Evidence map›Paper›PMID 27749798›Full record

ArticlePediatric emergency care2018

Physician Adherence to Centers for Disease Control and Prevention Guidelines for Sexually Active Adolescents in the Pediatric Emergency Setting.

Michelle L Pickett, Marlene D Melzer-Lange, Melissa K Miller, Seema Menon, Alexis M Vistocky, Amy L Drendel

Abstract read
In one paragraph

Article in Pediatric emergency care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019
    Article
  3. Article
  4. Article
  5. 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

6 authors.

Michelle L Pickett
Marlene D Melzer-Lange
Melissa K MillerEmergency and Urgent Care Services, Children's Mercy Hospital, Kansas City, Missouri.
Seema MenonDepartment of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Alexis M VistockyInstitute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin.
Amy L Drendel

Funding

Clincal and Translational Science AwardUL1TR000055 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$11.3M
Enhanced Intervention to Improve Adolescent Outcomes: A Clinical TrialK23HD083405 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI MILLER, MELISSA KRISTINE · 2016 to 2019
$587k
NCATS NIH HHS UL1 TR000055NICHD NIH HHS K23 HD083405
6 · The paper itself

Abstract

objectivesThere is limited literature about physicians' adherence to 2010 Centers for Disease Control and Prevention (CDC) Sexually Transmitted Diseases Treatment Guidelines specific to specimen collection testing methods in adolescent females in the emergency setting is limited. The objectives are to (1) determine physician adherence to CDC guidelines for specimen collection/testing for chlamydia and gonorrhea, (2) determine physician characteristics associated with guideline adherence, and (3) describe physicians' knowledge of expedited partner therapy (EPT) laws.

methodsThis is a cross-sectional, anonymous, Internet-based survey of physician members of the American Academy of Pediatrics Section of Emergency Medicine. Questions addressed practice patterns and knowledge through clinical scenarios of adolescent girls. Descriptive statistics are used to report frequency. Fisher exact and χ analyses are used to compare physician subgroups: gender, years in practice, practice setting, and geographical region.

resultsOverall, 257 physicians responded and 231 were analyzed; 62.4% females; 46.0% in practice for ≤ 7 years; 86.2% in academic medicine. Specimen collection/testing in an asymptomatic patient were consistent with guidelines for 85.6% of respondents, but decreased to 37.4% for a symptomatic patient. Guideline adherence was not different between physician subgroups. Only 30.4% of physicians reported state EPT law knowledge.

conclusionsAdherence with the CDC guidelines for chlamydia/gonorrhea specimen collection/testing for adolescents in the emergency setting is inadequate, and EPT knowledge is poor. With increased emergency department use by adolescents, it is critical that physicians know and implement the current recommendations to improve adolescent health outcomes.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentCenters for Disease Control and Prevention, U.S.Cross-Sectional StudiesEmergency Service, HospitalFemaleGuideline AdherenceHumansMalePhysiciansPractice Patterns, Physicians'Sexually Transmitted DiseasesSpecimen HandlingUnited States

Identifiers

PMID27749798
PMCPMC5378669

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.