Evidence map›Paper›PMID 28708958›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2018

Racial disparities in family-provider interactions for pediatric asthma care.

Michelle Trivedi, Vicki Fung, Elyse O Kharbanda, Emma K Larkin, Melissa G Butler, Kelly Horan, Tracy A Lieu, Ann Chen Wu

Abstract read
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Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Observational
  9. 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

8 authors.

Michelle Trivedia Division of Pediatric Pulmonology and Quantitative Health Sciences , University of Massachusetts Medical School , Worcester , MA , USA.
Vicki Fungb Mongan Institute for Health Policy , Massachusetts General Hospital and Harvard Medical School , Boston , MA , USA.
Elyse O Kharbandac Health Partners Institute , Minneapolis , MN , USA.
Emma K Larkind Vanderbilt University School of Medicine , Nashville , TN , USA.
Melissa G Butlere Center for Clinical Outcomes & Research - Southeast , Kaiser Permanente Georgia , Atlanta , GA , USA.
Kelly Horang Center for Healthcare Research in Pediatrics, Department of Population Medicine , Harvard Pilgrim Health Care Institute and Harvard Medical School , Boston , MA , USA.
Tracy A Lieuh Division of Research , Kaiser Permanente Northern California , Oakland , CA , USA.
Ann Chen Wug Center for Healthcare Research in Pediatrics, Department of Population Medicine , Harvard Pilgrim Health Care Institute and Harvard Medical School , Boston , MA , USA.

Funding

SYSTEMS APPROACHES TO THE EPIDEMIOLOGY, GENETICS AND GENOMICS OF LUNG DISEASEST32HL007427 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI DAWN L DEMEO, Edwin K Silverman · 1985 to 2026
$13.6M
The Population-Based Effectiveness in Asthma and Lung Diseases (PEAL) NetworkR01HS019669 · AHRQ · HARVARD PILGRIM HEALTH CARE, INC. · PI SOUMERAI, STEPHEN B · 2010 to 2010
$4.5M
Effectiveness of Pharmacogenetic Testing in AsthmaK08HL088046 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI WU, ANN CHEN · 2009 to 2013
$645k
AHRQ HHS R01 HS019669NHLBI NIH HHS K08 HL088046NHLBI NIH HHS T32 HL007427
6 · The paper itself

Abstract

objectiveBlack and Latino children experience significantly worse asthma morbidity than their white peers for multifactorial reasons. This study investigated differences in family-provider interactions for pediatric asthma, based on race/ethnicity.

methodsThis was a cross-sectional study of parent surveys of asthmatic children within the Population-Based Effectiveness in Asthma and Lung Diseases Network. Our study population comprised 647 parents with survey response data. Data on self-reported race/ethnicity of the child were collected from parents of the children with asthma. Outcomes studied were responses to the questions about family-provider interactions in the previous 12 months: (1) number of visits with asthma provider; (2) number of times provider reviewed asthma medications with patient/family; (3) review of a written asthma treatment plan with provider; and (4) preferences about making asthma decisions.

resultsIn multivariate adjusted analyses controlling for asthma control and other co-morbidities, black children had fewer visits in the previous 12 months for asthma than white children: OR 0.63 (95% CI 0.40, 0.99). Additionally, black children were less likely to have a written asthma treatment plan given/reviewed by a provider than their white peers, OR 0.44 (95% CI 0.26, 0.75). There were no significant differences by race in preferences about asthma decision-making nor in the frequency of asthma medication review.

conclusionBlack children with asthma have fewer visits with their providers and are less likely to have a written asthma treatment plan than white children. Asthma providers could focus on improving these specific family-provider interactions in minority children.

Indexed as

Anti-Asthmatic AgentsAsthmaChildChild, PreschoolFemaleHispanic or LatinoHumansMaleMedication ReconciliationOffice VisitsParentsPatient SatisfactionPhysicians, FamilyRacial GroupsSurveys and QuestionnairesAnti-Asthmatic AgentsChildrendisparitylung diseaseracetreatment plan

Identifiers

PMID28708958
PMCPMC6340291

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Registered trials

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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.