Evidence map›Paper›PMID 32605041›Full record

ArticleChildren (Basel, Switzerland)2020

Impact of Point-of-Care Decision Support Tool on Laboratory Screening for Comorbidities in Children with Obesity.

Tara K Kaufman, Natalie Gentile, Seema Kumar, Marian Halle, Brian A Lynch, Valeria Cristiani, Karen Fischer, Rajeev Chaudhry

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

8 authors at 2 institutions in 1 country.

Tara K KaufmanDepartment of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Natalie GentileDepartment of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Seema KumarDivision of Pediatric Endocrinology and Metabolism, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.ORCID 0000-0001-8004-4924
Marian HalleDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, USA.
Brian A LynchDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Valeria CristianiDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Karen FischerDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, USA.
Rajeev ChaudhryDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clinic in Florida · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood obesity is associated with dyslipidemia, fatty liver disease, and type 2 diabetes. Expert guidelines recommend screening for these conditions in children with obesity. AIMS AND

objectivesThe objective of the study was to compare rates of laboratory screening for dyslipidemia, fatty liver disease, and type 2 diabetes in children with obesity prior to and following implementation of a point-of-care decision support tool.

methodsWe performed a retrospective record review of children with body mass index (BMI) ≥95th percentile for age and gender (age 7-18 years) undergoing well-child/sports examination visits. Multivariable logistic regression models were used to adjust for patient and provider confounders.

resultsThere was no increase in the rates of screening following implementation of the point-of-care decision support tool. Tests were more likely to be recommended in children with severe obesity and in females.

conclusionsThe implementation of a point-of-care decision support tool was not associated with improvement in screening rates for dyslipidemia, fatty liver disease, and type 2 diabetes for children with obesity. Further strategies are needed to improve rates of screening for obesity-related comorbid conditions in children with obesity.

Indexed as

comorbiditydiabetes mellitusdyslipidemialiver diseasespediatric obesitypoint-of-care systemstype 2

Identifiers

PMID32605041
PMCPMC7401862
OpenAlexW3039978660

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.