Evidence map›Paper›PMID 36952301›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2023

Healthcare utilization during transition to adult care in patients with spina bifida A population-based, longitudinal study in Ontario, Canada.

Rano Matta, Christopher J D Wallis, Jacob Etches, Refik Saskin, Armando J Lorenzo, Humberto R Vigil, Ronald T Kodama, Sidney Radomski, Robert K Nam, Lesley Carr and 1 more

Open access · diamondAbstract read
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In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

11 authors at 3 institutions in 2 countries.

Rano MattaDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Christopher J D WallisDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Jacob EtchesICES, Toronto, ON, Canada.
Refik SaskinICES, Toronto, ON, Canada.
Armando J LorenzoDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Humberto R VigilDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Ronald T KodamaDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Sidney RadomskiDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Robert K NamDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Lesley CarrDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Sender HerschornDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
University of Toronto · CASunnybrook Health Science Centre · CAHospital for Sick Children · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndividuals with spina bifida (SB) may experience negative health outcomes because of an informal transition from pediatric to adult care that results in using the emergency room (ER ) for non-acute health problems.

methodsWe conducted a retrospective, population-based cohort study of all people with SB in Ontario, Canada turning 18 years old between 2002 and 2011. These patients were followed for five years before and after age 18. Primary outcome was the annual rate of ER visits. Secondary outcomes included rates of hospitalization, surgery, primary care, and specialist outpatient care. We estimated the association between age and primary and secondary outcomes using negative binomial growth curve models, adjusting for patient-level baseline covariates.

resultsAmong the 1215 individuals with SB, there was no trend of ER visits seen with increasing age (relative risk [RR ] 0.99, 95% confidence interval [CI] 0.98-1.02); however, there was a significant increase in the rate of ER visits associated with turning 18 years (RR 1.14, 95% CI 1.03-1.27). Turning 18 years old was also associated with a decreased rate of hospital admissions (RR 0.79, 95% CI 0.66-0.95) and no change in surgeries (RR 0.80, 95% CI 0.64-1.02). Visits to primary care physicians remained stable over the same period (RR 0.96, 95% CI 0.90-1.01), while visits to SB-focused specialists decreased after age 18 (RR 0.81, 95% CI 0.75-0.87).

conclusionsIn patients with SB, the rate of ER visits increased significantly at 18 years old, while hospital admissions and specialist physician visits decreased at the same time. Models of transitional care can aim to reduce non-urgent ER visits and facilitate regular specialist care.

Identifiers

PMID36952301
PMCPMC10263288
OpenAlexW4328107722

What OpenQuestion holds

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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.