{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T02:21:18Z","timestamp":1782872478160,"version":"3.54.5"},"reference-count":20,"publisher":"BMJ","issue":"5","funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2017,9,28]]},"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine the validity of assessing and recording the neurodevelopmental outcome of very preterm infants during routine clinical follow-up in England.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Children born &lt;30 weeks gestation, attending routine clinical follow-up at post-term ages 20\u201328 months, were recruited. Data on neurodevelopmental outcomes were recorded by the reviewing clinician in a standardised format in the child\u2019s electronic patient record, based on a set of key questions designed to be used without formal training or developmental testing. Using a predefined algorithm, each participant was classified as having \u2018no\u2019, \u2018mild\/moderate\u2019 or \u2018severe\u2019 impairment in cognitive, communication and motor domains. All participants also received a research assessment by a single assessor using the Bayley Scales of Infant Development, third edition (Bayley-III). The sensitivity and specificity of routine data in capturing impairment (any Bayley-III score &lt;85) or severe impairment (any Bayley-III score &lt;70) was calculated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>190 children participated. The validity of routine assessments in identifying children with no impairment and no severe impairment was high across all domains (specificities 83.9%\u2013100.0%\u2009and 96.6%\u2013100.0%,\u2009respectively). However, identification of impairments, particularly in the cognitive (sensitivity 69.7% (55.1%\u201384.3%)) and communication (sensitivity (53.2% (42.0%\u201364.5%)) domains, was poor.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Neurodevelopmental status determined during routine clinical assessment lacks adequate sensitivity in cognitive and communication domains. It is uncertain whether this reflects the assessment or\/and the recording of findings. As early intervention may improve education and social outcomes, this is an important area for healthcare quality improvement research.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/archdischild-2016-312535","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T07:05:22Z","timestamp":1537167922000},"page":"F479-F484","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Validity of neurodevelopmental outcomes of children born very preterm assessed during routine clinical follow-up in England"],"prefix":"10.1136","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4597-1794","authenticated-orcid":false,"given":"Hilary S","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Paediatrics, University of Cambridge, Cambridge, UK"},{"name":"Section of Neonatal Medicine, Department of Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances M","family":"Cowan","sequence":"additional","affiliation":[{"name":"Section of Neonatal Medicine, Department of Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neena","family":"Modi","sequence":"additional","affiliation":[{"name":"Section of Neonatal Medicine, Department of Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,10,27]]},"reference":[{"key":"2025090511465803000_103.5.F479.1","unstructured":"British Association of Perinatal Medicine Working Party. Classification of health status at 2 years as a perinatal outcome. London: The British Association of Perinata Medicine, 2008."},{"key":"2025090511465803000_103.5.F479.2","unstructured":"Audit Commission, HMSO. Children first. A study of hospital services\u00a0Audit Commission NHS report No. 7. London: HMSO 1993."},{"key":"2025090511465803000_103.5.F479.3","unstructured":"The National Audit Office study team. Caring for vulnerable babies: the reorganisation of neonatal services in England. London: The Stationery Office, 2007."},{"key":"2025090511465803000_103.5.F479.4","doi-asserted-by":"publisher","DOI":"10.1136\/fn.77.3.F206"},{"key":"2025090511465803000_103.5.F479.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-3782(99)00003-1"},{"key":"2025090511465803000_103.5.F479.6","doi-asserted-by":"publisher","DOI":"10.1136\/adc.80.1.63"},{"key":"2025090511465803000_103.5.F479.7","unstructured":"Clevermed BadgerNet Platform. http:\/\/www.clevermed.com\/badgernet\/badgernet-platform (accessed 3 Oct 2016)."},{"key":"2025090511465803000_103.5.F479.8","unstructured":"National Neonatal Audit Programme. http:\/\/www.rcpch.ac.uk\/improving-child-health\/quality-improvement-and-clinical-audit\/national-neonatal-audit-programme-nn-3."},{"key":"2025090511465803000_103.5.F479.9","doi-asserted-by":"crossref","unstructured":"Bayley N . Technical manual for the Bayley Scales of Infant and Toddler Development. 3rd ed. San Antonio: TX: Psychological Corporation, 2006.","DOI":"10.1037\/t14978-000"},{"key":"2025090511465803000_103.5.F479.10","unstructured":"National Perinatal Epidemiology Unit and the former Oxford Regional Health Authority. A report of two working groups convened by the National Perinatal Epidemiology Unit and the former Oxford Regional Health Authority. Disability and perinatal care: a measurement of health status at two years. National Perinatal Epidemiology Unit: Oxford, 1994."},{"key":"2025090511465803000_103.5.F479.11","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s10882-007-9076-2","article-title":"Do pediatricians recognize cognitive developmental problems in preterm children at age 5 years?","volume":"20","author":"Sondaar","year":"2008","journal-title":"J Dev Phys Disabil"},{"key":"2025090511465803000_103.5.F479.12","first-page":"8","article-title":"Predictive and concurrent validity of standardized neurodevelopmental examinations by the Griffiths scales and Bayley scales of infant development II","volume":"225","author":"Chaudhary","year":"2013","journal-title":"Klin Padiatr"},{"key":"2025090511465803000_103.5.F479.13","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162204000635"},{"key":"2025090511465803000_103.5.F479.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2007.02010.x"},{"key":"2025090511465803000_103.5.F479.15","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2012-303288"},{"key":"2025090511465803000_103.5.F479.16","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-309247"},{"key":"2025090511465803000_103.5.F479.17","unstructured":"Shribman S , Billingham K . Healthy child programme\u2014pregnancy and the first five years. 2009 https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/167998\/Health_Child_Programme.pdf."},{"key":"2025090511465803000_103.5.F479.18","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-12-198"},{"key":"2025090511465803000_103.5.F479.19","unstructured":"Royal College of Paediatrics and Child Health on behalf of the NNAP Project Board. National neonatal audit programme 2016 annual report on 2015 data. 2016 http:\/\/www.rcpch.ac.uk\/system\/files\/protected\/page\/NNAP 2016 Annual Report on 2015 data - For NNAP website.pdf (accessed 3 Oct 2016)."},{"key":"2025090511465803000_103.5.F479.20","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-0251","article-title":"Developmental assessments in preterm children: a meta-analysis","volume":"138","author":"Wong","year":"2016","journal-title":"Pediatrics"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2016-312535","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:02:13Z","timestamp":1757098933000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/archdischild-2016-312535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,27]]},"references-count":20,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2018,8,16]]},"published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1136\/archdischild-2016-312535"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2016-312535","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,27]]}}}