Evidence map›Paper›PMID 35022168›Full record

ArticleBMJ open2022

Identification of child mental health problems by combining electronic health record information from different primary healthcare professionals: a population-based cohort study.

Nynke R Koning, Frederike L Büchner, Nathalie A Leeuwenburgh, Irma Jm Paijmans, Dj Annemarie van Dijk-van Dijk, Robert Rjm Vermeiren, Mattijs E Numans, Mathilde Crone

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Stressful life events in electronic health records: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  3. Article
  4. Article
  5. Strengthening Medical Care for Young People in the Netherlands: A Reflection.International journal of environmental research and public health · 2022
    Article
  6. 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 at 2 institutions in 2 countries.

Nynke R KoningPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands n.r.koning@lumc.nl.ORCID 0000-0002-2532-1180
Frederike L BüchnerPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-8977-5344
Nathalie A LeeuwenburghGGD Hollands Midden, Leiden, The Netherlands.
Irma Jm PaijmansGGD Hollands Midden, Leiden, The Netherlands.
Dj Annemarie van Dijk-van DijkGGD Hollands Midden, Leiden, The Netherlands.
Robert Rjm VermeirenCurium-LUMC Academisch centrum voor Kinder- en Jeugdpsychiatrie, Leiden, The Netherlands.
Mattijs E NumansPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Mathilde CronePublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLGGD Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the potential value of combining information from electronic health records from Dutch general practitioners (GPs) and preventive youth healthcare professionals (PYHPs) in predicting child mental health problems (MHPs).

designPopulation-based retrospective cohort study.

settingGeneral practice, children who were registered with 76 general practice centres from the Leiden University Medical Centre (LUMC) primary care academic network Extramural LUMC Academic Network in the Leiden area, the Netherlands. For the included children we obtained data regarding a child's healthy development from preventive youth healthcare.

participants48 256 children aged 0-19 years old who were registered with participating GPs between 2007 and 2017 and who also had data available from PYHPs from the period 2010-2015. Children with MHPs before 2007 were excluded (n=3415). PRIMARY OUTCOME: First MHPs based on GP data.

resultsIn 51% of the children who had MHPs according to GPs, PYPHs also had concerns for MHPs. In 31% of the children who had no MHPs according to GPs, PYHPs had recorded concerns for MHPs. Combining their information did not result in better performing prediction models than the models based on GP data alone (c-statistics ranging from 0.62 to 0.64). Important determinants of identification of MHPs by PYHPs 1 year later were concerns from PHYPs about MHPs, borderline or increased problem scores on mental health screening tools, life events, family history of MHPs and an extra visit to preventive youth healthcare.

conclusionsAlthough the use of combined information from PYHPs and GPs did not improve prediction of MHPs compared with the use of GP data alone, this study showed the feasibility of analysing a combined dataset from different healthcare providers what has the potential to inform future studies aimed at improving child MHP identification.

Indexed as

Electronic Health RecordsGeneral PractitionersAdolescentAdultChildChild, PreschoolCohort StudiesHumansInfantInfant, NewbornMental HealthPrimary Health CareRetrospective StudiesYoung Adultmental healthpaediatricsprimary care

Identifiers

PMID35022168
PMCPMC8756279
OpenAlexW4206067430

What OpenQuestion holds

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LicenceCC BY-NC
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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.