Evidence map›Paper›PMID 22508925›Full record

ArticlePediatrics2012

Automated primary care screening in pediatric waiting rooms.

Vibha Anand, Aaron E Carroll, Stephen M Downs

3 registry-linked trialsAbstract read
In one paragraph

Article in Pediatrics, 2012. 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 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–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.

NCT02546752 early_phase1completednot on this mapstarted 2015, after this paper: background citation

Use of a Patient Education/Messaging Platform to Increase Uptake and Series Completion of the HPV Vaccine

TypeinterventionalSponsorRegenstrief Institute, Inc.Ran2015 to 2016Enrolled1,306ConditionsHuman Papilloma Virus Infection Type 11, Human Papilloma Virus Infection Type 16, Human Papilloma Virus Infection Type 18, Human Papilloma Virus Infection Type 6ArmsTHEO
NCT02551887 nacompletednot on this mapstarted 2014, after this paper: background citation

HPV Vaccination: An Investigation of Physician Reminders and Recommendation Scripts

TypeinterventionalSponsorRegenstrief Institute, Inc.Ran2014 to 2015Enrolled647ConditionsHuman Papilloma Virus Infection Type 11, Human Papilloma Virus Infection Type 16, Human Papilloma Virus Infection Type 18, Human Papilloma Virus Infection Type 6ArmsAutomated Reminder, Automated Reminder Plus Script
NCT02558803 nacompletednot on this mapstarted 2015, after this paper: background citation

HPV Vaccination: Evaluation of Reminder Prompts for Doses 2 & 3

TypeinterventionalSponsorRegenstrief Institute, Inc.Ran2015 to 2016Enrolled1,305ConditionsHuman Papilloma Virus Infection Type 11, Human Papilloma Virus Infection Type 16, Human Papilloma Virus Infection Type 18, Human Papilloma Virus Infection Type 6ArmsSimple Reminder
3 · Its place in the literature

Who cites it

47 citing papers in PubMed.

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  16. Golden opportunities for clinical decision support in an era of team-based healthcare.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021
    Article
  17. Article
  18. Review
  19. Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020
    Review
  20. Article
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

3 authors.

Vibha AnandChildren’s Health Services Research, Indiana University School of Medicine, Indianapolis, Indiana, USA. vanand@iupui.edu
Aaron E Carroll
Stephen M Downs

Funding

Computer Assisted Autism Care (CAAC)R01HS018453 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI DOWNS, STEPHEN M. · 2009 to 2012
$1.9M
Computer Decision Aid for ADHD Management (CDAAM)R01LM010031 · NLM · INDIANA UNIVERSITY INDIANAPOLIS · PI CARROLL, AARON E. · 2009 to 2010
$1.0M
Computer Automated Developmental Surveillance and Screening (CADSS)R01HS017939 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI CARROLL, AARON E. · 2009 to 2011
$899k
Study & Development of a Comprehensive Decision Support System for Preventive CarK22LM009160 · NLM · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI BIONDICH, PAUL G · 2006 to 2008
$486k
AHRQ HHS R01 HS017939AHRQ HHS R01 HS018453AHRQ HHS R01HS018453NLM NIH HHS 5K22LM9160NLM NIH HHS K22 LM009160NLM NIH HHS R01 LM010031NLM NIH HHS R01 LM010031Z
6 · The paper itself

Abstract

BACKGROUND AND

objectiveImplementing US Preventive Services Task Force and American Academy of Pediatrics preventive service guidelines within the short duration of a visit is difficult because identifying which of a large number of guidelines apply to a particular patient is impractical. Clinical decision support system integrated with electronic medical records offer a good strategy for implementing screening in waiting rooms. Our objective was to determine rates of positive risk screens during typical well-care visits among children and adolescents in a primary care setting.

methodsChild Health Improvement through Computer Automation (CHICA) is a pediatric clinical decision support system developed by our research group. CHICA encodes clinical guidelines as medical logic modules to generate scanable paper forms: the patient screening form to collect structured data from patient families in the waiting room and the physician worksheet to provide physician assessments at each visit. By using visit as a unit of analysis from CHICA's database, we have determined positive risk screen rates in our population.

resultsFrom a cohort of 16 963 patients, 408 601 questions were asked in 31 843 visits. Of the questions asked, 362 363 (89%) had a response. Of those, 39 176 (11%) identified positive risk screens in both the younger children and the adolescent age groups.

conclusionsBy automating the process of screening and alerting the physician to those who screened positive, we have significantly decreased the burden of identifying relevant guidelines and screening of patient families in our clinics.

Indexed as

Decision Support Systems, ClinicalElectronic Health RecordsOffice AutomationPhysicians' OfficesAdolescentChildChild, PreschoolFemaleGuideline AdherenceHumansInfantKnowledge BasesMaleMass ScreeningPhysical ExaminationPreventive Health Services

Identifiers

PMID22508925
PMCPMC3340595

What OpenQuestion holds

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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.