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Kysh L, Zapotoczny G, Manzanete L, Carey M, Shah P, Joseph F, Kempf H, Sikder AT, Finkel J, Thekkedath U, Toman K, Koh CJ, Eskandanian K, Espinoza J. Barriers to and facilitators of paediatric medical device innovation: a scoping review protocol. BMJ Open 2024; 14:e081541. [PMID: 38839390 PMCID: PMC11163634 DOI: 10.1136/bmjopen-2023-081541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 05/14/2024] [Indexed: 06/07/2024] Open
Abstract
INTRODUCTION The development of paediatric medical devices continues to lag adult medical devices and contributes to issues of inequity, safety, quality and patient outcomes. New legislation and funding mechanisms have been introduced over the past two decades, but the gap remains. Clinical trials have been identified as a pain point, but components of effective clinical research infrastructure are poorly understood. As part of a multimodal research strategy, the Pediatric Device Consortia (PDC) will conduct a scoping review to better understand infrastructural barriers to and facilitators of paediatric medical device clinical research identified in the health sciences literature. METHODS AND ANALYSIS The following databases will be included for this review: Medline, Embase, Cochrane CENTRAL, Web of Science and IEEE Xplore. Additional grey literature will be sought out through Google Scholar and reviewing the citations of included studies. Included studies will discuss medical devices according to the U.S. Food and Drug Administration classification, focus on the paediatric population (ages 0-21 years) and involve human premarket or postmarket research. All study types that were published in 2007-present in English, Spanish, French or Italian will be included. Using Covidence web-based software, two independent reviewers will screen the resulting titles, abstracts and the full text of potential studies. Conflicts will be resolved by the primary investigator during both phases. REDCap will be used for quantitative and qualitative data charting, generating data tables and narrative synthesis. ETHICS AND DISSEMINATION This research did not require research ethics board consideration as it does not involve human participants and all data will be collected from published literature. We will share our findings through peer-reviewed manuscripts, clinical and research conference presentations and professional networks available to the PDC. STUDY REGISTRATION Open Science Framework (https://osf.io/k72bn).
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Affiliation(s)
- Lynn Kysh
- Innovation Studio, Children's Hospital of Los Angeles, Los Angeles, California, USA
| | - Grzegorz Zapotoczny
- Stanley Manne Children's Research Institute, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA
- West Coast Consortium for Technology & Innovation in Pediatrics, Children's Hospital Los Angeles, Los Angeles, California, USA
| | - Lisa Manzanete
- Loma Linda University School of Medicine, Loma Linda, California, USA
| | - Megan Carey
- West Coast Consortium for Technology & Innovation in Pediatrics, Children's Hospital Los Angeles, Los Angeles, California, USA
| | - Payal Shah
- West Coast Consortium for Technology & Innovation in Pediatrics, Children's Hospital Los Angeles, Los Angeles, California, USA
| | - Francesca Joseph
- Division of Pediatrics, Children's National Hospital, Washington, DC, USA
- National Capital Consortium for Pediatric Device Innovation, Children's National Hospital, Washington, DC, USA
| | - Haley Kempf
- Loma Linda University School of Medicine, Loma Linda, California, USA
| | - Abu Taher Sikder
- Innovation Studio, Children's Hospital of Los Angeles, Los Angeles, California, USA
| | - Julia Finkel
- National Capital Consortium for Pediatric Device Innovation, Children's National Hospital, Washington, DC, USA
- Division of Anesthesiology, Children's National Hospital, Washington, DC, USA
| | - Usha Thekkedath
- Department of Surgery and Bioengineering & Therapeutics Sciences, University of California San Francisco, San Francisco, California, USA
| | - Kara Toman
- Division of Pediatric Urology, Baylor College of Medicine, Houston, Texas, USA
| | - Chester J Koh
- Division of Pediatric Urology, Texas Children's Hospital, Houston, Texas, USA
| | - Kolaleh Eskandanian
- National Capital Consortium for Pediatric Device Innovation, Children's National Hospital, Washington, DC, USA
| | - Juan Espinoza
- Stanley Manne Children's Research Institute, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA
- West Coast Consortium for Technology & Innovation in Pediatrics, Children's Hospital Los Angeles, Los Angeles, California, USA
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