Evidence map›Paper›PMID 41388408›Full record

ArticleBMC medical informatics and decision making2025

Leveraging clinical decision support system tools for childhood overweight/obesity management.

Joseph R Wardell, Nora Shaska, Zara Ahmed, Brigid Gregg, Kanakadurga Singer, Jung Eun Lee, Emily Hirschfeld, Ashley Garrity, Susan Woolford, Karen E Peterson and 9 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC medical informatics and decision making, 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

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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Joseph R WardellSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA.
Nora ShaskaSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA.
Zara AhmedSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA.
Brigid GreggPediatric Endocrinology, University of Michigan, Ann Arbor, MI, USA.
Kanakadurga SingerPediatric Endocrinology, University of Michigan, Ann Arbor, MI, USA.
Jung Eun LeeElizabeth Weiser Caswell Diabetes Institute, University of Michigan, Ann Arbor, MI, USA.
Emily HirschfeldSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA.
Ashley GarritySusan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA.
Susan WoolfordSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA.
Karen E PetersonNutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Jennifer Bragg-GreshamInternal Medicine, University of Michigan, Ann Arbor, MI, USA.
Kelly OrringerGeneral Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Lauren OshmanFamily Medicine, University of Michigan, Ann Arbor, MI, USA.
Jonathan GabisonFamily Medicine, University of Michigan, Ann Arbor, MI, USA.
Layla MohammedGeneral Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Esther YoonGeneral Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Jacob BilhartzPediatric Gastroenterology, University of Michigan, Ann Arbor, MI, USA.
Bonnie BurnsHealth Information and Technology Systems, University of Michigan, Ann Arbor, MI, USA.
Joyce M LeeSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA. joyclee@med.umich.edu.

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Pilot and Feasibility (P and F) ProgramP30DK089503 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Karen Eileen Peterson · 2010 to 2026
$20.3M
NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK089503NIDDK NIH HHS P30DK089503
6 · The paper itself

Abstract

introductionConsistent with evidence-based care for pediatric overweight (BMI between 85th to 94th percentile) and obesity (BMI ≥ 95th percentile), a clinical decision support system (CDSS) OurPractice Advisory (OPA) was designed and implemented in 18 pediatric primary care clinics to support documenting elevated body mass index (BMI) on electronic health record (EHR) problem lists and ordering comorbidity screening labs.

methodsFor those whom the OPA fired, we assessed the odds of problem list BMI documentation and comorbidity screening based on demographics and weight status and generated statistical process control charts to evaluate improvements in care processes.

resultsEHR data from 9,621 patients with overweight and obesity were collected from 2020 to 2023. Providers documented elevated BMI in the problem list for 44% of eligible encounters and performed comorbidity screening in 15% of eligible encounters. Providers were more likely to perform problem list BMI documentation for older children, non-Hispanic Black children, children with public insurance, and children with a higher BMI percentile. Providers were also more likely to perform comorbidity screening among the same groups. The mean percentage of patients with an elevated BMI diagnosis on their problem list increased from 9.2% to 64% and the mean percentage of patients who had comorbidity screening labs performed increased from 7.8% to 32%.

conclusionThe implementation of the CDSS intervention was associated with an increased likelihood of delivering evidence-based care processes.

Indexed as

Decision Support Systems, ClinicalElectronic Health RecordsOverweightPediatric ObesityAdolescentBody Mass IndexChildChild, PreschoolFemaleHumansMalePrimary Health CareClinical decision support systemObesityOurPractice advisoryOverweightPediatric

Identifiers

PMID41388408
PMCPMC12822073

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.