Evidence map›Paper›PMID 34175244›Full record

Observational studyJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2022

Association between insurance variability and early lung function in children with cystic fibrosis.

Kimberly M Dickinson, Kevin J Psoter, Kristin A Riekert, Joseph M Collaco

Open access · greenAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Early life growth trajectories in cystic fibrosis are associated with lung function at age six.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  5. Article
  6. Review
  7. 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

4 authors at 1 institution in 1 country.

Kimberly M DickinsonDepartment of Pediatrics, Division of Pediatric Pulmonology, Johns Hopkins University, David M. Rubenstein Building, 200 North Wolfe Street, Baltimore, MD 21287, United States.
Kevin J PsoterDepartment of Pediatrics, Division of General Pediatrics, Johns Hopkins University, Baltimore, MD, United States.
Kristin A RiekertDepartment of Medicine, Division of Pulmonary & Critical Care Medicine, Johns Hopkins University, Baltimore, MD, United States.
Joseph M CollacoDepartment of Pediatrics, Division of Pediatric Pulmonology, Johns Hopkins University, David M. Rubenstein Building, 200 North Wolfe Street, Baltimore, MD 21287, United States. Electronic address: mcollac1@jhmi.edu.
Johns Hopkins University · US

Funding

Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
Gene-Environment Interactions in Cystic Fibrosis Lung DiseaseR01HL128475 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COLLACO, JOSEPH MICHAEL · 2016 to 2019
$1.1M
NHLBI NIH HHS R01 HL128475NHLBI NIH HHS T32 HL072748
6 · The paper itself

Abstract

backgroundLower socioeconomic status (SES) has consistently been associated with poorer outcomes in individuals with cystic fibrosis (CF). Previous studies have compared outcomes for children with and without private insurance coverage, however the potential role of changes in insurance status on early health outcomes in children with CF remains unknown.

objectivesTo describe the variability in insurance status in early childhood and to evaluate whether insurance variability was associated with poorer outcomes at age 6.

methodsRetrospective observational study using the Cystic Fibrosis Foundation Patient Registry. Insurance status was defined as: always private (including Tricare), exclusively public, or intermittent private insurance (private insurance and exclusively public insurance in separate years) during the first 6 years of life. Outcomes at age 6 included body mass index (BMI) and FEV

resultsFrom a 2000-2011 birth cohort (n = 8,109), 42.3% always had private insurance, 30.0% had exclusively public insurance, and 27.6% had intermittent private insurance. BMI percentiles did not differ between groups; however, children with intermittent private insurance and exclusively public insurance had a 3.3% and 6.6% lower maxFEV

conclusionsA substantial proportion of young children in a modern CF cohort have public or intermittent private insurance coverage. While public insurance has been associated with poorer health outcomes in CF, variability in health insurance coverage may also be associated with an intermediate risk of disparities in lung function as early as age 6.

Indexed as

Health EquityBody Mass IndexChildCystic FibrosisFemaleHumansInsurance CoverageMaleNutritional StatusRegistriesRespiratory Function TestsRetrospective StudiesRisk FactorsSocial Determinants of HealthBMICystic fibrosis (CF)Early childhoodFEV(1)ppHealth insuranceRegistry

Identifiers

PMID34175244
PMCPMC8695631
OpenAlexW3175603684

What OpenQuestion holds

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LicenceTDM
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.