Evidence map›Paper›PMID 36454296›Full record

ArticlePediatric surgery international2022

Use of electronic health record best practice alerts to improve adherence to American Urological Association vesicoureteral reflux guidelines.

Derek M Wengryn, N Valeska Halstead, Sarah C Beebe, Carter J Sevick, Vijaya M Vemulakonda

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Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Derek M Wengryn *Division of Urology, Department of Surgery, University of Colorado Anschutz Medical Campus, Pediatric Urology Research Enterprise, Department of Pediatric Urology, Children's Hospital of Colorado, 13123 East 16Th Avenue, B-463, Aurora, CO, 80045, USA.
N Valeska Halstead *Division of Urology, Department of Surgery, University of Colorado Anschutz Medical Campus, Pediatric Urology Research Enterprise, Department of Pediatric Urology, Children's Hospital of Colorado, 13123 East 16Th Avenue, B-463, Aurora, CO, 80045, USA.
Sarah C BeebeOhio State University Wexner Medical Center, Columbus, OH, USA.
Carter J SevickACCORDS, University of Colorado Hospital Anschutz Medical Campus, Aurora, CO, USA.
Vijaya M VemulakondaDivision of Urology, Department of Surgery, University of Colorado Anschutz Medical Campus, Pediatric Urology Research Enterprise, Department of Pediatric Urology, Children's Hospital of Colorado, 13123 East 16Th Avenue, B-463, Aurora, CO, 80045, USA. vijaya.vemulakonda@childrenscolorado.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of a guidelines-based best practice alerts (BPA) in the electronic health record (EHR) on adherence to American Urological Association (AUA) vesicoureteral reflux (VUR) guidelines.

methodsRetrospective cohort study of patients aged 0-17 years old with primary VUR with an initial urology clinic visit the year before or year after BPA implementation was done. Primary outcomes include obtaining vital signs, urinalysis, and ultrasound at initial and 1-year follow-up visit.

resultsWe identified 123 patients with initial visits during the study period, 58 of whom returned for 1-year follow-up visits. Patients seen post-BPA were more likely to have height measured at initial visit than those seen pre-BPA (47.3% vs. 11.8%, p < 0.001). The majority of patients were screened with weight (98.3%) and ultrasound (87.9%) at 1-year follow-up both before and after BPA implementation. Neither blood pressure measurements (59.1% vs. 55.6%, p > 0.5) nor urinalysis orders (23.8% vs. 19.4%, p > 0.05) significantly increased post-BPA.

conclusionThe use of an EHR-based BPA increased the likelihood of obtaining height measurements by clinic intake staff but did not significantly affect provider adherence to other practice guideline recommendations. Our findings suggest that BPA implementation alone is not sufficient to impact provider uptake of VUR guideline recommendations.

Indexed as

Electronic Health RecordsVesico-Ureteral RefluxAdolescentAmbulatory Care FacilitiesChildChild, PreschoolHumansInfantInfant, NewbornProbabilityRetrospective StudiesBest practice guidelinesClinical decision supportElectronic health recordPediatric urologyVesicoureteral reflux

Identifiers

PMID36454296

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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.