Evidence map›Paper›PMID 41039301›Full record

ArticleBMC pediatrics2025

Child and youth chronic physical health conditions: a comparison of survey data and linked administrative health data in Ontario.

Grace Golden, Li Wang, Graham J Reid

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2025. 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

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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.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Grace GoldenDepartment of Psychology, The University of Western Ontario, 1151 Richmond Street, London, Canada. ggolden@uwo.ca.ORCID 0000-0002-8771-0210
Li WangDepartment of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, Canada.ORCID 0000-0002-4121-9098
Graham J ReidDepartment of Psychology, The University of Western Ontario, 1151 Richmond Street, London, Canada.ORCID 0000-0003-2139-0901

Funding

CIHR 125941Ontario Ministry of Health and Long-Term Care (MOHLTC) - Health Services Research Grant 8-42298
6 · The paper itself

Abstract

backgroundPopulation-based studies in Canada and the United States estimate chronic physical health conditions affect between 20 to 30% of children aged 0 to 17. Challenges in measuring chronic conditions include the use of inconsistent definitions and algorithms that capture a limited number of conditions. Thus, we developed a chronic health condition (CHC) algorithm using administrative data to determine whether a child has a CHC based on (1) the diagnosis recorded for the visit, (2) the number of visits, and (3) within a specific reference period.

methodsData were from the cross-sectional 2014 Ontario Child Health Study, linked with Ontario Health Insurance Plan (OHIP) administrative health data. Unweighted prevalence estimates and agreement analyses (Cohen's Kappa, sensitivity, specificity) were used to compare the survey parent-reported and algorithm-based presence of a CHC.

results31.8% and 27.1% of children and youth had a CHC based on administrative and survey data, respectively. Agreement between administrative and survey data was poor (k = 0.17). Among a few specific conditions, agreement varied depending on the type of condition (e.g., diabetes k = 0.77 vs health conditions k = 0.21).

conclusionWe found considerable discrepancies between administrative and survey-reported data. The results highlight the importance of using algorithms developed from multiple datasets to examine complex research questions, such as the measurement of chronicity.

Indexed as

Health SurveysAdolescentAlgorithmsChildChild HealthChild, PreschoolChronic DiseaseCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleOntarioPrevalence2014 Ontario Child Health StudyAdministrative dataAlgorithmChild and youthChronic health conditionMental HealthOntario Health Insurance PlanSurvey data

Identifiers

PMID41039301
PMCPMC12492918

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Registered trials

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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.