Evidence map›Paper›PMID 30318927›Full record

ArticleClinical pediatrics2019

Improving LARC Access for Urban Adolescents and Young Adults in the Pediatric Primary Care Setting.

Uche F Onyewuchi, Kathy Tomaszewski, Krishna K Upadhya, Priya S Gupta, Natalie Whaley, Anne E Burke, Maria E Trent

Abstract read
In one paragraph

Article in Clinical pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Sexual Health and Relationship Abuse Interventions in Pediatric Primary Care: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

7 authors.

Uche F Onyewuchi1 Mercy Health Systems, Cincinnati, OH, USA.
Kathy Tomaszewski2 Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Krishna K Upadhya3 Children's National Medical Health System, Washington, DC, USA.
Priya S Gupta4 Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
Natalie Whaley5 University of Rochester, Rochester, NY, USA.
Anne E Burke2 Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Maria E Trent2 Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

WirelessTechnology Assisted Weight Management in Pre-Diabetic Adolescents...P20MD000198 · NIMHD · HOWARD UNIVERSITY · PI JENKINS, RENEE R. · 2002 to 2016
$17.2M
Adolescent Health Training ProgramT32HD052459 · NICHD · JOHNS HOPKINS UNIVERSITY · PI MARIA E. TRENT · 2006 to 2026
$4.0M
NICHD NIH HHS T32 HD052459NIMHD NIH HHS P20 MD000198
6 · The paper itself

Abstract

The objective of this quality improvement study was to assess the feasibility, acceptability, and impact of integrating long-acting reversible contraceptive (LARC) delivery services into an academic pediatric primary care practice. Adolescent medicine providers in Baltimore, Maryland, were trained in LARC placement with gynecology providers integrated to offer onsite LARC placement and procedural support. Referrals, appointments, and contraceptive method choice/receipt were tabulated. Of 212 individuals referred for LARC consultations, 104 attended appointments. LARC placement at the initial referral increased from year 1 (N = 1) to year 2 (N = 42; P < .01). Adolescent medicine providers placed more LARCs in year 2 (N = 34) than year 1 (N = 0; P < .01). Patients aged 18 to 24 years were less likely to have a LARC placed than those aged 13 to 17 years (unadjusted odds ratio = 0.47 [0.26-0.86]). In conclusion, provider training and service integration of LARC services within a pediatric practice is feasible, acceptable, and increases LARC access and placement.

Indexed as

Health Services AccessibilityPrimary Health CareQuality ImprovementAdolescentBaltimoreEducation, Medical, ContinuingFeasibility StudiesFemaleHumansLong-Acting Reversible ContraceptionMalePediatricsUrban PopulationYoung Adultadolescent and young adultAYAfamily planningquality improvement

Identifiers

PMID30318927
PMCPMC6261697

What OpenQuestion holds

Textmetadata
LicenceTDM
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.