Evidence map›Paper›PMID 31377089›Full record

ArticleAmerican journal of preventive medicine2019

Association of Clinician Behaviors and Weight Change in School-Aged Children.

Christy B Turer, Sarah E Barlow, David B Sarwer, Brian Adamson, Joanne Sanders, Chul Ahn, Song Zhang, Glenn Flores, Celette Sugg Skinner

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 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
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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  8. A Longitudinal Effectiveness Study of a Child Obesity Electronic Health Record Tool.Journal of the American Board of Family Medicine : JABFM
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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 4 institutions in 1 country.

Christy B TurerDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Medicine, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Pediatrics, Children's Medical Center, Dallas, Texas. Electronic address: Christy.Turer@UTSouthwestern.edu.
Sarah E BarlowDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Pediatrics, Children's Medical Center, Dallas, Texas; Department of Pediatrics, Texas Children's Hospital, Houston, Texas.
David B SarwerCollege of Public Health, Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania.
Brian AdamsonDepartment of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas.
Joanne SandersDepartment of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas.
Chul AhnDepartment of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas.
Song ZhangDepartment of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas.
Glenn FloresDivision of Research, Connecticut Children's Medical Center, Hartford, Connecticut; Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut.
Celette Sugg SkinnerDepartment of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas.
The University of Texas Southwestern Medical Center · USChildren's Medical Center · USTemple University · USUniversity of Connecticut · US

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
UT Southwestern Center of Patient-Centered Outcomes Research (PCOR)R24HS022418 · AHRQ · UT SOUTHWESTERN MEDICAL CENTER · PI HALM, ETHAN A · 2013 to 2017
$5.0M
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
AHRQ HHS R24 HS022418NCATS NIH HHS UL1 TR001105NHLBI NIH HHS K23 HL118152NHLBI NIH HHS R03 HL144811NIDDK NIH HHS R21 DK114764
6 · The paper itself

Abstract

introductionThis study uses clinical practice data to determine whether recommended weight management clinician behaviors are associated with weight status improvement in children aged 6-12 years who are overweight or obese.

methodsElectronic health record data (2009-2014) from 52 clinics were used. Weight status was examined from 1 visit to the next as dichotomous improvement (versus worsening or no change) and change in percentage overweight (over sex/age-specific BMI

resultsChildren (n=7,205) had a mean age of 8.9 years; 45.5% were overweight, 54.5% obese, and 81.1% publicly insured. For 62% of overweight children, and 38%, 21%, and 11% of those in obesity classes 1-3, respectively, no attention to high BMI/medical risk assessment at any visit was identified. Children with evidence of clinician attention to high BMI alone and who underwent a medical risk assessment had significantly greater AOR of improvement in percentage of BMI

conclusionsThis is the first study to use electronic health record data to demonstrate that widely recommended clinician behaviors are associated with weight status improvement in children aged 6-12 years who are overweight or obese.

Indexed as

Clinical CompetenceBody Mass IndexBody WeightChildChild, PreschoolElectronic Health RecordsFemaleHumansMaleOverweightPediatriciansPediatric ObesityPractice Patterns, Physicians'Retrospective StudiesTexasWeight Gain

Identifiers

PMID31377089
PMCPMC6702088
OpenAlexW2966355084

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.