Evidence map›Paper›PMID 32403140›Full record

ArticleApplied clinical informatics2020

Clinician Perceptions of a Computerized Decision Support System for Pediatric Type 2 Diabetes Screening.

Hala K El Mikati, Lisa Yazel-Smith, Randall W Grout, Stephen M Downs, Aaron E Carroll, Tamara S Hannon

Abstract read
In one paragraph

Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

6 authors.

Hala K El MikatiDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States.
Lisa Yazel-SmithDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States.
Randall W GroutDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States.
Stephen M DownsDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States.
Aaron E CarrollDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States.
Tamara S HannonDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States.

Funding

Translation CoreP30DK097512 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina · 2015 to 2026
$17.4M
Computer Automation for Diagnosis and Management of Childhood Type 2 DiabetesR01DK092717 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI CARROLL, AARON E., HANNON, TAMARA S · 2012 to 2015
$1.7M
NIDDK NIH HHS P30 DK097512NIDDK NIH HHS R01 DK092717
6 · The paper itself

Abstract

objectiveWith the increasing prevalence of type 2 diabetes (T2D) in youth, primary care providers must identify patients at high risk and implement evidence-based screening promptly. Clinical decision support systems (CDSSs) provide clinicians with personalized reminders according to best evidence. One example is the Child Health Improvement through Computer Automation (CHICA) system, which, as we have previously shown, significantly improves screening for T2D. Given that the long-term success of any CDSS depends on its acceptability and its users' perceptions, we examined what clinicians think of the CHICA diabetes module.

methodsCHICA users completed an annual quality improvement and satisfaction questionnaire. Between May and August of 2015 and 2016, the survey included two statements related to the T2D-module: (1) "CHICA improves my ability to identify patients who might benefit from screening for T2D" and (2) "CHICA makes it easier to get the lab tests necessary to identify patients who have diabetes or prediabetes." Answers were scored using a 5-point Likert scale and were later converted to a 2-point scale: agree and disagree. The Pearson chi-square test was used to assess the relationship between responses and the respondents. Answers per cohort were compared using the Mann-Whitney

resultsThe majority of respondents (

conclusionCHICA was endorsed as being effective for T2D screening. Research is needed to improve satisfaction for getting laboratories with CHICA.

Indexed as

Attitude to ComputersDecision Support Systems, ClinicalMass ScreeningPerceptionDiabetes Mellitus, Type 2Health PersonnelHumans

Identifiers

PMID32403140
PMCPMC7220796

What OpenQuestion holds

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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.