ArticleAcademic pediatrics2018
Development and Validation of the Pediatric Medical Complexity Algorithm (PMCA) Version 3.0.
Article in Academic pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03674775 (Dialogue Around Respiratory Illness Treatment for Family Practice), which is not on this map. Cited by 119 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.
Dialogue Around Respiratory Illness Treatment for Family Practice (DART -FP)
Who cites it
119 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How are children with medical complexity being identified in epidemiological studies? A systematic review.World journal of pediatrics : WJP · 2023Pooled it
- Trial
- Pilot Evaluation of the Family Bridge Program: A Communication- and Culture-Focused Inpatient Patient Navigation Program.Academic pediatricsTrial
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- An Expert-Derived Data-Driven Approach to Identifying Medicaid Children at Risk of Out-of-Home Placement: Development, Application, and Data-Sharing Considerations.Medical care · 2026Article
- Treatment burden, healthcare experiences, and health-related quality of life among youth with chronic kidney disease treated for hypertension.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Associations of rurality, child opportunity, and distance with use of pediatric asthma specialists.The Journal of allergy and clinical immunology · 2026Article
- A Data-Driven Approach Towards Understanding the Volume and Complexity of Young Adults With Chronic Medical Conditions Transitioning to Adult Healthcare: A Cross-Sectional Study.Journal of paediatrics and child health · 2026Article
- CMC-ID: identifying children and youth with medical complexity using an electronic health record.BMJ health & care informatics · 2026Article
- Incidence of autoimmune diseases in children with atopy treated with dupilumab.The Journal of allergy and clinical immunology · 2026Article
- Blood Pressure Control in Adolescents With CKD and Risk of Kidney Failure in Young Adulthood.Kidney medicine · 2026Article
- Racial and Ethnic Disparities in Healthcare Utilization Among Youth in the Child Welfare System.Children and youth services review · 2026Article
- A Large Language Model Approach to Functional Status Scale Assessment.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026Observational
- Medicaid Disenrollment Among Young Adults With and Without Complex Medical Conditions.JAMA pediatrics · 2026Observational
- Translation and multi-site validation of the 'Pediatric Complex Care Needs Assessment Scale' (ACCAPED) from Italian to English.BMC palliative care · 2026Article
- Infant Respiratory Syncytial Virus Immunization Through Maternal Vaccination and Nirsevimab.JAMA network open · 2026Article
- Racial and Ethnic Disparities in Treatment of Youth With Bipolar Disorders.Journal of the American Academy of Child and Adolescent Psychiatry · 2026Article
- Feeding Therapy and its Relationship to Timing of Independent Oral Feeding for Preterm Infants in the Neonatal Intensive Care Unit.Physical & occupational therapy in pediatrics · 2026Article
- The association between four neighborhood disadvantage indices and child chronic health classifications.Pediatric research · 2026Article
- Rural-urban disparities in primary care and geographic continuity of care for children with medical complexity.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
59 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo modify the Pediatric Medical Complexity Algorithm (PMCA) to include both International Classification of Diseases, Ninth and Tenth Revisions, Clinical Modification (ICD-9/10-CM) codes for classifying children with chronic disease (CD) by level of medical complexity and to assess the sensitivity and specificity of the new PMCA version 3.0 for correctly identifying level of medical complexity.
methodsTo create version 3.0, PMCA version 2.0 was modified to include ICD-10-CM codes. We applied PMCA version 3.0 to Seattle Children's Hospital data for children with ≥1 emergency department (ED), day surgery, and/or inpatient encounter from January 1, 2016, to June 30, 2017. Starting with the encounter date, up to 3 years of retrospective discharge data were used to classify children as having complex chronic disease (C-CD), noncomplex chronic disease (NC-CD), and no CD. We then selected a random sample of 300 children (100 per CD group). Blinded medical record review was conducted to ascertain the levels of medical complexity for these 300 children. The sensitivity and specificity of PMCA version 3.0 was assessed.
resultsPMCA version 3.0 identified children with C-CD with 86% sensitivity and 86% specificity, children with NC-CD with 65% sensitivity and 84% specificity, and children without CD with 77% sensitivity and 93% specificity.
conclusionsPMCA version 3.0 is an updated publicly available algorithm that identifies children with C-CD, who have accessed tertiary hospital emergency department, day surgery, or inpatient care, with very good sensitivity and specificity when applied to hospital discharge data and with performance to earlier versions of PMCA.
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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.