使用网络调查收集采用胎儿镜激光光凝术治疗的双胎输血综合征患者的长期儿科疗效:观察性研究。

IF 2.1 Q2 PEDIATRICS
Eric Bergh, Kimberly Rennie, Jimmy Espinoza, Anthony Johnson, Ramesha Papanna
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引用次数: 0

摘要

背景:在美国,因双胎输血综合征(TTTS)而接受宫内胎儿镜激光光凝术(FLP)的单绒毛膜双胎患者可能会长途跋涉接受治疗。分娩后,由于地理位置和费用原因,许多父母无法返回研究地点进行正式的儿科评估:本研究旨在收集因 TTTS 而接受 FLP 的患者的长期儿科治疗结果:我们评估了使用 REDCap(研究电子数据采集;范德比尔特大学)设计的网络调查收集 2011-2019 年间在一个中心接受 TTTS 治疗的患儿的家长报告结果的可行性。我们通过电子邮件邀请新生儿存活率≥1的患者填写5份可能的问卷:儿童状况问卷(CSQ)、胎儿中心问卷(FCQ)、年龄与阶段问卷第三版(ASQ-3)、幼儿自闭症随访修订版核对表(M-CHAT-R/F)和感谢问卷(TYQ)。R 编程语言(R 统计计算基础)用于自动分发调查问卷、评分和创建定制报告。调查于 2019 年进行,12 个月后于 2020 年在同一研究人群中重复进行:共有 26 个不同州和 2 个国际地点的 389 名患者拥有电子邮件地址,并在 2019 年收到了完成调查的邀请(中位儿科年龄为 48.9 个月,IQR 为 1.0-93.6 个月)。在 2019 年接受调查的母亲中,CSQ、FCQ、ASQ-3、M-CHAT-R/F 和 TYQ 的总体回复率为 37.3%(145/389),问卷完成率分别为 98%(145/148)、87.8%(130/148)、71.1%(81/100)、86.4%(19/22)和 74.3%(110/148)。2020 年,CSQ、FCQ、ASQ-3、M-CHAT-R/F 和 TYQ 的总回复率为 57.8%(56/97),问卷完成率分别为 96.4%(54/56)、91.1%(51/56)、86.1%(31/36)、91.7%(11/12)和 80.4%(45/56):这是第一项同时使用 REDCap 和计算机自动化来帮助传播、收集和报告调查的研究,以收集胎儿医学领域的长期儿科结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of Web-Based Surveys to Collect Long-Term Pediatric Outcomes in Patients With Twin-Twin Transfusion Syndrome Treated With Fetoscopic Laser Photocoagulation: Observational Study.

Background: In the United States, patients with monochorionic diamniotic twins who undergo in utero fetoscopic laser photocoagulation (FLP) for twin-twin transfusion syndrome (TTTS) may travel great distances for care. After delivery, many parents cannot return to study sites for formal pediatric evaluation due to geographic location and cost.

Objective: The aim of this study was to collect long-term pediatric outcomes in patients who underwent FLP for TTTS.

Methods: We assessed the feasibility of using a web-based survey designed in REDCap (Research Electronic Data Capture; Vanderbilt University) to collect parent-reported outcomes in children treated for TTTS at a single center during 2011-2019. Patients with ≥1 neonatal survivor were invited via email to complete 5 possible questionnaires: the child status questionnaire (CSQ); fetal center questionnaire (FCQ); Ages & Stages Questionnaires, Third Edition (ASQ-3); Modified Checklist for Autism in Toddlers, Revised With Follow-Up (M-CHAT-R/F); and thank you questionnaire (TYQ). The R programming language (R Foundation for Statistical Computing) was used to automate survey distribution, scoring, and creation of customized reports. The survey was performed in 2019 and repeated after 12 months in the same study population in 2020.

Results: A total of 389 patients in 26 different states and 2 international locations had an email address on file and received an invitation in 2019 to complete the survey (median pediatric age 48.9, IQR 1.0-93.6 months). Among surveyed mothers in 2019, the overall response rate was 37.3% (145/389), and the questionnaire completion rate was 98% (145/148), 87.8% (130/148), 71.1% (81/100), 86.4% (19/22), and 74.3% (110/148) for the CSQ, FCQ, ASQ-3, M-CHAT-R/F, and TYQ, respectively. In 2020, the overall response rate was 57.8% (56/97), and the questionnaire completion rate was 96.4% (54/56), 91.1% (51/56), 86.1% (31/36), 91.7% (11/12), and 80.4% (45/56) for the CSQ, FCQ, ASQ-3, M-CHAT-R/F, and TYQ, respectively.

Conclusions: This is the first study to use both REDCap and computer automation to aid in the dissemination, collection, and reporting of surveys to collect long-term pediatric outcomes in the field of fetal medicine.

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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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