Evidence map›Paper›PMID 28581341›Full record

Trial reportJournal of child and adolescent psychopharmacology2017

Improving Cardiometabolic Monitoring of Children on Antipsychotics.

Robert O Cotes, Nisha K Fernandes, Jennifer L McLaren, Gregory J McHugo, Stephen J Bartels, Mary F Brunette

Abstract readPragmatic Clinical Trial
In one paragraph

Trial report in Journal of child and adolescent psychopharmacology, 2017. 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.

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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.

Robert O Cotes1 Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine , Atlanta, Georgia .
Nisha K Fernandes2 Meridian Psychiatric Partners, LLC, Chicago, Illinois.
Jennifer L McLaren3 Department of Psychiatry, Geisel School of Medicine at Dartmouth , Lebanon, New Hampshire.
Gregory J McHugo4 The Dartmouth Insitute for Health Policy and Clinical Practice , Lebanon, New Hampshire.
Stephen J Bartels3 Department of Psychiatry, Geisel School of Medicine at Dartmouth , Lebanon, New Hampshire.
Mary F Brunette3 Department of Psychiatry, Geisel School of Medicine at Dartmouth , Lebanon, New Hampshire.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study evaluated changes in cardiometabolic monitoring for children and adolescents who were prescribed an antipsychotic medication in a state mental health system before and after a quality improvement intervention.

methodsThe intervention included education for prescribers, auditing on metabolic monitoring, and feedback to mental health center leaders regarding their monitoring. Research staff extracted yearly data on cardiometabolic monitoring from randomly selected community mental health center records before and after the intervention. Pre- and postintervention changes in monitoring were assessed with chi-squared tests.

resultsEvidence of past year monitoring increased: for glucose 18.9%-42.1% (χ

conclusionsMonitoring rates significantly improved for four out of six parameters evaluated, but overall monitoring rates remained low at the end of the study period. Prescriber education with audit and feedback may improve cardiometabolic monitoring rates, but research is needed to evaluate barriers to monitoring in children.

Indexed as

AdolescentAntipsychotic AgentsBlood GlucoseBlood PressureBody WeightChildCommunity Health ServicesDrug PrescriptionsFemaleHumansMaleNeurodevelopmental DisordersPhysician's RoleQuality ImprovementRandom AllocationAntipsychotic AgentsBlood Glucoseantipsychotic medicationscardiometabolicmetabolic monitoringquality improvementside effects

Identifiers

PMID28581341
PMCPMC5725629

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.