Evidence map›Paper›PMID 29938212›Full record

ArticleUrology practice2018

Patient Portal Usage in Pediatric Urology: Is it Meaningful Use for Everyone?

Ruth A Bush, Andrew C Richardson, Diana Cardona-Grau, Hena Din, Cynthia L Kuelbs, George J Chiang

Abstract read
In one paragraph

Article in Urology practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

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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.

Ruth A BushHahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, California.
Andrew C RichardsonClinical Research Informatics, Rady Children's Hospital San Diego, San Diego, California.
Diana Cardona-GrauDepartment of Urology, University of California San Diego, San Diego, California.
Hena DinDepartment of Surgery, Rady Children's Hospital, San Diego, California.
Cynthia L KuelbsDepartment of Pediatrics, University of California San Diego, San Diego, California.
George J ChiangDepartment of Urology, University of California San Diego, San Diego, California.

Funding

Adolescent Disease Autonomy using Patient Portal Technology (ADAPPT)R00HS022404 · AHRQ · UNIVERSITY OF SAN DIEGO · PI BUSH, RUTH A · 2015 to 2017
$747k
AHRQ HHS R00 HS022404
6 · The paper itself

Abstract

introductionThe Affordable Care Act promotes multiple directives for meaningful use of the Electronic Health Record, such as patient/provider portals, to increase patient engagement. Although portal use is common within adult healthcare, little information exists regarding pediatric portal use. We examined pediatric urology patient portal enrollment and activation patterns at a tertiary pediatric hospital in Southern California by race/ethnicity, preferred language, gender, and residential region.

methodsRetrospective Electronic Health Record analysis of enrollment in patient portal from January 2010 to May 2016 among 10,464 patients with at least one outpatient urology clinic visit. Differences in adoption rates were examined using logistic regression for the following categories: activated (or caregiver activated); code accepted not activated; declined; or activated/then deactivated.

resultsOverall, 46.5% of patients/caregivers activated the portal. Primarily Spanish-speaking patients were less likely to activate (OR 0.25,

conclusionsPrimary language and socioeconomic factors may be significant barriers to portal adoption. Patient education to reduce these barriers may increase portal acceptance and increase meaningfulness to the portal for patients/parents and providers.

Indexed as

electronic health recordhealth information technologymeaningful usepatient engagementpatient portal

Identifiers

PMID29938212
PMCPMC6010344

What OpenQuestion holds

Textmetadata
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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.