Evidence map›Paper›PMID 26676994›Full record

ArticleClinical pediatrics2016

Impact of an Electronic Template on Documentation of Obesity in a Primary Care Clinic.

Vidhu V Thaker, Felix Lee, Clement J Bottino, Cassandra L Perry, Ingrid A Holm, Joel N Hirschhorn, Stavroula K Osganian

Abstract read
In one paragraph

Article in Clinical pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Template Design and Analysis: Integrating Informatics Solutions to Improve Clinical Documentation.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020
    Article
  9. Article
  10. A resident-led project to improve documentation of overweight and obesity in a primary care clinic.Journal of community hospital internal medicine perspectives · 2019
    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

7 authors.

Vidhu V ThakerBoston Children's Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA vidhu.thaker@childrens.harvard.edu.
Felix LeeHarvard Medical School, Boston, MA, USA.
Clement J BottinoBoston Children's Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA.
Cassandra L PerryBoston Children's Hospital, Boston, MA, USA.
Ingrid A HolmBoston Children's Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA.
Joel N HirschhornBoston Children's Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA.
Stavroula K OsganianBoston Children's Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA.

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Alessio Fasano · 1994 to 2026
$31.6M
Research in Development Endocrinology and MetabolismT32DK007699 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI JOEL N HIRSCHHORN · 1992 to 2026
$7.1M
NIDDK NIH HHS P30 DK040561NIDDK NIH HHS T32 DK007699
6 · The paper itself

Abstract

Identification of obesity at well-child care (WCC) examinations is a step toward intervention. Studies have shown suboptimal documentation in primary care clinics that can improve with the use of electronic health records (EHRs). This study investigated the impact of a standardized EHR template on documentation of obesity at WCC visits and its impact on physician behavior. A cohort of 585 children with severe early onset obesity (body mass index >99th percentile, age <6 years) was identified with an electronic algorithm. Complete records of visit notes were reviewed to extract history taking, counseling, and recording of obesity at a WCC visit. Use of a standardized EHR template for WCC visits is associated with improvement in rates of documentation of obesity (47% vs 34%, P < .01), without interruption of workflow. Documentation of obesity in the chart improved nutritional (66% vs 44%, P < .001) and physical activity counseling (23% vs 9%, P < .001).

Indexed as

AdolescentAdultChildChild, PreschoolCounselingDocumentationElectronic Health RecordsFemaleHumansMalePediatric ObesityPractice Patterns, Physicians'Primary Health CareYoung Adultdocumentationelectronic health recordspediatric obesitysevere obesitytemplate

Identifiers

PMID26676994
PMCPMC4909579

What OpenQuestion holds

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Registered trials

None linked

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.