Securing a future for responsible neuromodulation in children: The importance of maintaining a broad clinical gaze

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Securing a future for responsible neuromodulation in children : The importance of maintaining a broad clinical gaze. / Gardner, John Grant.

In: European Journal of Paediatric Neurology, Vol. 21, No. 1, 23.05.2016, p. 49-55.

Research output: Contribution to journalArticle

Harvard

Gardner, JG 2016, 'Securing a future for responsible neuromodulation in children: The importance of maintaining a broad clinical gaze', European Journal of Paediatric Neurology, vol. 21, no. 1, pp. 49-55. https://doi.org/10.1016/j.ejpn.2016.04.019

APA

Gardner, J. G. (2016). Securing a future for responsible neuromodulation in children: The importance of maintaining a broad clinical gaze. European Journal of Paediatric Neurology, 21(1), 49-55. https://doi.org/10.1016/j.ejpn.2016.04.019

Vancouver

Gardner JG. Securing a future for responsible neuromodulation in children: The importance of maintaining a broad clinical gaze. European Journal of Paediatric Neurology. 2016 May 23;21(1):49-55. https://doi.org/10.1016/j.ejpn.2016.04.019

Author

Gardner, John Grant. / Securing a future for responsible neuromodulation in children : The importance of maintaining a broad clinical gaze. In: European Journal of Paediatric Neurology. 2016 ; Vol. 21, No. 1. pp. 49-55.

Bibtex - Download

@article{c60d361b765d4b4c9a40c486550854d1,
title = "Securing a future for responsible neuromodulation in children: The importance of maintaining a broad clinical gaze",
abstract = "This perspective paper provides an overview of several key tensions and challenges within the social context of neuromodulation, and it suggests a means of securing the future of paediatric neuromodulation in light of these. Tensions and challenges relate to: the considerable clinical and economic need for new therapies to manage neurological diseases; significant commercial involvement in the field; funding pressures; public perceptions (particularly unrealistic expectations); and the emerging Responsible Research and Innovation initiative. This paper will argue that managing these challenges and tensions requires that clinicians working within the field adopt what could be called a broad clinical gaze. This paper will define the broad clinical gaze, and it will propose several ways in which a broad clinical gaze can be – and indeed is being - operationalised in recent advances in neuromodulation in children. These include the use of multidisciplinary and interdisciplinary clinical team structures, the adoption of clinical assessment tools that capture day-to-day functionality, and the use of patient registries. By adopting a broad clinical gaze, clinicians and investigators can ensure that the field as a whole can responsibly and ethically deliver on its significant clinical potential.",
author = "Gardner, {John Grant}",
note = "{\circledC} 2016 The Author(s). This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 12 months.",
year = "2016",
month = "5",
day = "23",
doi = "10.1016/j.ejpn.2016.04.019",
language = "English",
volume = "21",
pages = "49--55",
journal = "European Journal of Paediatric Neurology",
issn = "1090-3798",
publisher = "W.B. Saunders Ltd",
number = "1",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Securing a future for responsible neuromodulation in children

T2 - The importance of maintaining a broad clinical gaze

AU - Gardner, John Grant

N1 - © 2016 The Author(s). This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 12 months.

PY - 2016/5/23

Y1 - 2016/5/23

N2 - This perspective paper provides an overview of several key tensions and challenges within the social context of neuromodulation, and it suggests a means of securing the future of paediatric neuromodulation in light of these. Tensions and challenges relate to: the considerable clinical and economic need for new therapies to manage neurological diseases; significant commercial involvement in the field; funding pressures; public perceptions (particularly unrealistic expectations); and the emerging Responsible Research and Innovation initiative. This paper will argue that managing these challenges and tensions requires that clinicians working within the field adopt what could be called a broad clinical gaze. This paper will define the broad clinical gaze, and it will propose several ways in which a broad clinical gaze can be – and indeed is being - operationalised in recent advances in neuromodulation in children. These include the use of multidisciplinary and interdisciplinary clinical team structures, the adoption of clinical assessment tools that capture day-to-day functionality, and the use of patient registries. By adopting a broad clinical gaze, clinicians and investigators can ensure that the field as a whole can responsibly and ethically deliver on its significant clinical potential.

AB - This perspective paper provides an overview of several key tensions and challenges within the social context of neuromodulation, and it suggests a means of securing the future of paediatric neuromodulation in light of these. Tensions and challenges relate to: the considerable clinical and economic need for new therapies to manage neurological diseases; significant commercial involvement in the field; funding pressures; public perceptions (particularly unrealistic expectations); and the emerging Responsible Research and Innovation initiative. This paper will argue that managing these challenges and tensions requires that clinicians working within the field adopt what could be called a broad clinical gaze. This paper will define the broad clinical gaze, and it will propose several ways in which a broad clinical gaze can be – and indeed is being - operationalised in recent advances in neuromodulation in children. These include the use of multidisciplinary and interdisciplinary clinical team structures, the adoption of clinical assessment tools that capture day-to-day functionality, and the use of patient registries. By adopting a broad clinical gaze, clinicians and investigators can ensure that the field as a whole can responsibly and ethically deliver on its significant clinical potential.

U2 - 10.1016/j.ejpn.2016.04.019

DO - 10.1016/j.ejpn.2016.04.019

M3 - Article

VL - 21

SP - 49

EP - 55

JO - European Journal of Paediatric Neurology

JF - European Journal of Paediatric Neurology

SN - 1090-3798

IS - 1

ER -