Evidence map›Paper›PMID 40253003›Full record

ArticleAcademic pediatrics2025

Take the Lead on Lead: Feasibility of a Telemedicine-Based Clinic for Lead Poisoning Prevention and Management.

Ryan Cl Brewster, Keith Acosta, Diane Story, Frehiwot Bayuh, Shalini Shah, Alan Woolf, Noah Buncher, Marissa Hauptman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ryan Cl BrewsterDepartment of Pediatrics (RCL Brewster, K Acosta, D Story, S Shah, A Woolf, and M Hauptman), Boston Children's Hospital, Harvard Medical School, Boston, Mass; Department of Pediatrics (RCL Brewster and F Bayuh), Boston Medical Center, Boston University School of Medicine, Boston, Mass; Department of Neonatology (RCL Brewster), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass. Electronic address: ryan.brewster@childrens.harvard.edu.
Keith AcostaDepartment of Pediatrics (RCL Brewster, K Acosta, D Story, S Shah, A Woolf, and M Hauptman), Boston Children's Hospital, Harvard Medical School, Boston, Mass; Region 1 New England Pediatric Environmental Health Specialty Unit (K Acosta, S Shah, A Woolf, N Buncher, and M Hauptman), Boston, Mass.
Diane StoryDepartment of Pediatrics (RCL Brewster, K Acosta, D Story, S Shah, A Woolf, and M Hauptman), Boston Children's Hospital, Harvard Medical School, Boston, Mass; Region 1 New England Pediatric Environmental Health Specialty Unit (K Acosta, S Shah, A Woolf, N Buncher, and M Hauptman), Boston, Mass.
Frehiwot BayuhDepartment of Pediatrics (RCL Brewster and F Bayuh), Boston Medical Center, Boston University School of Medicine, Boston, Mass.
Shalini ShahDepartment of Pediatrics (RCL Brewster, K Acosta, D Story, S Shah, A Woolf, and M Hauptman), Boston Children's Hospital, Harvard Medical School, Boston, Mass; Region 1 New England Pediatric Environmental Health Specialty Unit (K Acosta, S Shah, A Woolf, N Buncher, and M Hauptman), Boston, Mass.
Alan WoolfDepartment of Pediatrics (RCL Brewster, K Acosta, D Story, S Shah, A Woolf, and M Hauptman), Boston Children's Hospital, Harvard Medical School, Boston, Mass; Region 1 New England Pediatric Environmental Health Specialty Unit (K Acosta, S Shah, A Woolf, N Buncher, and M Hauptman), Boston, Mass.
Noah BuncherRegion 1 New England Pediatric Environmental Health Specialty Unit (K Acosta, S Shah, A Woolf, N Buncher, and M Hauptman), Boston, Mass; Department of Pediatrics (N Buncher), Children's Hospital of Philadelphia, Philadelphia, Pa.
Marissa HauptmanDepartment of Pediatrics (RCL Brewster, K Acosta, D Story, S Shah, A Woolf, and M Hauptman), Boston Children's Hospital, Harvard Medical School, Boston, Mass; Region 1 New England Pediatric Environmental Health Specialty Unit (K Acosta, S Shah, A Woolf, N Buncher, and M Hauptman), Boston, Mass.

Funding

Air Pollution, Stress and Asthma Morbidity Risk: Role of Biological and Geospatial MarkersK23ES031663 · NIEHS · BOSTON CHILDREN'S HOSPITAL · PI HAUPTMAN, MARISSA · 2021 to 2025
$984k
NIEHS NIH HHS K23 ES031663
6 · The paper itself

Abstract

objectiveDespite there being no safe amount of lead in the body, most public health and clinical interventions are focused on secondary prevention. A greater emphasis on early outreach may reduce cumulative lead exposure. Towards this end, we aimed to assess the feasibility of a virtual model for lead poisoning prevention and management among at-risk populations.

methodsWe developed the Take the Lead on Lead (TLOL) clinic, a telemedicine-based program to facilitate educational visits, lead identification, and individualized resource allocation. We recruited patients aged 9 months-5 years with detectable, but low, BLLs (≥2 μg/dL and <10 μg/dL) from two urban academic medical centers in Boston, MA. Virtual visits featured a remote residential inspection to identify potential lead hazards and inform targeted counseling. Families also received a lead testing and temporary mitigation kit, community referrals, and follow-up BLL surveillance, as indicated.

resultsAmong 35 participants, most were Black, non-Latinx (51.4%) with residence in homes constructed before 1970 (60%). Potential lead hazards were visualized in the majority of homes that underwent a virtual home inspection (71.4%). On a post-participation survey, most families found that TLOL participation addressed their clinical concerns; provided actionable resources; and helped identify lead sources.

conclusionsThe TLOL program enabled detailed residential lead identification and early resource access with high levels of participant satisfaction. Further work is needed to assess the efficacy and cost-effectiveness of telemedicine-based care models applied towards lead poisoning prevention efforts.

Indexed as

Lead PoisoningTelemedicineBostonChild, PreschoolFeasibility StudiesFemaleHumansInfantLeadMaleLeadenvironmental healthhealth equitylead poisoningtelemedicine

Identifiers

PMID40253003
PMCPMC12317827

What OpenQuestion holds

Textmetadata
LicenceTDM
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.