ArticleClinical pediatrics2017
Improving Primary Care Provider Practices in Youth Concussion Management.
Article in Clinical pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Digital tracking, provider decision support systems, and targeted client communication via mobile devices to improve primary health care.The Cochrane database of systematic reviews · 2025Pooled it
- Transition to Adulthood for Children Who Experienced Acquired Brain Injury: Lessons Learned from a Clinical Program for Children and Adolescents.Children (Basel, Switzerland) · 2026Article
- Expanding concussion care in Canada: the role of chiropractors and policy implications.The Journal of the Canadian Chiropractic Association · 2024Article
- Using guided credible history interviews to establish special education eligibility for students with traumatic brain injury.NeuroRehabilitation · 2023Article
- Service Delivery Models for the Management of Pediatric and Adolescent Concussion: A Systematic Review.Archives of rehabilitation research and clinical translation · 2022Review
- Trajectories of Visual and Vestibular Markers of Youth Concussion.Journal of neurotrauma · 2022Article
- Prevalence of Suspected Concussions Among K-12 Students in Utah: Findings From Utah's Student Injury Reporting System.The Journal of school health · 2022Article
- Do healthcare providers assess for risk factors and talk to patients about return to driving after a mild traumatic brain injury (mTBI)? Findings from the 2020 DocStyles Survey.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- Effectiveness of the CDC HEADS UP online training on healthcare providers' mTBI knowledge and self-efficacy.Journal of safety research · 2021Article
- Rural Primary Care Providers' Experience and Usage of Clinical Recommendations in the CDC Pediatric Mild Traumatic Brain Injury Guideline: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- Application of the RE-AIM Framework for the Pediatric Mild Traumatic Brain Injury Evaluation and Management Intervention: A Study Protocol for Program Evaluation.Frontiers in public health · 2021Article
- Characteristics and Outcomes for Delayed Diagnosis of Concussion in Pediatric Patients Presenting to the Emergency Department.The Journal of emergency medicine · 2020Article
- Pediatric Health Care Provider Perspectives on Injury Prevention Counseling in Acute and Primary Care Settings.Clinical pediatrics · 2020Article
- Characteristics of Concussion in Elementary School-Aged Children: Implications for Clinical Management.The Journal of pediatrics · 2020Article
- Clinical and Device-based Metrics of Gait and Balance in Diagnosing Youth Concussion.Medicine and science in sports and exercise · 2020Article
- A commentary for neuropsychologists on CDC's guideline on the diagnosis and management of mild traumatic brain injury among children.The Clinical neuropsychologist · 2020Article
- Delivering Evidence-Based Online Concussion Education to Medical and Healthcare Professionals: The Concussion Awareness Training Tool (CATT).Journal of sports medicine (Hindawi Publishing Corporation) · 2020Article
- Risk of Repeat Concussion Among Patients Diagnosed at a Pediatric Care Network.The Journal of pediatrics · 2019Article
- Patient Presentations in Outpatient Settings: Epidemiology of Adult Head Trauma Treated Outside of Hospital Emergency Departments.Epidemiology (Cambridge, Mass.) · 2018Article
- What Pediatricians Need to Know About the CDC Guideline on the Diagnosis and Management of mTBI.Frontiers in pediatrics · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Primary care providers are increasingly providing youth concussion care but report insufficient time and training, limiting adoption of best practices. We implemented a primary care-based intervention including an electronic health record-based clinical decision support tool ("SmartSet") and in-person training. We evaluated consequent improvement in 2 key concussion management practices: (1) performance of a vestibular oculomotor examination and (2) discussion of return-to-learn/return-to-play (RTL/RTP) guidelines. Data were included from 7284 primary care patients aged 0 to 17 years with initial concussion visits between July 2010 and June 2014. We compared proportions of visits pre- and post-intervention in which the examination was performed or RTL/RTP guidelines provided. Examinations and RTL/RTP were documented for 1.8% and 19.0% of visits pre-intervention, respectively, compared with 71.1% and 72.9% post-intervention. A total of 95% of post-intervention examinations were documented within the SmartSet. An electronic clinical decision support tool, plus in-person training, may be key to changing primary care provider behavior around concussion care.
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.