[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100555006":3},{"organization":4,"armGroups":7,"interventions":55,"overallOfficials":61,"centralContacts":66,"locations":75,"responsibleParty":298,"collaborators":301,"id":310,"slug":311,"hasResults":312,"nctId":313,"briefTitle":314,"officialTitle":315,"acronym":316,"eligibilityCriteria":317,"healthyVolunteers":312,"sex":318,"minAge":319,"maxAge":320,"enrollmentInfo":321,"targetDuration":10,"studyType":324,"phases":10,"briefSummary":325,"conditions":326,"keywords":328,"overallStatus":78,"whyStopped":10,"lastUpdateSubmitDate":334,"lastUpdatePostDateStruct":335,"startDateStruct":338,"completionDateStruct":340,"leadSponsor":342,"locationsCount":343},{"fullName":5,"class":6},"St. Justine's Hospital","OTHER",[8,14,17,20,23,26,29,32,35,37,40,43,46,49,52],{"label":9,"type":10,"description":11,"interventionNames":12},"Children admitted to CHU Sainte-Justine",null,"Children aged \\>28 days to \\\u003C12 months with an admission diagnosis of bronchiolitis, admitted to a general pediatric inpatient unit, not previously recruited for the study.",[13],"Diagnostic Test: Provision of any of six different low-value health services for treatment of bronchiolitis",{"label":15,"type":10,"description":11,"interventionNames":16},"Children admitted to McMaster Children's Hospital",[13],{"label":18,"type":10,"description":11,"interventionNames":19},"Children admitted to British Columbia Children's Hospital",[13],{"label":21,"type":10,"description":11,"interventionNames":22},"Children admitted to IWK Children's Hospital",[13],{"label":24,"type":10,"description":11,"interventionNames":25},"Children admitted to CHU de Quebec University Laval Hospital",[13],{"label":27,"type":10,"description":11,"interventionNames":28},"Children admitted to Montreal Children's Hospital",[13],{"label":30,"type":10,"description":11,"interventionNames":31},"Children admitted to Children's Hospital of Eastern Ontario",[13],{"label":33,"type":10,"description":11,"interventionNames":34},"Children admitted to Kingston Health Sciences Centre",[13],{"label":36,"type":10,"description":11,"interventionNames":10},"Children admitted to The Hospital for Sick Children",{"label":38,"type":10,"description":11,"interventionNames":39},"Children admitted to Children's Hospital of Western Ontario",[13],{"label":41,"type":10,"description":11,"interventionNames":42},"Children admitted to Alberta Children's Hospital",[13],{"label":44,"type":10,"description":11,"interventionNames":45},"Children admitted to Stollery Children's Hospital",[13],{"label":47,"type":10,"description":11,"interventionNames":48},"Children Admitted to Hôpital Maisonneuve-Rosemont",[13],{"label":50,"type":10,"description":11,"interventionNames":51},"Children admitted to Cité-de-la-Santé",[13],{"label":53,"type":10,"description":11,"interventionNames":54},"Children admitted to Lakeridge Health",[13],[56],{"type":57,"name":58,"description":59,"armGroupLabels":60,"otherNames":10},"DIAGNOSTIC_TEST","Provision of any of six different low-value health services for treatment of bronchiolitis","This prospective observational will have six separate primary outcomes acting as exposures, (or interventions).The exposures are the the provision of any of the six low-value health services: 1) respiratory virus testing; 2) chest x-ray; 3) continuous pulse oximetry; 4) short-acting beta-agonists; 5) systemic corticosteroids; and 6) antibiotics.",[47,41,18,9,24,30,38,50,21,33,53,15,27,44],[62],{"name":63,"affiliation":64,"role":65},"Olivier Drouin, MD, MSc, MPH","CHU Sainte-Justine Research Centre","PRINCIPAL_INVESTIGATOR",[67,72],{"name":63,"role":68,"phone":69,"phoneExt":70,"email":71},"CONTACT","514 345-4931","4226","olivier.drouin.hsj@ssss.gouv.qc.ca",{"name":73,"role":68,"phone":10,"phoneExt":10,"email":74},"Tamara Perez, MSc","tamara.perez.hsj@ssss.gouv.qc.ca",[76,95,110,128,139,157,170,184,198,213,231,246,260,272,289],{"facility":77,"status":78,"city":79,"state":80,"zip":81,"country":82,"countryCode":83,"cosmosGeoPoint":84,"geoPoint":89,"contacts":90},"Alberta Children's Hospital","RECRUITING","Calgary","Alberta","T3B 6A8","Canada","CA",{"type":85,"coordinates":86},"Point",[87,88],-114.08529,51.05011,{"lat":88,"lon":87},[91,94],{"name":92,"role":68,"phone":10,"phoneExt":10,"email":93},"Michelle Bailey, MD","Michelle.Bailey@albertahealthservices.ca",{"name":92,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":96,"status":97,"city":98,"state":80,"zip":99,"country":82,"countryCode":83,"cosmosGeoPoint":100,"geoPoint":104,"contacts":105},"Stollery Children's Hospital","NOT_YET_RECRUITING","Edmonton","T6G 2B7",{"type":85,"coordinates":101},[102,103],-113.46871,53.55014,{"lat":103,"lon":102},[106,109],{"name":107,"role":68,"phone":10,"phoneExt":10,"email":108},"Karen Forbes, MD MEd","Karen.Forbes@albertahealthservices.ca",{"name":107,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":111,"status":78,"city":112,"state":113,"zip":114,"country":82,"countryCode":83,"cosmosGeoPoint":115,"geoPoint":119,"contacts":120},"British Columbia Children's Hospital","Vancouver","British Columbia","V6H 3N1",{"type":85,"coordinates":116},[117,118],-123.11934,49.24966,{"lat":118,"lon":117},[121,124,127],{"name":122,"role":68,"phone":10,"phoneExt":10,"email":123},"Matthew Carwana, H.BSc, MD","Matthew.Carwana@cw.bc.ca",{"name":125,"role":68,"phone":10,"phoneExt":10,"email":126},"Candice Wiedman","Candice.Wiedman@bcchr.ca",{"name":122,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":129,"status":130,"city":131,"state":132,"zip":133,"country":82,"countryCode":83,"cosmosGeoPoint":134,"geoPoint":138,"contacts":10},"IWK Health","ACTIVE_NOT_RECRUITING","Halifax","Nova Scotia","B3K 6R8",{"type":85,"coordinates":135},[136,137],-63.57688,44.64269,{"lat":137,"lon":136},{"facility":140,"status":78,"city":141,"state":142,"zip":143,"country":82,"countryCode":83,"cosmosGeoPoint":144,"geoPoint":148,"contacts":149},"McMaster Children's Hospital","Hamilton","Ontario","L8N 3Z5",{"type":85,"coordinates":145},[146,147],-79.84963,43.25011,{"lat":147,"lon":146},[150,153,156],{"name":151,"role":68,"phone":10,"phoneExt":10,"email":152},"Gita Wahi, MD","wahig@mcmaster.ca",{"name":154,"role":68,"phone":10,"phoneExt":10,"email":155},"Fariha Chowdhury","chowdf1@mcmaster.ca",{"name":151,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":158,"status":97,"city":159,"state":142,"zip":160,"country":82,"countryCode":83,"cosmosGeoPoint":161,"geoPoint":165,"contacts":166},"Kingston Health Science Centre","Kingston","K7L 2V7",{"type":85,"coordinates":162},[163,164],-76.48098,44.22976,{"lat":164,"lon":163},[167,169],{"name":168,"role":68,"phone":10,"phoneExt":10,"email":10},"Anupam Sehgal, MD",{"name":168,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":171,"status":97,"city":172,"state":142,"zip":173,"country":82,"countryCode":83,"cosmosGeoPoint":174,"geoPoint":178,"contacts":179},"Children's Hospital of Western Ontario (London Health Science Centre)","London","N6C 0B2",{"type":85,"coordinates":175},[176,177],-81.23304,42.98339,{"lat":177,"lon":176},[180,183],{"name":181,"role":68,"phone":10,"phoneExt":10,"email":182},"Breanna Chen, MD","BreannaAshley.Chen@lhsc.on.ca",{"name":181,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":185,"status":78,"city":186,"state":142,"zip":187,"country":82,"countryCode":83,"cosmosGeoPoint":188,"geoPoint":192,"contacts":193},"Lakeridge Health","Oshawa","L1G 8A2",{"type":85,"coordinates":189},[190,191],-78.84957,43.90012,{"lat":191,"lon":190},[194,197],{"name":195,"role":68,"phone":10,"phoneExt":10,"email":196},"Mahmoud Sakran, MD","msakran@lh.ca",{"name":195,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":199,"status":97,"city":200,"state":142,"zip":201,"country":82,"countryCode":83,"cosmosGeoPoint":202,"geoPoint":206,"contacts":207},"Children's Hospital of Eastern Ontario","Ottawa","K1H 8L1",{"type":85,"coordinates":203},[204,205],-75.69812,45.41117,{"lat":205,"lon":204},[208,211],{"name":209,"role":68,"phone":10,"phoneExt":10,"email":210},"Melanie Buba","mbuba@cheo.on.ca",{"name":212,"role":65,"phone":10,"phoneExt":10,"email":10},"Melanie Buba, MD",{"facility":214,"status":97,"city":215,"state":142,"zip":216,"country":82,"countryCode":83,"cosmosGeoPoint":217,"geoPoint":221,"contacts":222},"Hospital for Sick Children","Toronto","M5G 1E8",{"type":85,"coordinates":218},[219,220],-79.39864,43.70643,{"lat":220,"lon":219},[223,225,228,229],{"name":224,"role":68,"phone":10,"phoneExt":10,"email":10},"Peter Gill, MD DPhil MSc",{"name":226,"role":68,"phone":10,"phoneExt":10,"email":227},"Shamama Raza","shamama.raza@sickkids.ca",{"name":224,"role":65,"phone":10,"phoneExt":10,"email":10},{"name":230,"role":65,"phone":10,"phoneExt":10,"email":10},"Sanjay Mahant, MD MSc",{"facility":232,"status":78,"city":233,"state":234,"zip":235,"country":82,"countryCode":83,"cosmosGeoPoint":236,"geoPoint":240,"contacts":241},"Centre hospitalier Cité-de-la-Santé","Laval","Quebec","H7M 3L9",{"type":85,"coordinates":237},[238,239],-73.692,45.56995,{"lat":239,"lon":238},[242,245],{"name":243,"role":68,"phone":10,"phoneExt":10,"email":244},"Camille Bédard-Gauthier, MD","camille.bedard-gauthier.med@ssss.gouv.qc.ca",{"name":243,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":247,"status":78,"city":248,"state":234,"zip":249,"country":82,"countryCode":83,"cosmosGeoPoint":250,"geoPoint":254,"contacts":255},"Hôpital Maisonneuve-Rosemont","Montreal","H1T 2M4",{"type":85,"coordinates":251},[252,253],-73.58781,45.50884,{"lat":253,"lon":252},[256,259],{"name":257,"role":68,"phone":10,"phoneExt":10,"email":258},"Marc-André Turcot, MD","marc-andre.turcot@umontreal.ca",{"name":257,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":261,"status":78,"city":248,"state":234,"zip":262,"country":82,"countryCode":83,"cosmosGeoPoint":263,"geoPoint":265,"contacts":266},"CHU Sainte-Justine","H3T 1C5",{"type":85,"coordinates":264},[252,253],{"lat":253,"lon":252},[267,268,271],{"name":73,"role":68,"phone":10,"phoneExt":10,"email":74},{"name":269,"role":68,"phone":10,"phoneExt":10,"email":270},"Isabelle Lahaie, MSc","isabelle.lahaie.hsj@ssss.gouv.qc.ca",{"name":63,"role":65,"phone":10,"phoneExt":10,"email":10},{"facility":273,"status":97,"city":248,"state":234,"zip":274,"country":82,"countryCode":83,"cosmosGeoPoint":275,"geoPoint":277,"contacts":278},"Montreal Children's Hospital","H4A 3J1",{"type":85,"coordinates":276},[252,253],{"lat":253,"lon":252},[279,282,285,286],{"name":280,"role":68,"phone":10,"phoneExt":10,"email":281},"Patricia Li, MD, MSc","patricia.li@mcgill.ca",{"name":283,"role":68,"phone":10,"phoneExt":10,"email":284},"Evelyn Constantin, MD, MSc","evelyn.constantin@mcgill.ca",{"name":280,"role":65,"phone":10,"phoneExt":10,"email":10},{"name":287,"role":288,"phone":10,"phoneExt":10,"email":10},"Evelyn Constantin, MD, MSC","SUB_INVESTIGATOR",{"facility":290,"status":130,"city":291,"state":234,"zip":292,"country":82,"countryCode":83,"cosmosGeoPoint":293,"geoPoint":297,"contacts":10},"Centre Hospitalier Université Laval - Centre Mère-Enfant Soleil","Québec","G1V 4G2",{"type":85,"coordinates":294},[295,296],-71.21454,46.81228,{"lat":296,"lon":295},{"type":65,"investigatorFullName":299,"investigatorTitle":300,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"Olivier Drouin, M.D., M.Sc M.P.H.","Pediatrician and Clinical Assistant Professor, Departments of Paediatrics and Department of Social and Preventive Medicine",[302,303,306,308],{"name":199,"class":6},{"name":304,"class":305},"Maternal Infant Child and Youth Research Network","UNKNOWN",{"name":307,"class":6},"The Hospital for Sick Children",{"name":309,"class":6},"Unity Health Toronto","100555006","low-value-care-and-variation-in-practice-for-children-hospitalized-with-bronchiolitis-100555006",false,"NCT06506474","Low-value Care, and Variation in Practice for Children Hospitalized With Bronchiolitis","Low-value Care, and Variation in Practice for Children Hospitalized With Bronchiolitis - a Multicentric Prospective Observational Study","CareBEST","Inclusion Criteria:\n\n* Children aged \\>28 days to \\\u003C12 months\n* Children admitted to a pediatric inpatient ward with an admission diagnosis of bronchiolitis\n\nExclusion Criteria:\n\n\\- Children previously recruited for the study, either during a previous bronchiolitis admission or for the same incident of bronchiolitis, while admitted to another study site.","ALL","28 Days","12 Months",{"count":322,"type":323},3000,"ESTIMATED","OBSERVATIONAL","Low-value care is defined as the use of a health service, such as diagnostics and treatments, for which the harms or costs outweigh the benefits. In pediatrics, investigations or treatments can be unpleasant or traumatizing to the child, can prolong the time spent in hospital, and can create a cascade of further futile investigations and treatments. Several of the commonly used diagnostics and treatments in bronchiolitis are considered low-value, making it a great model to study low-value care in pediatrics.\n\nThe purpose of CareBEST is to study the use of 6 low-value healthcare services in children aged 1 to 12 months hospitalized with bronchiolitis, their costs, and measure the variability in practice of these services.\n\nThe main questions this study aims to answer are:\n\n1. How frequently are 6 low-value care health services used in children hospitalized with bronchiolitis? These 6 low-value care health services are: 1) respiratory virus testing; 2) chest x-rays; 3) continuous pulse oximetry; 4) short-acting beta-agonists; 5) systemic corticosteroids; and 6) antibiotics.\n\n   * Are there factors that predict the use of these services?\n   * What are the costs of the use of these services?\n2. How much variability is there between different patients, different doctors, and between hospitals in the use of these 6 low-value health services ?\n3. Are differences in use of low-value health services associated with patient and family characteristics (like race and ethnicity, socioeconomic status, language), and do these contribute to disparities in care?\n\nParticipants will have their infant's medical chart reviewed during their hospitalization. They will also have 2 short questionnaires to complete, once during their child's admission to the hospital, and one 30 days later to ask about whether their child required any additional medical care. They will additionally be asked to complete a questionnaire on their perceptions regarding their child's care while hospitalized, including the use of shared-decision making and their understanding of and involvement in the care decisions made.\n\nThis analysis will provide a better understanding of treatment of bronchiolitis in Canada and help in the development of effective interventions to reduce low-value care.",[327],"Bronchiolitis",[329,330,331,332,333],"infants","hospitalization","bronchiolitis","low-value care","observational study","2025-07-18",{"date":336,"type":337},"2025-07-23","ACTUAL",{"date":339,"type":337},"2024-02-13",{"date":341,"type":323},"2027-06",{"name":5,"class":6},15]