Provider Awareness, Understanding and Use of NICHD Neonatal Research Network Outcomes Estimator

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Abstract

Introduction

Our aim was to survey clinicians to assess awareness and utilization of the NICHD Neonatal Research Network outcomes estimator, which allows clinicians to use multiple factors to better estimate the likelihood that intensive care will benefit the delivered neonate.

Study Design

The survey tool included a list of questions regarding the estimator. We collected responses from various medical personnel assessing awareness, frequency of use, knowledge of estimator, and information regarding the database.

Results

There were a total of 141 participants. Forty-two percent reported awareness of the estimator and of those, 75% had visited the Web site. Eighty-two percent of those visiting the site had actually used the estimator. Maternal-fetal medicine (MFM) physicians versus generalists were more likely to have heard of the estimator (75 vs. 32%). Obstetrics and gynecology residents had similar familiarity with the estimator as attending generalists. Of those having used the tool, 25% knew the correct variables, with only 19% knowing the outcomes. Interestingly, a majority of users misunderstood database components.

Conclusion

A majority of clinicians, and a fourth of MFM physicians, who care for patients with threatened preterm birth are either unaware or have limited understanding of the estimator, offering a potential area of improvement in the counseling of such at-risk patients.

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