Trial reportJournal of the American Medical Informatics Association : JAMIA
Targeted screening for pediatric conditions with the CHICA system.
Trial report in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers.
What it found
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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.
Use of a Patient Education/Messaging Platform to Increase Uptake and Series Completion of the HPV Vaccine
HPV Vaccination: An Investigation of Physician Reminders and Recommendation Scripts
HPV Vaccination: Evaluation of Reminder Prompts for Doses 2 & 3
Who cites it
30 citing papers in PubMed, 44 citations in OpenAlex.
- Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics: A Cluster Randomized Clinical Trial.JAMA network open · 2019Trial
- Effectiveness of Computer Automation for the Diagnosis and Management of Childhood Type 2 Diabetes: A Randomized Clinical Trial.JAMA pediatrics · 2017Trial
- Computer Decision Support Changes Physician Practice But Not Knowledge Regarding Autism Spectrum Disorders.Applied clinical informatics · 2015Trial
- Use of a computerized decision aid for developmental surveillance and screening: a randomized clinical trial.JAMA pediatrics · 2014Trial
- Pediatricians' responses to printed clinical reminders: does highlighting prompts improve responsiveness?Academic pediatricsTrial
- Feasibility of computerized clinical decision support for pediatric to adult care transitions for patients with special healthcare needs.JAMIA open · 2021Article
- Assessment of Pediatrician Awareness and Implementation of the Addendum Guidelines for the Prevention of Peanut Allergy in the United States.JAMA network open · 2020Article
- Clinician Perceptions of a Computerized Decision Support System for Pediatric Type 2 Diabetes Screening.Applied clinical informatics · 2020Article
- Using REDCap and Apple ResearchKit to integrate patient questionnaires and clinical decision support into the electronic health record to improve sexually transmitted infection testing in the emergency department.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Pediatric decision support using adapted Arden Syntax.Artificial intelligence in medicine · 2018Article
- A six-year repeated evaluation of computerized clinical decision support system user acceptability.International journal of medical informatics · 2018Article
- Disparities in Counseling Female Cancer Patients for Fertility Preservation.Journal of women's health (2002) · 2017Article
- Follow-up of Mothers with Suspected Postpartum Depression from Pediatrics Clinics.Frontiers in pediatrics · 2017Article
- Racial/Ethnic Differences in the Prevalence of Anxiety Using the Vanderbilt ADHD Scale in a Diverse Community Outpatient Setting.Journal of developmental and behavioral pediatrics : JDBP · 2016Article
- Experience with decision support system and comfort with topic predict clinicians' responses to alerts and reminders.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Possibilities and Implications of Using the ICF and Other Vocabulary Standards in Electronic Health Records.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2015Review
- Data visualization for truth maintenance in clinical decision support systems.International journal of pediatrics & adolescent medicine · 2015Article
- Medical legal partnership and health informatics impacting child health: Interprofessional innovations.Journal of interprofessional care · 2015Article
- An experience of qualified preventive screening: shiraz smart screening software.Iranian journal of medical sciences · 2015Article
- Leveraging electronic tablets for general pediatric care: a pilot study.Applied clinical informatics · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Child Health Improvement through Computer Automation (CHICA) system is a decision-support and electronic-medical-record system for pediatric health maintenance and disease management. The purpose of this study was to explore CHICA's ability to screen patients for disorders that have validated screening criteria--specifically tuberculosis (TB) and iron-deficiency anemia.
designChildren between 0 and 11 years were randomized by the CHICA system. In the intervention group, parents were asked about TB and iron-deficiency risk, and physicians received a tailored prompt. In the control group, no screens were performed, and the physician received a generic prompt about these disorders.
results1123 participants were randomized to the control group and 1116 participants to the intervention group. Significantly more people reported positive risk factors for iron-deficiency anemia in the intervention group (17.5% vs 3.1%, OR 6.6, 95% CI 4.5 to 9.5). In general, far fewer parents reported risk factors for TB than for iron-deficiency anemia. Again, there were significantly higher detection rates of positive risk factors in the intervention group (1.8% vs 0.8%, OR 2.3, 95% CI 1.0 to 5.0). LIMITATIONS: It is possible that there may be more positive screens without improving outcomes. However, the guidelines are based on studies that have evaluated the questions the authors used as sensitive and specific, and there is no reason to believe that parents misunderstood them.
conclusionsMany screening tests are risk-based, not universal, leaving physicians to determine who should have a further workup. This can be a time-consuming process. The authors demonstrated that the CHICA system performs well in assessing risk automatically for TB and iron-deficiency anemia.
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.