Evidence map›Paper›PMID 33229467›Full record

ArticlePediatrics2020

Statewide Asthma Learning Collaborative Participation and Asthma-Related Emergency Department Use.

Valerie S Harder, Judith S Shaw, Charles E McCulloch, Lindsay Kill, Keith J Robinson, Michelle T Shepard, Michael D Cabana, Naomi S Bardach

Abstract readMulticenter StudyVideo-Audio Media
In one paragraph

Article in Pediatrics, 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
–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

2 citing papers in PubMed.

  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

8 authors.

Valerie S HarderDepartments of Pediatrics and vharder@uvm.edu.
Judith S ShawDepartments of Pediatrics and.
Charles E McCullochDepartments of Epidemiology and Biostatistics and.
Lindsay KillDepartments of Pediatrics and.
Keith J RobinsonDepartments of Pediatrics and.
Michelle T ShepardDepartments of Pediatrics and.
Michael D CabanaPediatrics, School of Medicine, University of California San Francisco, San Francisco, California; and.
Naomi S BardachPediatrics, School of Medicine, University of California San Francisco, San Francisco, California; and.

Funding

IMPLEmenting MEasures NeTwork for Child Health (IMPLEMENT for Child Health)U18HS025297 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CABANA, MICHAEL D · 2016 to 2019
$2.6M
AHRQ HHS U18 HS025297
6 · The paper itself

Abstract

backgroundQuality improvement (QI) efforts can improve guideline-recommended asthma care processes in the pediatric office setting. We sought to assess whether practice participation in an asthma QI collaborative was associated with decreased asthma-related emergency department (ED) visits.

methodsA statewide network of practices participated in a pediatric asthma QI collaborative from 2015 to 2016. We evaluated asthma-related ED visit rates per 100 child-years for children ages 3 to 21 years with asthma, using the state's all-payer claims database. We used a difference-in-differences approach, with mixed-effects negative binomial regression models to control for practice and patient covariates. Our main analysis measured the outcome before (2014) and after (2017) the QI collaborative at fully participating and control practices. Additional analyses assessed (1) associations during the intervention period (2016) and (2) associations including practices partially participating in QI collaborative activities.

resultsIn the postintervention year (2017), participating practices' (

conclusionsParticipation in an asthma-focused QI collaborative was associated with decreased asthma-related ED visit rates. For those considering implementing this type of QI collaborative, our findings indicate that it takes time to see measurable improvements in ED visit rates. Further study is warranted regarding QI elements contributing to success for partial participants.

Indexed as

Practice Guidelines as TopicQuality ImprovementAdolescentAdultAsthmaChildChild, PreschoolEmergency Service, HospitalFemaleHumansMalePrimary Health CareYoung Adult

Identifiers

PMID33229467
PMCPMC10494521

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.