ArticleJournal of pain and symptom management2016
Clusters of Multiple Complex Chronic Conditions: A Latent Class Analysis of Children at End of Life.
Article in Journal of pain and symptom management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How are children with medical complexity being identified in epidemiological studies? A systematic review.World journal of pediatrics : WJP · 2023Pooled it
- Social determinants of multimorbidity patterns: A systematic review.Frontiers in public health · 2023Pooled it
- Exploring syndemic vulnerability among adolescents living in urban cities in the Netherlands: a latent class analysis.BMJ public health · 2026Article
- Effectiveness of Pediatric Concurrent Hospice Care to Improve Continuity of Care.The American journal of hospice & palliative care · 2022Article
- Patterns of Health Care Services During Pediatric Concurrent Hospice Care: A National Study.The American journal of hospice & palliative care · 2022Article
- Comparison between Rural and Urban Appalachian Children in Hospice Care.Southern medical journal · 2022Article
- A Comparison of Young Adults With and Without Cancer in Concurrent Hospice Care: Implications for Transitioning to Adult Health Care.Journal of adolescent and young adult oncology · 2022Article
- Pediatric Concurrent Hospice Care: A Scoping Review and Directions for Future Nursing Research.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2020Article
- Triiodothyronine Potentiates BMP9-Induced Osteogenesis in Mesenchymal Stem Cells Through the Activation of AMPK/p38 Signaling.Frontiers in cell and developmental biology · 2020Article
- Epidemiology of Children With Multiple Complex Chronic Conditions in a Mixed Urban-Rural US Community.Hospital pediatrics · 2019Article
- Emerging Methodologies in Pediatric Palliative Care Research: Six Case Studies.Children (Basel, Switzerland) · 2018Review
- Pediatric Primary Care Involvement in End-of-Life Care for Children.The American journal of hospice & palliative care · 2017Article
- Multiple Complex Chronic Conditions and Pediatric Hospice Utilization among California Medicaid Beneficiaries, 2007-2010.Journal of palliative medicine · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
contextChildren at end of life often experience multiple complex chronic conditions with more than 50% of children reportedly having two or more conditions. These complex chronic conditions are unlikely to occur in an entirely uniform manner in children at end of life. Previous work has not fully accounted for patterns of multiple conditions when evaluating care among these children.
objectivesThe objective of the study was to understand the clusters of complex chronic conditions present among children in the last year of life.
methodsParticipants were 1423 pediatric decedents from the 2007 to 2008 California Medicaid data. A latent class analysis was used to identify clusters of children with multiple complex chronic conditions (neurological, cardiovascular, respiratory, renal, gastrointestinal, hematologic, metabolic, congenital, cancer). Multinomial logistic regression analysis was used to examine the relationship between demographic characteristics and class membership.
resultsFour latent classes were yielded: medically fragile (31%); neurological (32%); cancer (25%); and cardiovascular (12%). Three classes were characterized by a 100% likelihood of having a complex chronic condition coupled with a low or moderate likelihood of having the other eight conditions. The four classes exhibited unique demographic profiles.
conclusionThis analysis presented a novel way of understanding patterns of multiple complex chronic conditions among children that may inform tailored and targeted end-of-life care for different clusters.
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