October 2013. Volume 9. Number 3

Reflections about NIDCAP: from quantitative to qualitative and economic assessment

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Ohlsson A, Jacobs SE. NIDCAP: A Systematic Review and Meta-analyses of Randomized Controlled Trials. Pediatrics.2013;131:e881-93.
Reviewers: González de Dios J1, Buñuel Álvarez JC2.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2Àrea Bàsica de Salut Girona-4. Institut Català de la Salut. Girona. España.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Reception date: 20/05/2013
Acceptance date: 24/05/2013
Publication date: 19/06/2013

Abstract

Authors' conclusions: this systematic review did not find any evidence that NIDCAP improves long-term neurodevelopmental or short-term medical outcomes.

Reviewers' commentary: although NIDCAP (Newborn Individualized Developmental Care and Assessment Program) did not show consistent and maintained clinical improvements in the premature infant, its qualitative value in humanization and family centered care is undeniable. This systematic review does not take into account all that the NIDCAP entails, but is does pose some interesting questions. Should the NIDCAP be applied as a form of standard premature care or are other developmental focused methods enough?. And most importantly is the cost of NIDCAP trainings justifiable?. It is not the moment to lose faith in the NIDCAP but it is the moment to reflect on it. It is also an opportune moment to propose two types of study to apply to the NIDCAP: qualitative and economic evaluation.

How to cite this article

González de Dios J, Buñuel Álvarez JC. Reflexiones sobre el NIDCAP: de la evaluación cuantitativa a la cualitativa y económica. Evid Pediatr. 2013;9:44.

AVC | Critically appraised articles

Ohlsson A, Jacobs SE. NIDCAP: A Systematic Review and Meta-analyses of Randomized Controlled Trials. Pediatrics.2013;131:e881-93.
Reviewers: González de Dios J1, Buñuel Álvarez JC2.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2Àrea Bàsica de Salut Girona-4. Institut Català de la Salut. Girona. España.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Reception date: 20/05/2013
Acceptance date: 24/05/2013
Publication date: 19/06/2013

How to cite this article

González de Dios J, Buñuel Álvarez JC. Reflexiones sobre el NIDCAP: de la evaluación cuantitativa a la cualitativa y económica. Evid Pediatr. 2013;9:44.

References

  1. Lacy JB, Ohlsson A. Behavioral outcomes of environmental or care-giving hospital-based interventions for preterm infants: a critical overview. Acta Paediatr. 1193;82:408-15.
  2. Jacobs SE, Sokol J, Ohlsson A. The Newborn Individualized Developmental Care and Assessment Program is not supported by meta-analyses of the data. J Pediatr. 2002;140:699-706.
  3. Ohlsson A, Jacobs SE. Meta-regression can indicate if further NIDCAP studies are justified [in Swedish]. Lakartidningen. 2007;104:134-7.
  4. Maguire CM, Walther FJ, Sprij AJ, Le Cessie S, Wit JM, Veen S; Leiden Developmental Care Project. Effects of individualized developmental care in a randomized trial of preterm infants < 32 weeks. Pediatrics. 2009;124:1021-30.
  5. Peters KL, Rosychuk RJ, Hendson L, Coté JJ, McPherson C, Tyebkhan JM. Improvement of short- and long-term outcomes for very low birth weigth infants: Edmonton NIDCAP trial. Pediatrics. 2009;124:1009-20.
  6. González de Dios J, Buñuel Álvarez JC, Aparicio Rodrigo M. Listas guía de comprobación de revisiones sistemáticas y metaanálisis: declaración PRISMA. Evid Pediatr. 2011;7:97.

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Pallás Alonso CR, López Maestro M. NIDCAP, práctica clínica y metanálisis. Evid Pediatr. 2013;9:40.
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