Cochrane · systematic review · CD013329
Comprehensive care programmes for children with medical complexity
Harvey, AR, Meehan, E, Merrick, N, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 3 · 42.9%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings for the main comparison: comprehensive care programmes versus usual care
Population: children with medical complexity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Child health, functioning, and quality of life Pediatric Quality of Life Inventory (PedsQL) Summary of findings for the main comparison: comprehensive care programmes vs usual care | no estimate extracted | 3 studies · 701 participants | Low Downgraded: risk of bias, imprecision |
Parent health, functioning, and quality of life Patient‐Reported Outcomes Measurement Information System (PROMIS) (higher scores = more of the outcome of interest, which can mean improvement or deterioration depending on the outcome) Summary of findings for the main comparison: comprehensive care programmes vs usual care | no estimate extracted | 1 study · 207 participants | Moderate Downgraded: risk of bias |
Child and family satisfaction with, and perceptions of, care and service delivery Family Experiences With Coordination of Care (FECC) survey (higher scores = better) Consumer Assessment of Healthcare Providers and Systems (CAHPS) (higher scores = ... Summary of findings for the main comparison: comprehensive care programmes vs usual care | no estimate extracted | 3 studies · 701 participants | Low Downgraded: risk of bias, imprecision |
Number of healthcare encounters: ED visits ( Summary of findings for the main comparison: comprehensive care programmes vs usual care | no estimate extracted | 3 studies · 739 participants | Moderate Downgraded: risk of bias |
Number of hospitalised days (hospital admissions) ( Summary of findings for the main comparison: comprehensive care programmes vs usual care | no estimate extracted | 3 studies · 739 participants | Moderate Downgraded: risk of bias |
Costs to the healthcare system ( Summary of findings for the main comparison: comprehensive care programmes vs usual care | no estimate extracted | 3 studies · 739 participants | Low Downgraded: risk of bias, inconsistency |
Costs to the family Summary of findings for the main comparison: comprehensive care programmes vs usual care | no estimate extracted | NR | No studies |