Neonatal hyperbilirubinemia: Assessing variation in knowledge and practice. PLoS One 2023;18(2):e0282413
Date
03/01/2023Pubmed ID
36854033Pubmed Central ID
PMC9974112DOI
10.1371/journal.pone.0282413Scopus ID
2-s2.0-85149153427 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
INTRODUCTION: Neonatal hyperbilirubinemia (NH) is commonly diagnosed and managed by pediatricians in various clinical settings. The 2004 American Academy of Pediatrics (AAP) Clinical Practice Guideline on NH is widely cited, but literature examining variation across pediatric specialties is limited. This study aimed to assess baseline knowledge and practice habits regarding NH among pediatric providers across various specialties immediately prior to the release of the 2022 NH clinical practice guideline.
METHODS: A non-probability, convenience, self-selected sampling survey was electronically distributed to 311 subjects across five specialties within one pediatric healthcare institution. The survey included eight multiple choice knowledge-based questions with confidence assessments and five management-based questions assessing respondent agreement on a 5-point scale. To compare groups, the Kruskal-Wallis and Mann-Whitney tests were used for continuous variables, and the chi-square and Fisher's exact tests were used for categorical variables.
RESULTS: The overall survey response rate is 46%. There were significant differences between specialties' knowledge regarding NH (p<0.05). There were also significant differences between specialties' confidence ratings, independent of choosing the correct response (p<0.05). For select management-based questions, there were also significant differences between specialties (p<0.05). A majority of respondents (56%) indicated phototherapy treatment thresholds should remain the same in updated management guidelines.
CONCLUSIONS: Significant variations in knowledge and management of NH were identified among pediatric specialties. This suggests dissemination of new guidelines must be cognizant of different constraints impacting knowledge and practice across specialties.
Author List
Owerko D, Ryan K, Cabacungan E, Yan K, Saudek KAuthors
Erwin Cabacungan MD Associate Professor in the Pediatrics department at Medical College of WisconsinKris Harlander Saudek MD Professor in the Pediatrics department at Medical College of Wisconsin
Kelsey S. Ryan MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
Ke Yan PhD Associate Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Academies and InstitutesChild
Habits
Health Facilities
Humans
Hyperbilirubinemia, Neonatal
Infant, Newborn
Medicine
