Evidence map›Paper›PMID 30362824›Full record

ArticleClinical pediatrics2019

Early Antibiotics and Childhood Obesity: Do Future Risks Matter to Parents and Physicians?

Ellen A Lipstein, Jason P Block, Cassandra Dodds, Christopher B Forrest, William J Heerman, J Kiely Law, Douglas Lunsford, Paula Winkler, Jonathan A Finkelstein

Open access · greenAbstract 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review of Clinical Research Informatics.Yearbook of medical informatics · 2020
    Review
  6. Review
  7. 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

9 authors at 8 institutions in 1 country.

Ellen A Lipstein1 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-3488-8971
Jason P Block3 Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Cassandra Dodds1 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Christopher B Forrest5 Children's Hospital of Philadelphia, Philadelphia, PA, USA.
William J Heerman6 Vanderbilt University Medical Center, Nashville, TN, USA.
J Kiely Law7 Kennedy Krieger Institute, Baltimore, MD, USA.
Douglas Lunsford9 Nationwide Children's Hospital, Columbus, OH, USA.
Paula Winkler10 University of Texas Health Science Center, San Antonio, TX, USA.
Jonathan A Finkelstein3 Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Cincinnati Children's Hospital Medical Center · USBoston Children's Hospital · USChildren's Hospital of Philadelphia · USHarvard University · USKennedy Krieger Institute · USNationwide Children's Hospital · USThe University of Texas Health Science Center at San Antonio · USVanderbilt University Medical Center · US

Funding

Patient-Centered Outcomes Research Institute OBS-1505-30699
6 · The paper itself

Abstract

To understand how parents and physicians make decisions regarding antibiotics and whether a potential associated risk of obesity would alter decisions, we conducted a qualitative study of parents and physicians who care for children. Parent focus groups and physician interviews used a guide focused on experience with antibiotics and perceptions of risks and benefits, including obesity. Content analysis was used to understand how a risk of obesity would influence antibiotic decisions. Most parents (n = 59) and physicians (n = 22) reported limited discussion about any risks at the time of antibiotic prescriptions. With an acute illness, most parents prioritized symptomatic improvement and chose to start antibiotics. Physicians' treatment preferences were varied. An obesity risk did not change most parents' or physicians' preferences. Given that parent-physician discussion at the time of acute illness is unlikely to change preferences, public health messaging may be a more successful approach to counter obesity and antibiotics overuse.

Indexed as

Anti-Bacterial AgentsAttitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdolescentAdultClinical Decision-MakingFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedParentsPediatric ObesityPhysiciansPractice Patterns, Physicians'Anti-Bacterial Agentsantibioticsobesityprimary carerisk communicationrisk perception

Identifiers

PMID30362824
PMCPMC6785987
OpenAlexW2898109453

What OpenQuestion holds

Textmetadata
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.