Evidence map›Paper›PMID 39281362›Full record

ArticlePaediatrics & child health2024

A quality improvement evaluation of a standardized intervention for children with medical complexity transitioning to adult care.

Kayla Esser, Sherri Adams, Christopher Chung, Taylor McKay, Clara Moore, Hayley Wagman, Stephanie Lee, Julia Orkin

Abstract read
In one paragraph

Article in Paediatrics & child health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Kayla EsserChild Health Evaluative Sciences, SickKids Research Institute, Toronto, Canada.ORCID https://orcid.org/0000-0003-3628-8475
Sherri AdamsChild Health Evaluative Sciences, SickKids Research Institute, Toronto, Canada.
Christopher ChungDivision of Neonatology and Department of Pediatrics, University of Toronto, Toronto, Canada.
Taylor McKayTemerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Clara MooreChild Health Evaluative Sciences, SickKids Research Institute, Toronto, Canada.
Hayley WagmanChild Health Evaluative Sciences, SickKids Research Institute, Toronto, Canada.
Stephanie LeeTemerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Julia OrkinChild Health Evaluative Sciences, SickKids Research Institute, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children with medical complexity have medical fragility, chronic disease, technology dependence, and high healthcare use. Their transition to adult health care at age 18 involves medical and social elements and follows no standardized process. Our goal was to improve transition readiness in children with medical complexity using a transition intervention within a Complex Care program. All children with medical complexity aged 14 to 18 were included in this quality improvement (QI) project (n = 54). We conducted a pre- and post-intervention chart review to assess transition outcomes and implemented a transition intervention for 6 months, which included an age-stratified checklist, charting template, and transition rounds. Before the intervention, 72% of 17- to 18-year-old patients had documented transition discussions, which increased to 86%. Patients with a family physician increased as well (61% to 73% for 17- to 18-year-olds). Three transition education rounds were held. The intervention increased transition readiness, provided tools to facilitate transition, and created a forum for conversation.

Indexed as

Children with medical complexityFamily physiciansHealth care transitionMultiple chronic conditionsQuality improvement

Identifiers

PMID39281362
PMCPMC11398935

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.