Evidence map›Paper›PMID 38146859›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2023

Impact of the COVID-19 Pandemic on Pediatric Preventive Health Care Among North Carolina Children Enrolled in Medicaid.

Pavan V Thakkar, Zeni Scott, Molly Hoffman, Jesse Delarosa, Jesse Hickerson, Angelique E Boutzoukas, Daniel K Benjamin, M Alan Brookhart, Kanecia O Zimmerman, Ganga S Moorthy

Abstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

10 authors.

Pavan V ThakkarDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0009-0005-4521-6934
Zeni ScottDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
Molly HoffmanDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Jesse DelarosaDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Jesse HickersonDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Angelique E BoutzoukasDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Daniel K BenjaminDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
M Alan BrookhartDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Kanecia O ZimmermanDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Ganga S MoorthyDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0003-3191-1117

Funding

COVID-19 Supplement - Center for Innovative TRIals in ChilDrEN and AdulTs (TRIDENT)U24TR001608 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., BERNARD, GORDON RAPHAEL · 2016 to 2022
$177.0M
NCATS NIH HHS U24 TR001608NICHD NIH HHS HHSN275201000003CNICHD NIH HHS HHSN275201000003I
6 · The paper itself

Abstract

backgroundChildren enrolled in private insurance had reduced preventive health care during the coronavirus disease 2019 (COVID-19) pandemic. However, the impact of the pandemic on children enrolled in Medicaid has been minimally described.

methodsWe used an administrative claims database from North Carolina Medicaid to evaluate the rates of well-child visits and immunization administration for children ≤14 months of age, and used a quasi-Poisson regression model to estimate the rate ratio (RR) of each outcome during the pandemic period (3/15/2020 through 3/15/2021) compared with the pre-pandemic period (3/15/2019 through 3/14/2020).

resultsWe included 83 442 children during the pre-pandemic period and 96 634 children during the pandemic period. During the pre-pandemic period, 405 295 well-child visits and 715 100 immunization administrations were billed; during the pandemic period, 287 285 well-child visits and 457 144 immunization administrations were billed. The rates of well-child visits (RR 0.64; 95% CI, 0.64-0.64) and vaccine administration (RR 0.55; 95% CI, 0.55-0.55) were lower during the pandemic compared with the pre-pandemic period.

conclusionsThe rates of well-child visits and immunization administrations among North Carolina children enrolled in public insurance substantially decreased during the first year of the COVID-19 pandemic.

Indexed as

COVID-19MedicaidChildHumansNorth CarolinaPandemicsPreventive Health ServicesUnited StatesCOVID-19health equityMedicaidpreventive carevaccinationwell-child visits

Identifiers

PMID38146859
PMCPMC10750309

What OpenQuestion holds

Textmetadata
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.