestational age Infant Obstetrics & Gynecology Guideline Reference Standards VIABILITY Preference Family medicine Infant Extremely Premature Pediatrics Perinatology and Child Health Survey instrument business SHARED DECISION-MAKING Life Sciences & Biomedicine |
| Zdroj: | Seminars in Perinatology, 46(2). W B SAUNDERS CO-ELSEVIER INC Seminars in Perinatology, 46, 2 Seminars in Perinatology, 46(2):151532. W.B. Saunders Seminars in Perinatology, 46 Seminars in perinatology, 46(2):151532 |
| ISSN: | 0146-0005 |
| Popis: | Contains fulltext : 248212.pdf (Publisher’s version ) (Open Access) OBJECTIVE: There is no international consensus on what type of guideline is preferred for care at the limit of viability. We aimed to conceptualize what type of guideline is preferred by Dutch healthcare professionals: 1) none; 2) gestational-age-based; 3) gestational-age-based-plus; or 4) prognosis-based via a survey instrument. Additional questions were asked to explore the grey zone and attitudes towards treatment variation. FINDING: 769 surveys were received. Most of the respondents (72.8%) preferred a gestational-age-based-plus guideline. Around 50% preferred 24(+0/7) weeks gestational age as the lower limit of the grey zone, whereas 26(+0/7) weeks was the most preferred upper limit. Professionals considered treatment variation acceptable when it is based upon parental values, but unacceptable when it is based upon the hospital's policy or the physician's opinion. CONCLUSION: In contrast to the current Dutch guideline, our results suggest that there is a preference to take into account individual factors besides gestational age. |
| Databáze: | OpenAIRE |
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