{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:57:49Z","timestamp":1789826269988,"version":"4.0.1"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"S 02","funder":[{"name":"Department of Pediatrics at the Montreal Children's Hospital, Montreal, Canada"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>\n            Objective\u2003Coinciding with the publication of the Canadian congenital diaphragmatic hernia (CDH) Collaborative's clinical practice guidelines (CPG), we developed a mobile smartphone app to increase guideline utilization and promote knowledge translation.<\/jats:p><jats:p>\n            Study Design\u2003This mobile app was organized into sections corresponding to the phases of CDH care (prenatal, perinatal\/postnatal, and child\/adolescent), and contained 22 recommendations supported by evidence summaries, PubMed links, levels of evidence, and strength of expert consensus. Download statistics were collected from September 2018 to June 2020 after release of two iOS versions and an Android platform. Data regarding user numbers\/location, most visited sections, and individual session details were analyzed.<\/jats:p><jats:p>\n            Results\u2003During the study period, the CDH app had 1,586 users predominantly from Canada (40%), United States (30%), and Brazil (12%). The Android release increased app visibility, particularly in Brazil, which had the largest number of new users. Of 3,723 sessions, roughly one-third were returning users. The average session duration and screens viewed\/session was 4\u2009minutes and seven screens, respectively. Postnatal ventilation was the most frequently visited subsection after prenatal diagnosis\/risk stratification. Measurement of observed-to-expected lung head ratio was the most visited individual recommendation. The guideline compliance checklist was the most frequently accessed resource highlighting its utility.<\/jats:p><jats:p>\n            Conclusion\u2003The CDH app is an innovative platform to disseminate guidelines. The increasing global reach of the app suggests worldwide CPG relevance. With additional features planned, the CDH app will continue to support clinical decision-making and empower patients and families as they navigate the short and long-term challenges associated with CDH.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0040-1714206","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T18:34:07Z","timestamp":1599590047000},"page":"S66-S70","source":"Crossref","is-referenced-by-count":6,"special_numbering":"S","title":["The Canadian Congenital Diaphragmatic Hernia Collaborative Mobile App: A National Guideline Implementation Strategy"],"prefix":"10.1055","volume":"37","author":[{"given":"Kathryn","family":"LaRusso","sequence":"additional","affiliation":[{"name":"Harvey E. Beardmore Division of Pediatric Surgery, McGill University Health Centre, The Montreal Children's Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramod S.","family":"Puligandla","sequence":"additional","affiliation":[{"name":"Harvey E. Beardmore Division of Pediatric Surgery, Department of Pediatric Surgery, McGill University Health Centre, The Montreal Children's Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme Sant'","family":"Anna","sequence":"additional","affiliation":[{"name":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, McGill University Health Centre, The Montreal Children's Hospital, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1159\/000322694","article-title":"Actual outcome in infants with congenital diaphragmatic hernia: the role of a standardized postnatal treatment protocol","volume":"29","author":"L van den Hout","year":"2011","journal-title":"Fetal Diagn Ther"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.jpedsurg.2011.02.008","article-title":"Institutional practice and outcome variation in the management of congenital diaphragmatic hernia and gastroschisis in Canada: a report from the Canadian Pediatric Surgery Network","volume":"46","author":"R Baird","year":"2011","journal-title":"J Pediatr Surg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"E103","DOI":"10.1503\/cmaj.170206","article-title":"Diagnosis and management of congenital diaphragmatic hernia: a clinical practice guideline","volume":"190","author":"P S Puligandla","year":"2018","journal-title":"CMAJ"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"e413","DOI":"10.1542\/peds.2013-3367","article-title":"A clinical prediction rule for the severity of congenital diaphragmatic hernias in newborns","volume":"134","author":"M E Brindle","year":"2014","journal-title":"Pediatrics"},{"issue":"11","key":"ref6","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1055\/s-0038-1676052","article-title":"Therapeutic hypothermia in Brazil: a multiprofessional national survey","volume":"36","author":"G F Variane","year":"2019","journal-title":"Am J Perinatol"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1111\/imj.13349","article-title":"Doctors' use of mobile devices in the clinical setting: a mixed methods study","volume":"47","author":"A Nerminathan","year":"2017","journal-title":"Intern Med J"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/HCM.0000000000000080","article-title":"Use of smartphones in hospitals","volume":"34","author":"N A Thomairy","year":"2015","journal-title":"Health Care Manag (Frederick)"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1714206.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T18:36:43Z","timestamp":1599590203000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1714206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":7,"journal-issue":{"issue":"S 02","published-online":{"date-parts":[[2020,9,8]]},"published-print":{"date-parts":[[2020,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1714206","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}