Evidence map›Paper›PMID 39713020›Full record

ArticleHealth care transitions2023

Health status and health care utilization profiles of adolescents with disabilities.

Shauna Kingsnorth, Yani Hamdani, Clare Cheng, Sally Lindsay, Joanne Maxwell, Angela Colantonio, Mark Bayley, Colin Macarthur

Registry-linked trialAbstract read
In one paragraph

Article in Health care transitions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00975338 (The LETS Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT00975338 completednot on this map

The LETS Study: A Longitudinal Evaluation of Transition Services

TypeobservationalSponsorHolland Bloorview Kids Rehabilitation HospitalRan2009 to 2016Enrolled149ConditionsCerebral Palsy, Brain Injuries, Spinal DysraphismArmsLIFEspan, Non-LIFEspan
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Shauna KingsnorthHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Yani HamdaniBloorview Research Institute, Toronto, ON, Canada.
Clare ChengBloorview Research Institute, Toronto, ON, Canada.
Sally LindsayBloorview Research Institute, Toronto, ON, Canada.
Joanne MaxwellHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Angela ColantonioDepartment of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
Mark BayleyToronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Colin MacarthurChild Health Evaluative Sciences, Hospital for Sick Children Research Institute, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adolescents with physical disabilities of childhood often require a transition from pediatric to adult systems as part of life-long, comprehensive health care once they reach 18 years of age. The process of transition can be complex, challenging, and influenced by health-related factors and availability of health care resources. Objective: To provide a baseline profile of health-related quality of life, health management, social participation, and health care utilization for adolescents 16 years of age with spina bifida (SB), acquired brain injury (ABI), or cerebral palsy (CP) in Toronto, Canada. Methods: A cross-sectional survey design was used. A sample was drawn from a large, urban pediatric rehabilitation hospital as part of a prospective, longitudinal, observational mixed-methods study. Seven English language, paper-copy standardized measures were completed; measures were organized across the three domains of interest. Health care utilization data were obtained from population-based, health services administrative datasets held by ICES. These data included outpatient physician visits, emergency department visits, and hospitalizations over a 12-month period, beginning at their 16th birthday. Results: The sample comprised 99 participants: survey measures were completed by 59 participants (12 SB, 19 ABI, and 28 CP) and health care utilization obtained for 92 participants (19 SB, 25 ABI, and 48 CP). Baseline scores across measures and rates of health care utilization are provided. All three groups reported relatively good health-related quality of life. Youth with CP had lower scores on health utility, health management, and social participation, compared with the SB and ABI groups. Youth with SB had slightly higher health care utilization in the 12-month period after their 16th birthday, compared with the ABI and CP groups. Conclusions: This cross-sectional survey collected comprehensive health status and health care utilization data on 16-year-old youth with SB, ABI, and CP in Toronto, Canada. With few exceptions, the CP group consistently scored lower across measurement domains. These baseline data may be useful for hospital administrators, policy makers, and researchers examining changes in health-related quality of life, health management, social participation, and health care utilization among youth with SB, ABI, and CP, particularly in the context of transition planning and evaluation.

Indexed as

Cross-sectional surveyDisabilityHealth care transitionHealth care utilizationHealth-related quality of lifeMeasures

Identifiers

PMID39713020
PMCPMC11658434

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.