Evidence map›Paper›PMID 31165627›Full record

ArticleClinical pediatrics2019

National Imaging and Antibiotic Practice Patterns in Children Presenting With Urinary Tract Infection to Community Practices: Little Impact From the American Academy of Pediatrics Guidelines?

Brian M Inouye, Zachary R Dionise, Ruiyang Jiang, Steven Wolf, Leigh Nicholl, Gina-Maria Pomann, John S Wiener, J Todd Purves, Jonathan C Routh

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Brian M InouyeDuke University Medical Center, Durham, NC, USA.ORCID 0000-0001-9584-2435
Zachary R DioniseDuke University Medical Center, Durham, NC, USA.ORCID 0000-0003-0215-0160
Ruiyang JiangDuke University Medical Center, Durham, NC, USA.
Steven WolfDuke University, Durham, NC, USA.
Leigh NichollDuke University, Durham, NC, USA.
Gina-Maria PomannDuke University, Durham, NC, USA.
John S WienerDuke University Medical Center, Durham, NC, USA.
J Todd PurvesDuke University Medical Center, Durham, NC, USA.
Jonathan C RouthDuke University Medical Center, Durham, NC, USA.

Funding

Comparative Effectiveness of Vesicoureteral Reflux Treatments in ChildrenK08DK100534 · NIDDK · DUKE UNIVERSITY · PI ROUTH, JONATHAN C · 2014 to 2018
$671k
NIDDK NIH HHS K08 DK100534
6 · The paper itself

Abstract

Our objective was to use community-based, national databases to evaluate diagnostic imaging and antibiotic prophylaxis practice patterns before and after the release of the 2011 American Academy of Pediatrics guidelines for acute febrile urinary tract infection. Using the National Ambulatory and Hospital Ambulatory Medical Care Surveys, urinary tract infection encounters were identified for patients aged 2 months to 18 years. Primary outcomes were utilization of antibiotics (as proxy for prophylaxis) and diagnostic imaging during encounters. Weighted multivariate logistic regression models were used to examine the association between time period (before and after 2011) and each of the primary outcomes. Among 8 588 035 weighted encounters, adjusting for covariates, there was insufficient evidence to suggest a difference between time periods for antibiotic utilization (odds ratio = 0.66,

Indexed as

Anti-Bacterial AgentsChildCohort StudiesCommunity Health ServicesFemaleGuideline AdherenceHealth Care SurveysHumansMalePediatricsPractice Patterns, Physicians'Retrospective StudiesSocieties, MedicalUnited StatesUrinary Tract InfectionsAnti-Bacterial Agentsantibiotic prophylaxisdiagnostic imagingpractice guidelinesurinary tract infection

Identifiers

PMID31165627
PMCPMC7649738

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.