ArticlePediatrics2011
Translation of a pediatric asthma-management program into a community in Connecticut.
Article in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed.
- Working toward a sustainable system of asthma care: development of the School-Based Preventive Asthma Care Technology (SB-PACT) trial.The Journal of asthma : official journal of the Association for the Care of Asthma · 2012Trial
- Improving clinician self-efficacy does not increase asthma guideline use by primary care clinicians.Academic pediatricsTrial
- Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study.JMIR formative research · 2025Article
- Neighborhood environmental vulnerability and pediatric asthma morbidity in US metropolitan areas.The Journal of allergy and clinical immunology · 2023Article
- Implementation of a pediatric asthma management program in rural primary care clinics.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Article
- Improving autism and developmental screening and referral in US primary care practices serving Latinos.Autism : the international journal of research and practice · 2021Article
- School Nurses' Perspectives on Components of Asthma Programs to Address Pediatric Disparities.Journal of pediatric psychology · 2020Article
- IOEASMA: an integrated clinical and educational pathway for managing asthma in children and adolescents.Italian journal of pediatrics · 2017Observational
- Article
- Future Research Directions in Asthma. An NHLBI Working Group Report.American journal of respiratory and critical care medicine · 2015Review
- Barriers to, and facilitators for, referral to pulmonary rehabilitation in COPD patients from the perspective of Australian general practitioners: a qualitative study.Primary care respiratory journal : journal of the General Practice Airways Group · 2013Article
- Engaging pediatricians in developmental screening: the effectiveness of academic detailing.Journal of autism and developmental disorders · 2012Article
- Aligning Partners in Pediatric Health: Using Geographical Information Systems to Plan Community Coalitions.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
objectivesWe assessed whether a successful asthma-management program could be translated into pediatrician's offices, improve care, and reduce medical services use.
methodsPediatrician's offices from 6 communities in Connecticut were trained, and all children aged 6 months or older were eligible for enrollment. Quality measures included enrollment numbers, appropriate use of anti-inflammatory therapy, and distribution of a written treatment plan. Medical services utilization data for Medicaid-insured children were expressed as relative rates (RRs) (95% confidence intervals [CIs]) before and after enrollment, and we used historical and contemporaneous comparisons and generalized estimating equations.
resultsA total of 51 practices and 297 clinicians enrolled 32 680 children from 2002 to 2007; 10 467 had asthma, of whom 4354 were insured with Medicaid. Children with persistent asthma experienced decreases in the number of hospitalizations (RR: 0.51 [95% CI: 0.39-0.65]) and emergency-department visits (RR: 0.70 [95% CI: 0.68-0.84]), and there was no change in number of outpatient visits (RR: 0.99 [95% CI: 0.9-1.10]). Inhaled corticosteroid use doubled, appropriate use of anti-inflammatory therapy increased to 96%, and 94% of the children were given a written treatment plan.
conclusionsGeneral pediatricians can successfully implement an asthma-management program that is effective in improving care for large numbers of children.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.