Evidence map›Paper›PMID 36858248›Full record

ArticleAcademic pediatrics

Unmet Social Needs and Pediatric Asthma Severity in an Urban Primary Care Setting.

Andrew Telzak, Kevin P Fiori, Earle C Chambers, Jessica Haughton, Samantha Levano, Marina Reznik

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03066596 (Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

NCT03066596 nacompletednot on this map

Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination

TypeinterventionalSponsorMontefiore Medical CenterRan2017 to 2024Enrolled530ConditionsAsthma ChildhoodArmseMPI
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Clinical correlations with unmet social needs in critically ill children with asthma.The journal of allergy and clinical immunology. Global · 2025
    Article
  4. Article
  5. Article
  6. Article
  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

6 authors at 1 institution in 1 country.

Andrew TelzakDepartment of Family and Social Medicine (A Telzak, EC Chambers, and S Levano), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. Electronic address: ATelzak@montefiore.org.
Kevin P FioriDepartment of Family and Social Medicine and Department of Pediatrics (KP Fiori), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. Electronic address: KFiori@montefiore.org.
Earle C ChambersDepartment of Family and Social Medicine (A Telzak, EC Chambers, and S Levano), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. Electronic address: earle.chambers@einsteinmed.edu.
Jessica HaughtonDepartment of Family and Social Medicine (J Haughton), Montefiore Medical Center, Albert Einstein College of Medicine, Integrate Health, Bronx, NY. Electronic address: jhaughton@integratehealth.org.
Samantha LevanoDepartment of Family and Social Medicine (A Telzak, EC Chambers, and S Levano), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. Electronic address: samantha.levano@einsteinmed.edu.
Marina ReznikDepartment of Pediatrics (M Reznik), Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY. Electronic address: mreznik@montefiore.org.
Albert Einstein College of Medicine · US

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Promoting Asthma Guidelines and Management through Technology-Based Intervention and Care Coordination (PRAGMATIC)R01HL133789 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI REZNIK, MARINA · 2016 to 2020
$4.2M
NHLBI NIH HHS R01 HL133789NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

objectiveCommunity-level social determinants of health impact asthma outcomes among children; however, individual patient's priorities are not often included in designing social care interventions. Identifying connections between patient-prioritized unmet social needs and asthma severity status may allow for improved patient-centered approaches to asthma management. In this analysis, we examined the association between unmet social needs and asthma severity in an urban population of children. We hypothesized that those with a greater number of unmet social needs would report a more severe asthma status.

methodsWe conducted a secondary analysis of 4887 patients screened for unmet social needs and asthma severity status. Bivariate associations and adjusted logistic regression modeling were used to assess the association between unmet social needs and asthma severity.

resultsPersistent asthma severity status was associated with several unmet social needs, including housing quality and stability, lack of money for food, transportation, and healthcare costs. In the multivariable analysis, having 3 or more unmet social needs was associated with a 59% greater odds of persistent asthma status (CI, 1.18-2.14; P = .002), and having 2 unmet social needs was associated with a 33% greater odds of persistent asthma status (CI, 1.00-1.78; P = .05).

conclusionsUnmet social needs were associated with asthma severity status, with a greater number of unmet social needs associated with greater odds of severe asthma status. Additional studies are warranted to further evaluate the temporal relationship between unmet social needs and how they may compound one another in their relationship with asthma severity.

Indexed as

AsthmaPrimary Health CareSeverity of Illness IndexUrban PopulationAdolescentChildChild, PreschoolFemaleHousingHumansLogistic ModelsMaleMultivariate AnalysisSocial Determinants of Healthpediatric asthmaunmet social needs

Identifiers

PMID36858248
PMCPMC11357840
OpenAlexW4322505783

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.