Evidence map›Paper›PMID 30445547›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Algorithm to detect pediatric provider attention to high BMI and associated medical risk.

Christy B Turer, Celette S Skinner, Sarah E Barlow

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Artificial Intelligence in Obesity Prevention.Healthcare (Basel, Switzerland) · 2025
    Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Doing what matters most.Journal of the American Medical Informatics Association : JAMIA · 2019
    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

3 authors.

Christy B TurerDepartment of Pediatrics, University of Texas Southwestern Medical Center and Children's Health, Dallas, TX, USA.
Celette S SkinnerDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Sarah E BarlowDepartment of Pediatrics, University of Texas Southwestern Medical Center and Children's Health, Dallas, TX, USA.

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Primary Care, Communication, & Improving Children's HealthK23HL118152 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI TURER, CHRISTY BOLING · 2014 to 2018
$799k
Building Evidence for High-Quality Pediatric Primary Care Weight and Comorbidity ManagementR21DK114764 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI TURER, CHRISTY BOLING · 2018 to 2019
$446k
Development of Single-Screen Clinical Decision Support to Increase Guideline-Based Weight Management and Comorbidity CareR03HL144811 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI TURER, CHRISTY BOLING · 2018 to 2019
$162k
NCATS NIH HHS UL1 TR001105NHLBI NIH HHS K23 HL118152NHLBI NIH HHS R03 HL144811NIDDK NIH HHS R21 DK114764
6 · The paper itself

Abstract

We developed and validated an algorithm that uses combinations of extractable electronic-health-record (EHR) indicators (diagnosis codes, orders for laboratories, medications, and referrals) that denote widely-recommended clinician practice behaviors: attention to overweight/obesity/body mass index alone (BMI Alone), with attention to hypertension/other comorbidities (BMI/Medical Risk), or neither (No Attention). Data inputs used for each EHR indicator were refined through iterative chart review to identify and resolve modifiable coding errors. Validation was performed through manual review of randomly selected visit encounters (n = 308) coded by the refined algorithm. Of 104 encounters coded as No Attention, 89.4% lacked any evidence (specificity) of attention to BMI/Medical Risk. Corresponding evidence (sensitivity) of attention to BMI Alone was identified in 96.0% (of 101 encounters coded as BMI Alone) and BMI/Medical Risk in 96.1% (of 103 encounters coded as BMI/Medical Risk). Our EHR data algorithm can validly determine provider attention to BMI alone, with Medical Risk, or neither.

Indexed as

AlgorithmsBody Mass IndexElectronic Health RecordsGuideline AdherenceChildDecision Support TechniquesHumansPediatric ObesityPractice Guidelines as TopicWeight Loss

Identifiers

PMID30445547
PMCPMC6308014

What OpenQuestion holds

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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.