Evidence map›Paper›PMID 21339266›Full record

ReviewPediatrics2011

Children with medical complexity: an emerging population for clinical and research initiatives.

Eyal Cohen, Dennis Z Kuo, Rishi Agrawal, Jay G Berry, Santi K M Bhagat, Tamara D Simon, Rajendu Srivastava

Registry-linked trialAbstract readReview
In one paragraph

Review in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07102433 (CHESS - Complexity and Outcomes in Health, Education, and Social Support Among Children and Young People With Life-limiting Conditions), which is not on this map. Cited by 507 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
507citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

NCT07102433 recruitingnot on this mapstarted 2025, after this paper: background citation

CHESS - Complexity and Outcomes in Health, Education, and Social Support Among Children and Young People With Life-limiting Conditions: Establishing a Multisectoral Collaboration and Conceptual Framework to Advance Evidence and Practice.

TypeobservationalSponsorKing's College LondonRan2025 to 2026Enrolled170ConditionsComplex Care, Medical Complexity, Pediatrics, Life-limiting IllnessArmsChildren and young people with life-limiting conditions, their parents/carers, and professionals across healthcare, education, and social care sectors.
3 · Its place in the literature

Who cites it

507 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Family Caregivers' Experiences of Services for Children With Medical Complexity: A Systematic Review and Qualitative Evidence Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2025
    Pooled it
  2. Guideline
  3. Pooled it
  4. Comprehensive care programmes for children with medical complexity.The Cochrane database of systematic reviews · 2024
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. A Qualitative Study of Parent and Health Care Provider Perspectives on Polypharmacy in Children With Medical Complexity.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Hospital-to-home transitions for children with medical complexity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  20. Article

447 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eyal CohenDivision of Pediatric Medicine, Hospital for Sick Children, 555 University Ave, Toronto, Ontario, Canada M5G 1X8. eyal.cohen@sickkids.ca
Dennis Z Kuo
Rishi Agrawal
Jay G Berry
Santi K M Bhagat
Tamara D Simon
Rajendu Srivastava

Funding

INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Multi-center Studies of Pediatric CSF Shunt InfectionsK23NS062900 · NINDS · UNIVERSITY OF UTAH · PI SIMON, TAMARA DANIELLE · 2009 to 2013
$893k
Improving Healthcare Integration for Children with TracheostomyK23HD058092 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI BERRY, JAY GRIFFIN · 2009 to 2013
$661k
Arkansas Center for Clinical Translational ResearchKL2RR029883 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI LOWERY, CURTIS L · 2009 to 2011
$588k
Aspiration Pneumonia in Children with Neurological ImpairmentK23HD052553 · NICHD · UNIVERSITY OF UTAH · PI SRIVASTAVA, RAJENDU · 2007 to 2009
$411k
NCRR NIH HHS KL2 RR029883NCRR NIH HHS KL2RR029883NCRR NIH HHS UL1 RR025014NICHD NIH HHS K23 HD052553NICHD NIH HHS K23 HD058092NICHD NIH HHS K23 HD058092-01NINDS NIH HHS K23 NS062900
6 · The paper itself

Abstract

Children with medical complexity (CMC) have medical fragility and intensive care needs that are not easily met by existing health care models. CMC may have a congenital or acquired multisystem disease, a severe neurologic condition with marked functional impairment, and/or technology dependence for activities of daily living. Although these children are at risk of poor health and family outcomes, there are few well-characterized clinical initiatives and research efforts devoted to improving their care. In this article, we present a definitional framework of CMC that consists of substantial family-identified service needs, characteristic chronic and severe conditions, functional limitations, and high health care use. We explore the diversity of existing care models and apply the principles of the chronic care model to address the clinical needs of CMC. Finally, we suggest a research agenda that uses a uniform definition to accurately describe the population and to evaluate outcomes from the perspectives of the child, the family, and the broader health care system.

Indexed as

Children with DisabilitiesChildChild Health ServicesHealth Services ResearchHumans

Identifiers

PMID21339266
PMCPMC3387912

What OpenQuestion holds

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Read underepoch 390

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.