Variation in Structure and Process of Care in Traumatic Brain Injury: Provider Profiles of European Neurotrauma Centers Participating in the CENTER-TBI Study

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aut.relation.issue8en_NZ
aut.relation.journalPLoS ONEen_NZ
aut.relation.volume11en_NZ
aut.researcherTheadom, Alice
dc.contributor.authorCnossen, MCen_NZ
dc.contributor.authorPolinder, Sen_NZ
dc.contributor.authorLingsma, HFen_NZ
dc.contributor.authorMaas, AIRen_NZ
dc.contributor.authorMenon, Den_NZ
dc.contributor.authorSteyerberg, EWen_NZ
dc.contributor.authorAdams, Hen_NZ
dc.contributor.authorAlessandro, Men_NZ
dc.contributor.authorAllanson, Jen_NZ
dc.contributor.authorAmrein, Ken_NZ
dc.contributor.authorAndaluz, Nen_NZ
dc.contributor.authorAndelic, Nen_NZ
dc.contributor.authorAndrea, Nen_NZ
dc.contributor.authorAndreassen, Len_NZ
dc.contributor.authorAnke, Aen_NZ
dc.contributor.authorAntoni, Aen_NZ
dc.contributor.authorArdon, Hen_NZ
dc.contributor.authorAudibert, Gen_NZ
dc.contributor.authorAuslands, Ken_NZ
dc.contributor.authorAzouvi, Pen_NZ
dc.contributor.authorBaciu, Cen_NZ
dc.contributor.authorBacon, Aen_NZ
dc.contributor.authorBadenes, Ren_NZ
dc.contributor.authorBaglin, Ten_NZ
dc.contributor.authorBartels, Ren_NZ
dc.contributor.authorBarzó, Pen_NZ
dc.contributor.authorBauerfeind, Uen_NZ
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dc.contributor.authorBellander, B-Men_NZ
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dc.contributor.authorBellier, Ren_NZ
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dc.contributor.authorBeynon, Cen_NZ
dc.contributor.authorBilotta, Fen_NZ
dc.contributor.authorBinder, Hen_NZ
dc.contributor.authorBiqiri, Een_NZ
dc.contributor.authorBlaabjerg, Men_NZ
dc.contributor.authorBorgen, LSen_NZ
dc.contributor.authorBouzat, Pen_NZ
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dc.contributor.authorBrehar, Fen_NZ
dc.contributor.authorBrorsson, Cen_NZ
dc.contributor.authorBuki, Aen_NZ
dc.contributor.authorBullinger, Men_NZ
dc.contributor.authorBučková, Ven_NZ
dc.contributor.authorCalappi, Een_NZ
dc.contributor.authorCameron, Pen_NZ
dc.contributor.authorCarbayo, LGen_NZ
dc.contributor.authorCarise, Een_NZ
dc.contributor.authorCarpenter, Cen_NZ
dc.contributor.authorCastaño-León, AMen_NZ
dc.contributor.authorCausin, Fen_NZ
dc.contributor.authorChevallard, Gen_NZ
dc.contributor.authorChieregato, Aen_NZ
dc.contributor.authorCiterio, Gen_NZ
dc.contributor.authorCoburn, MCen_NZ
dc.contributor.authorColes, Jen_NZ
dc.contributor.authorCooper, JDen_NZ
dc.contributor.authorCorreia, Men_NZ
dc.contributor.authorCovic, Aen_NZ
dc.contributor.authorCurry, Nen_NZ
dc.contributor.authorCzeiter, Een_NZ
dc.contributor.authorCzosnyka, Men_NZ
dc.contributor.authorDahyot-Fizelier, Cen_NZ
dc.contributor.authorDamas, Fen_NZ
dc.contributor.authorDamas, Pen_NZ
dc.contributor.authorDawes, Hen_NZ
dc.contributor.authorDe Keyser, Ven_NZ
dc.contributor.authorDella Corte, Fen_NZ
dc.contributor.authorDepreitere, Ben_NZ
dc.contributor.authorDing, Sen_NZ
dc.contributor.authorDippel, Den_NZ
dc.contributor.authorDizdarevic, Ken_NZ
dc.contributor.authorDulière, G-Len_NZ
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dc.contributor.authorFeng, Jen_NZ
dc.contributor.authorFoks, Ken_NZ
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dc.contributor.authorFrancony, Gen_NZ
dc.contributor.authorFrantzén, Jen_NZ
dc.contributor.authorFreo, Uen_NZ
dc.contributor.authorFrisvold, Sen_NZ
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dc.contributor.authorGalanaud, Den_NZ
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dc.contributor.authorGeleijns, Ken_NZ
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dc.contributor.authorGlocker, Ben_NZ
dc.contributor.authorGomez, PAen_NZ
dc.contributor.authorGrossi, Fen_NZ
dc.contributor.authorGruen, RLen_NZ
dc.contributor.authorGupta, Den_NZ
dc.contributor.authorHaagsma, JAen_NZ
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dc.contributor.authorHelseth, Een_NZ
dc.contributor.authorHertle, Den_NZ
dc.contributor.authorHill, Sen_NZ
dc.contributor.authorHoedemaekers, Aen_NZ
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dc.contributor.authorHutchinson, PJen_NZ
dc.contributor.authorHåberg, AKen_NZ
dc.contributor.authorJacobs, Ben_NZ
dc.contributor.authorJanciak, Ien_NZ
dc.contributor.authorJanssens, Ken_NZ
dc.contributor.authorJiang, Jen_NZ
dc.contributor.authorJones, Ken_NZ
dc.contributor.authorKalala, J-Pen_NZ
dc.contributor.authorKamnitsas, Ken_NZ
dc.contributor.authorKaran, Men_NZ
dc.contributor.authorKarau, Jen_NZ
dc.contributor.authorKatila, Aen_NZ
dc.contributor.authorKaukonen, Men_NZ
dc.contributor.authorKeeling, Den_NZ
dc.contributor.authorKerforne, Ten_NZ
dc.contributor.authorKetharanathan, Nen_NZ
dc.contributor.authorKettunen, Jen_NZ
dc.contributor.authorKivisaari, Ren_NZ
dc.contributor.authorKolias, AGen_NZ
dc.contributor.authorKolumbán, Ben_NZ
dc.contributor.authorKompanje, Een_NZ
dc.contributor.authorKondziella, Den_NZ
dc.contributor.authorKoskinen, L-Oen_NZ
dc.contributor.authorKovács, Nen_NZ
dc.contributor.authorKálovits, Fen_NZ
dc.contributor.authorLagares, Aen_NZ
dc.contributor.authorLanyon, Len_NZ
dc.contributor.authorLaureys, Sen_NZ
dc.contributor.authorLauritzen, Men_NZ
dc.contributor.authorLecky, Fen_NZ
dc.contributor.authorLedig, Cen_NZ
dc.contributor.authorLefering, Ren_NZ
dc.contributor.authorLegrand, Ven_NZ
dc.contributor.authorLei, Jen_NZ
dc.contributor.authorLevi, Len_NZ
dc.contributor.authorLightfoot, Ren_NZ
dc.contributor.authorLingsma, Hen_NZ
dc.contributor.authorLoeckx, Den_NZ
dc.contributor.authorLozano, Aen_NZ
dc.contributor.authorLuddington, Ren_NZ
dc.contributor.authorLuijten-Arts, Cen_NZ
dc.contributor.authorMaas, AIRen_NZ
dc.contributor.authorMacDonald, Sen_NZ
dc.contributor.authorMacFayden, Cen_NZ
dc.contributor.authorMaegele, Men_NZ
dc.contributor.authorMajdan, Men_NZ
dc.contributor.authorMajor, Sen_NZ
dc.contributor.authorManara, Aen_NZ
dc.contributor.authorManhes, Pen_NZ
dc.contributor.authorManley, Gen_NZ
dc.contributor.authorMartin, Den_NZ
dc.contributor.authorMartino, Cen_NZ
dc.contributor.authorMaruenda, Aen_NZ
dc.contributor.authorMaréchal, Hen_NZ
dc.contributor.authorMastelova, Den_NZ
dc.contributor.authorMattern, Jen_NZ
dc.contributor.authorMcMahon, Cen_NZ
dc.contributor.authorMelegh, Ben_NZ
dc.contributor.authorMenovsky, Ten_NZ
dc.contributor.authorMorganti-Kossmann, Cen_NZ
dc.contributor.authorMulazzi, Den_NZ
dc.contributor.authorMutschler, Men_NZ
dc.contributor.authorMühlan, Hen_NZ
dc.contributor.authorNegru, Aen_NZ
dc.contributor.authorNelson, Den_NZ
dc.contributor.authorNeugebauer, Een_NZ
dc.contributor.authorNewcombe, Ven_NZ
dc.contributor.authorNoirhomme, Qen_NZ
dc.contributor.authorNyirádi, Jen_NZ
dc.contributor.authorOddo, Men_NZ
dc.contributor.authorOldenbeuving, Aen_NZ
dc.contributor.authorOresic, Men_NZ
dc.contributor.authorOrtolano, Fen_NZ
dc.contributor.authorPalotie, Aen_NZ
dc.contributor.authorParizel, PMen_NZ
dc.contributor.authorPatruno, Aen_NZ
dc.contributor.authorPayen, J-Fen_NZ
dc.contributor.authorPerera, Nen_NZ
dc.contributor.authorPerlbarg, Ven_NZ
dc.contributor.authorPersona, Pen_NZ
dc.contributor.authorPeul, Wen_NZ
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dc.contributor.authorPiilgaard, Hen_NZ
dc.contributor.authorPiippo, Aen_NZ
dc.contributor.authorPili, FSen_NZ
dc.contributor.authorPirinen, Men_NZ
dc.contributor.authorPles, Hen_NZ
dc.contributor.authorPomposo, Ien_NZ
dc.contributor.authorPsota, Men_NZ
dc.contributor.authorPullens, Pen_NZ
dc.contributor.authorPuybasset, Len_NZ
dc.contributor.authorRagauskas, Aen_NZ
dc.contributor.authorRaj, Ren_NZ
dc.contributor.authorRambadagalla, Men_NZ
dc.contributor.authorRehorčíková, Ven_NZ
dc.contributor.authorRhodes, Jen_NZ
dc.contributor.authorRichardson, Sen_NZ
dc.contributor.authorRipatti, Sen_NZ
dc.contributor.authorRocka, Sen_NZ
dc.contributor.authorRodier, Nen_NZ
dc.contributor.authorRoe, Cen_NZ
dc.contributor.authorRoise, Oen_NZ
dc.contributor.authorRoks, Gen_NZ
dc.contributor.authorRomegoux, Pen_NZ
dc.contributor.authorRosand, Jen_NZ
dc.contributor.authorRosenfeld, Jen_NZ
dc.contributor.authorRosenlund, Cen_NZ
dc.contributor.authorRosenthal, Gen_NZ
dc.contributor.authorRossaint, Ren_NZ
dc.contributor.authorRossi, Sen_NZ
dc.contributor.authorRostalski, Ten_NZ
dc.contributor.authorRueckert, DLen_NZ
dc.contributor.authorRuiz De Arcaute, Fen_NZ
dc.contributor.authorRusnák, Men_NZ
dc.contributor.authorSacchi, Men_NZ
dc.contributor.authorSahakian, Ben_NZ
dc.contributor.authorSahuquillo, Jen_NZ
dc.contributor.authorSakowitz, Oen_NZ
dc.contributor.authorSala, Fen_NZ
dc.contributor.authorSanchez-Pena, Pen_NZ
dc.contributor.authorSanchez-Porras, Ren_NZ
dc.contributor.authorSandor, Jen_NZ
dc.contributor.authorSantos, Een_NZ
dc.contributor.authorSasse, Nen_NZ
dc.contributor.authorSasu, Len_NZ
dc.contributor.authorSavo, Den_NZ
dc.contributor.authorSchipper, Ien_NZ
dc.contributor.authorSchlößer, Ben_NZ
dc.contributor.authorSchmidt, Sen_NZ
dc.contributor.authorSchneider, Aen_NZ
dc.contributor.authorSchoechl, Hen_NZ
dc.contributor.authorSchoonman, Gen_NZ
dc.contributor.authorSchou, RFen_NZ
dc.contributor.authorSchwendenwein, Een_NZ
dc.contributor.authorSchöll, Men_NZ
dc.contributor.authorSir, Oen_NZ
dc.contributor.authorSkandsen, Ten_NZ
dc.contributor.authorSmakman, Len_NZ
dc.contributor.authorSmeets, Den_NZ
dc.contributor.authorSmielewski, Pen_NZ
dc.contributor.authorSorinola, Aen_NZ
dc.contributor.authorStamatakis, ELen_NZ
dc.contributor.authorStanworth, Sen_NZ
dc.contributor.authorStegemann, Ken_NZ
dc.contributor.authorSteinbüchel, Nen_NZ
dc.contributor.authorStevens, Ren_NZ
dc.contributor.authorStewart, Wen_NZ
dc.contributor.authorStocchetti, Nen_NZ
dc.contributor.authorSundström, Nen_NZ
dc.contributor.authorSynnot, Aen_NZ
dc.contributor.authorSzabó, Jen_NZ
dc.contributor.authorSöderberg, Jen_NZ
dc.contributor.authorTaccone, FSen_NZ
dc.contributor.authorTamás, Ven_NZ
dc.contributor.authorTanskanen, Pen_NZ
dc.contributor.authorTascu, Aen_NZ
dc.contributor.authorTaylor, MSen_NZ
dc.contributor.authorTe Ao, Ben_NZ
dc.contributor.authorTenovuo, Oen_NZ
dc.contributor.authorTeodorani, Gen_NZ
dc.contributor.authorTheadom, Aen_NZ
dc.contributor.authorThomas, Men_NZ
dc.contributor.authorTibboel, Den_NZ
dc.contributor.authorTolias, Cen_NZ
dc.contributor.authorTshibanda, J-FLen_NZ
dc.contributor.authorTudora, CMen_NZ
dc.contributor.authorVajkoczy, Pen_NZ
dc.contributor.authorValeinis, Een_NZ
dc.contributor.authorVan Hecke, Wen_NZ
dc.contributor.authorVan Praag, Den_NZ
dc.contributor.authorVan Roost, Den_NZ
dc.contributor.authorVan Vlierberghe, Een_NZ
dc.contributor.authorVande Vyvere, Ten_NZ
dc.contributor.authorVanhaudenhuyse, Aen_NZ
dc.contributor.authorVargiolu, Aen_NZ
dc.contributor.authorVega, Een_NZ
dc.contributor.authorVerheyden, Jen_NZ
dc.contributor.authorVespa, PMen_NZ
dc.contributor.authorVik, Aen_NZ
dc.contributor.authorVilcinis, Ren_NZ
dc.contributor.authorVizzino, Gen_NZ
dc.contributor.authorVleggeert-Lankamp, Cen_NZ
dc.contributor.authorVolovici, Ven_NZ
dc.contributor.authorVulekovic, Pen_NZ
dc.contributor.authorVámos, Zen_NZ
dc.contributor.authorWade, Den_NZ
dc.contributor.authorWang, KKWen_NZ
dc.contributor.authorWang, Len_NZ
dc.contributor.authorWildschut, Een_NZ
dc.contributor.authorWilliams, Gen_NZ
dc.contributor.authorWillumsen, Len_NZ
dc.contributor.authorWilson, Aen_NZ
dc.contributor.authorWilson, Len_NZ
dc.contributor.authorWinkler, MKLen_NZ
dc.contributor.authorYlén, Pen_NZ
dc.contributor.authorYounsi, Aen_NZ
dc.contributor.authorZaaroor, Men_NZ
dc.contributor.authorZhang, Zen_NZ
dc.contributor.authorZheng, Zen_NZ
dc.contributor.authorZumbo, Fen_NZ
dc.contributor.authorDe Lange, Sen_NZ
dc.contributor.authorDe Ruiter, GCWen_NZ
dc.contributor.authorDen Boogert, Hen_NZ
dc.contributor.authorVan Dijck, Jen_NZ
dc.contributor.authorVan Essen, TAen_NZ
dc.contributor.authorVan Heugten, Cen_NZ
dc.contributor.authorVan Der Jagt, Men_NZ
dc.contributor.authorVan Der Naalt, Jen_NZ
dc.date.accessioned2019-07-18T02:29:48Z
dc.date.available2019-07-18T02:29:48Z
dc.date.copyright2016en_NZ
dc.date.issued2016en_NZ
dc.description.abstractIntroduction: The strength of evidence underpinning care and treatment recommendations in traumatic brain injury (TBI) is low. Comparative effectiveness research (CER) has been proposed as a framework to provide evidence for optimal care for TBI patients. The first step in CER is to map the existing variation. The aim of current study is to quantify variation in general structural and process characteristics among centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. Methods: We designed a set of 11 provider profiling questionnaires with 321 questions about various aspects of TBI care, chosen based on literature and expert opinion. After pilot testing, questionnaires were disseminated to 71 centers from 20 countries participating in the CENTER-TBI study. Reliability of questionnaires was estimated by calculating a concordance rate among 5% duplicate questions. Results: All 71 centers completed the questionnaires. Median concordance rate among duplicate questions was 0.85. The majority of centers were academic hospitals (n = 65, 92%), designated as a level I trauma center (n = 48, 68%) and situated in an urban location (n = 70, 99%). The availability of facilities for neuro-trauma care varied across centers; e.g. 40 (57%) had a dedicated neuro-intensive care unit (ICU), 36 (51%) had an in-hospital rehabilitation unit and the organization of the ICU was closed in 64% (n = 45) of the centers. In addition, we found wide variation in processes of care, such as the ICU admission policy and intracranial pressure monitoring policy among centers. Conclusion: Even among high-volume, specialized neurotrauma centers there is substantial variation in structures and processes of TBI care. This variation provides an opportunity to study effectiveness of specific aspects of TBI care and to identify best practices with CER approaches.en_NZ
dc.identifier.citationPLoS One, 11(8), e0161367.
dc.identifier.doi10.1371/journal.pone.0161367en_NZ
dc.identifier.issn1932-6203en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12671
dc.languageengen_NZ
dc.publisherPublic Library of Scienceen_NZ
dc.relation.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0161367
dc.rights© 2016 Cnossen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.rights.accessrightsOpenAccessen_NZ
dc.titleVariation in Structure and Process of Care in Traumatic Brain Injury: Provider Profiles of European Neurotrauma Centers Participating in the CENTER-TBI Studyen_NZ
dc.typeJournal Article
pubs.elements-id213950
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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