Evidence map›Paper›PMID 34738078›Full record

ArticleJAMIA open2021

Feasibility of computerized clinical decision support for pediatric to adult care transitions for patients with special healthcare needs.

Nikolas J Koscielniak, Ajay Dharod, Adam Moses, Richa Bundy, Kirsten B Feiereisel, Laurie W Albertini, Deepak Palakshappa

Open access · goldAbstract read
In one paragraph

Article in JAMIA open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 75% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Nikolas J KoscielniakClinical and Translational Science Institute, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID https://orcid.org/0000-0002-9321-4387
Ajay DharodDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID https://orcid.org/0000-0002-8033-9009
Adam MosesDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Richa BundyDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Kirsten B FeiereiselDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Laurie W AlbertiniDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Deepak PalakshappaDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Wake Forest University · US

Funding

J. NRSA Training Core (TL1)TL1TR003136 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI TOOZE, JANET A. · 2019 to 2023
$2.1M
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
NCATS NIH HHS TL1 TR003136NHLBI NIH HHS K23 HL146902
6 · The paper itself

Abstract

The objective of this study was to determine the feasibility of a computerized clinical decision support (cCDS) tool to facilitate referral to adult healthcare services for children with special healthcare needs. A transition-specific cCDS was implemented as part of standard care in a general pediatrics clinic at a tertiary care academic medical center. The cCDS alerts providers to patients 17-26 years old with 1 or more of 15 diagnoses that may be candidates for referral to an internal medicine adult transition clinic (ATC). Provider responses to the cCDS and referral outcomes (e.g. scheduled and completed visits) were retrospectively analyzed using descriptive statistics. One hundred and fifty-two patients were seen during the 20-month observation period. Providers referred 87 patients to the ATC using cCDS and 77% of patients ≥18 years old scheduled a visit in the ATC. Transition-specific cCDS tools are feasible options to facilitate adult care transitions for children with special healthcare needs.

Indexed as

clinical decision supportelectronic health recordshealthcare transitionlearning health systemspediatrics

Identifiers

PMID34738078
PMCPMC8564708
OpenAlexW3210949965

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.