Evidence map›Paper›PMID 39541168›Full record

ArticleThe European journal of general practice2024

Registration and management of children with overweight by general practitioners in The Netherlands.

Hevy Hassan, Jacoline van den Driest, Angeline Bosman, Bart Willem Koes, Patrick Jan Eugène Bindels, Marienke van Middelkoop

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Article in The European journal of general practice, 2024. 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

What it found

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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

6 authors.

Hevy HassanDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Jacoline van den DriestDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Angeline BosmanDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Bart Willem KoesDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Patrick Jan Eugène BindelsDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Marienke van MiddelkoopDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) form the gateway to healthcare in numerous European countries. Their role in addressing and managing overweight/obesity in children is crucial. In Dutch guidelines, GPs are encouraged to proactively address weight-related issues during patient consultations, regardless of the initial reason of the visit. OBJECTIVE(S): To examine the frequency, management and follow-up of GP visits of children for overweight/obesity and the identification by GPs of these children presenting with other complaints.

methodsA retrospective cohort study. Health records from 2012-2021 in the Rijnmond Primary Care Database (RPCD) of children aged 2-18 with overweight/obesity who visited the GP were analysed. Children were categorised into two groups: those visiting for weight-related issues (group 1) and those visiting for other complaints but identified as overweight or obese by GPs (group 2). Data on patient demographics, reasons for contact, and management strategies were extracted.

resultsFrom the 120,991 children, 3035 children with documented overweight or obesity were identified, 208 were excluded. The study population comprised 2827 individuals: 55% belonging to group 1, 45% to group 2. The frequency of first visits remained stable at approximately 0.5% visits per total person-years each year. Group 1 received more referrals (74%) and follow-up consultations (45.5%) than group 2 with 17% referrals and 19.7% follow-up consultations.

conclusionThis study highlights a concerning difference in the management of the two groups. Strategies for effective management of overweight in children and the GP's role, warrant further investigation. Especially when overweight is not the primary reason for visit.

Indexed as

General PractitionersPediatric ObesityReferral and ConsultationAdolescentChildChild, PreschoolCohort StudiesFemaleGeneral PracticeHumansMaleNetherlandsOverweightPractice Patterns, Physicians'Primary Health CareRetrospective StudiesChildhood obesitygeneral practitionersoverweightprimary careweight management

Identifiers

PMID39541168
PMCPMC11565679

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