Evidence map›Paper›PMID 30305388›Full record

ArticlePediatrics2018

Gaps in Well-Child Care Attendance Among Primary Care Clinics Serving Low-Income Families.

Elizabeth R Wolf, Camille J Hochheimer, Roy T Sabo, Jennifer DeVoe, Richard Wasserman, Erik Geissal, Douglas J Opel, Nate Warren, Jon Puro, Jennifer O'Neil and 2 more

Abstract read
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing 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

49 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Review
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Prenatal Care Coordination and Well-Child Visit Receipt in Early Childhood.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  13. Article
  14. Strategies for Recruiting a Diverse Postpartum Survey Sample.Journal of racial and ethnic health disparities · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

12 authors.

Elizabeth R WolfDepartments of Pediatrics, elizabeth.wolf@vcuhealth.org.
Camille J HochheimerFamily Medicine and Population Health, and.
Roy T SaboFamily Medicine and Population Health, and.
Jennifer DeVoeDepartment of Family Medicine, Oregon Health and Sciences University, Portland, Oregon.
Richard WassermanDepartment of Pediatrics, The Robert Larner College of Medicine, University of Vermont, Burlington, Vermont; and.
Erik GeissalDepartment of Family Medicine, Oregon Health and Sciences University, Portland, Oregon.
Douglas J OpelDepartment of Pediatrics, University of Washington, Seattle, Washington.
Nate WarrenOCHIN, Portland, Oregon.
Jon PuroOCHIN, Portland, Oregon.
Jennifer O'NeilFamily Medicine and Population Health, and.
James PecsokFamily Medicine and Population Health, and.
Alex H KristFamily Medicine and Population Health, and.

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Center for Clinical and Translational ResearchUL1TR000058 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2012 to 2015
$12.5M
An Interactive Preventive Health Record to Increase Colorectal Cancer ScreeningR01CA166375 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI JONES, RESA M. · 2013 to 2017
$2.8M
Post Affordable Care Act: Evaluation of Community Health Centers (PACE)R01HS024270 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEVOE, JENNIFER E · 2015 to 2016
$796k
AHRQ HHS R01 HS024270NCATS NIH HHS UL1 TR002649NCI NIH HHS R01 CA166375
6 · The paper itself

Abstract

BACKGROUND AND

objectivesIt is unclear which specific well-child visits (WCVs) are most frequently missed and whether age-specific patterns of attendance differ by race or insurance type.

methodsWe conducted a retrospective cohort study of children 0 to 6 years old between 2011 and 2016 within 2 health networks spanning 20 states. WCVs were identified by using

resultsWe included 152 418 children in our analysis. Most children were either publicly insured (77%) or uninsured (14%). The 2-, 4-, and 6-month visits were the most frequently attended (63% [assuming no outside care after the last recorded WCV] to 90% [assuming outside care]), whereas the 15- and 18-months visits (41%-75%) and 4-year visit (19%-49%) were the least frequently attended. Patients who were publicly insured and uninsured (versus privately insured) had higher odds of missing WCVs. Hispanic and Asian American (versus non-Hispanic white) patients had higher odds of attending WCVs. DISCUSSION: The 15- and 18-month WCVs as well as the 4-year WCV are the least frequently attended WCVs. The former represent opportunities to identify developmental delays, and the latter represents an opportunity to assess school readiness.

Indexed as

ChildChild Health ServicesChild, PreschoolCohort StudiesFemaleHealth Care SurveysHumansInfantInfant, NewbornInsurance, HealthMalePatient CompliancePovertyPrimary Health CareRetrospective StudiesUnited States

Identifiers

PMID30305388
PMCPMC7063686

What OpenQuestion holds

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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.