Evidence map›Paper›PMID 39797716›Full record

ArticleInternational journal of circumpolar health2025

Characterizing the medical and social complexity experienced by Inuit children and their families from Nunavut who access care at an urban Canadian tertiary level paediatric hospital.

Yipeng Ge, Amanda Mills, Victoria McCann, Sara Trincao-Batra, Deepti Reddy, Dennis Newhook, Richard J Webster, Stephanie Sutherland, Melissa Weber, Radha Jetty

Abstract read
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In one paragraph

Article in International journal of circumpolar health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

10 authors.

Yipeng GePublic Health and Preventive Medicine Resident Physician, University of Ottawa, Ottawa, ON, Canada.
Amanda MillsUndergraduate Medical Education Program, Queen's University, Kingston, ON, Canada.
Victoria McCannUndergraduate Medical Education Program, Queen's University, Kingston, ON, Canada.
Sara Trincao-BatraUndergraduate Medical Education Program, University of Ottawa, Ottawa, ON, Canada.
Deepti ReddyBiostatistician, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
Dennis NewhookResearch Analyst and Qualitative Methods Consultant, Clinical Research Unit, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
Richard J WebsterScientific Director, Clinical Research Unit, CHEO Resaerch Institute, Ottawa, Canada.
Stephanie SutherlandResearch and Evaluation Consultant, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
Melissa WeberFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Radha JettyPediatric Medicine Children's Hospital of Eastern Ontario, Associate Professor of Pediatrics, University of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to characterise the medical and social complexities experienced by Inuit children and their families from Nunavut who were cared for at a general paediatrics clinic at an urban tertiary-level hospital located in Eastern Ontario. A retrospective chart review of this cohort was completed between 2016 and 2019. Two independent reviewers extracted data from charts. The cohort included 36 children, median (interquartile range [IQR]) age 13.5 (6.8, 28.2) months and full age range (1,140) months. They had a median (IQR) of 12.5 (7.8, 18.0) comorbidities, 11 (8.0, 14.2) healthcare services accessed and 3 (2, 5) medications. Almost all children (97.2%) had been hospitalised and the median number of days spent as an inpatient was 31.5. With respect to social complexity variables, 51.9% of clinical interactions (14 of 27 charts reviewed) at any point would have benefitted from an interpreter and 96.7% of 30 patient escorts/companions showed evidence of having difficulty in coping with homesickness. Improving social history taking and integrating screening for social determinants of health within the clinic should be considered. A dedicated interdisciplinary team approach focused on integrative care could be an effective method to improve communication and collaboration between service providers and with Inuit children and their families to reduce systemic health and social inequities.

Indexed as

Health Services AccessibilityHospitals, PediatricInuitTertiary Care CentersAdolescentChildChild, PreschoolComorbidityFemaleHumansInfantMaleNunavutOntarioRetrospective StudiesSocial Determinants of Healthchart reviewcomplex carecoordination of careInuit child healthInuit healthmedical complexitysocial complexitySocial paediatrics

Identifiers

PMID39797716
PMCPMC11727173

What OpenQuestion holds

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LicenceCC BY-NC
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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.