Evidence map›Paper›PMID 34071783›Full record

ArticleInternational journal of environmental research and public health2021

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas.

Callie L Brown, Kimberly Montez, Jane Blakely Amati, Kristina Simeonsson, John D Townsend, Colin J Orr, Deepak Palakshappa

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

  1. Trial
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  8. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
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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

7 authors.

Callie L BrownDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA.ORCID 0000-0003-3060-5652
Kimberly MontezDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA.
Jane Blakely AmatiDepartment of Pediatrics, Prisma Health, University of South Carolina School of Medicine Greenville, Greenville, SC 29605, USA.
Kristina SimeonssonDepartment of Pediatrics, East Carolina University, Greenville, NC 27834, USA.
John D TownsendDepartment of Pediatrics, East Carolina University, Greenville, NC 27834, USA.ORCID 0000-0002-1189-1721
Colin J OrrDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA.
Deepak PalakshappaDepartment of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Mobile Technology for Primary Care to Address Food Insecurity and Improve Cardiovascular HealthK23HL146902 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PALAKSHAPPA, DEEPAK · 2020 to 2024
$776k
Parental Feeding Practices, Child Stress, and Childs Later Risk of ObesityK23HD099249 · NICHD · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BROWN, CALLIE L · 2019 to 2023
$732k
National Institute of Child Health and Human Development 1K23HD099249NCATS NIH HHS UL1 TR001420NCATS NIH HHS UL1 TR002489NHLBI NIH HHS K23HL146902
6 · The paper itself

Abstract

We aimed to determine how COVID-19 affected the number and type of pediatric primary care visits in April 2020, compared to April 2019, and which characteristics were associated with obtaining care in 2020. We performed a retrospective chart review of patients receiving care in April 2019 and April 2020 from four large, academic institutions across two states. The subjects were included if they were aged 0-18 years and were seen in a pediatric clinic in April 2019 or April 2020. We extracted the number of visits, visit type, and visit diagnosis; and the patient characteristics, including age, race/ethnicity, and insurance status. Logistic regression analysis identified characteristics associated with obtaining care in April 2020. We included 120,230 visits. Participants were 50% white and half had Medicaid. In 2020 there were significantly fewer visits for both well and acute visits with 42,670 visits in 2020 compared to 77,560 in 2019; 6616 were telehealth visits in 2020. Visits for chronic conditions were significantly decreased in 2020. Attending a visit in 2020 was more likely if the participant was black or Hispanic, younger, attending an acute visit, or had private insurance. During the COVID-19 pandemic, pediatric primary care decreased substantially for both well visits and follow-up of chronic conditions.

Indexed as

COVID-19PandemicsChildHumansPrimary Health CareRetrospective StudiesSARS-CoV-2United StatesCOVID-19mental healthobesitypediatricsprimary carewell visits

Identifiers

PMID34071783
PMCPMC8199093

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Registered trials

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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.