Evidence map›Paper›PMID 32118564›Full record

ArticleJournal of hospital medicine2020

Social Disadvantage, Access to Care, and Disparities in Physical Functioning Among Children Hospitalized with Respiratory Illness.

Arti D Desai, Chuan Zhou, Wren Haaland, Jakobi Johnson, K Casey Lion, Michelle A Lopez, Derek J Williams, Chén C Kenyon, Rita Mangione-Smith, David P Johnson

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of hospital medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 5 institutions in 1 country.

Arti D DesaiDepartment of Pediatrics, University of Washington, Seattle, Washington.
Chuan ZhouDepartment of Pediatrics, University of Washington, Seattle, Washington.
Wren HaalandSeattle Children's Research Institute, Seattle, Washington.
Jakobi JohnsonDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Department of Pediatrics, Vanderbilt University School of Medicine, Nash-ville, Tennessee.
K Casey LionDepartment of Pediatrics, University of Washington, Seattle, Washington.
Michelle A LopezDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas.
Derek J WilliamsDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Department of Pediatrics, Vanderbilt University School of Medicine, Nash-ville, Tennessee.
Chén C KenyonCenter for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia and the Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Rita Mangione-SmithDepartment of Pediatrics, University of Washington, Seattle, Washington.
David P JohnsonDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Department of Pediatrics, Vanderbilt University School of Medicine, Nash-ville, Tennessee.
University of Washington · USMonroe Carell Jr. Children's Hospital · USBaylor College of Medicine · USUniversity of Pennsylvania · USVanderbilt University · US

Funding

Pediatric Respiratory Illness Measurement System (PRIMES) Implementation in Community Hospital SettingsR01HL121067 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI MANGIONE-SMITH, RITA · 2014 to 2025
$6.4M
Risk Stratification and Decision Support to Improve Care and Outcomes in Children with PneumoniaR01AI125642 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2017 to 2021
$3.3M
Web-based Care Plans for Children with Medical ComplexityK08HS024299 · AHRQ · SEATTLE CHILDREN'S HOSPITAL · PI DESAI, ARTI D · 2015 to 2019
$741k
Targeted Inpatient Navigation to Improve Care for Minority Children and FamiliesK23HD078507 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI LION, KATHERINE CASEY · 2014 to 2018
$692k
AHRQ HHS K08 HS024299NHLBI NIH HHS R01 HL121067NIAID NIH HHS R01 AI125642NICHD NIH HHS K23 HD078507
6 · The paper itself

Abstract

BACKGROUND AND

objectivesUnderstanding disparities in child health-related quality of life (HRQoL) may reveal opportunities for targeted improvement. This study examined associations between social disadvantage, access to care, and child physical functioning before and after hospitalization for acute respiratory illness.

methodsFrom July 1, 2014, to June 30, 2016, children ages 8-16 years and/or caregivers of children 2 weeks to 16 years admitted to five tertiary care children's hospitals for three common respiratory illnesses completed a survey on admission and within 2 to 8 weeks after discharge. Survey items assessed social disadvantage (minority race/ ethnicity, limited English proficiency, low education, and low income), difficulty/delays accessing care, and baseline and follow-up HRQoL physical functioning using the Pediatric Quality of Life Inventory (PedsQL, range 0-100). We examined associations between these three variables at baseline and follow-up using multivariable, mixed-effects linear regression models with multiple imputation sensitivity analyses for missing data.

resultsA total of 1,325 patients and/or their caregivers completed both PedsQL assessments. Adjusted mean baseline PedsQL scores were significantly lower for patients with social disadvantage markers, compared with those of patients with none (78.7 for >3 markers versus 85.5 for no markers, difference -6.1 points (95% CI: -8.7, -3.5). The number of social disadvantage markers was not associated with mean follow-up PedsQL scores. Difficulty/delays accessing care were associated with lower PedsQL scores at both time points, but it was not a significant effect modifier between social disadvantage and PedsQL scores.

conclusionsHaving social disadvantage markers or difficulty/delays accessing care was associated with lower baseline physical functioning; however, differences were reduced after hospital discharge.

Indexed as

Healthcare DisparitiesMinority GroupsPhysical Functional PerformancePovertyAdolescentCaregiversChildFemaleHealth Services AccessibilityHospitalizationHospitals, PediatricHumansMaleProspective StudiesQuality of LifeRespiratory Tract Infections

Identifiers

PMID32118564
PMCPMC7153490
OpenAlexW3011197361

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.