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Clinical Pediatrics

Patricia N Pastor, Alan E Simon, Cynthia A Reuben
We describe mental health service use by insurance among children aged 4 to 17 with diagnosed attention-deficit/ hyperactivity disorder (ADHD). Using parent reports from 2010-2013 National Health Interview Survey, we estimate the percentage that received services for emotional and behavioral difficulties (EBD): medication, other nonmedication services, and none (neither medication nor other nonmedication services). Among children with diagnosed ADHD, 56.0% had used medication for EBD, 39.8% had contact with a mental health professional, 32...
October 13, 2016: Clinical Pediatrics
Barbara K Snyder, Gail D Burack, Anna Petrova
Despite published guidelines on the need to provide comprehensive care to lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ) youth, there has been limited research related to the deliverance of primary health care to this population. The goals of this study were to learn about LGBTQ youth's experiences with their primary care physicians and to identify areas for improvement. Youth attending 1 of 5 community-based programs completed a written questionnaire and participated in a focus group discussion regarding experiences at primary care visits, including topics discussed, counselling received, and physician communication...
October 13, 2016: Clinical Pediatrics
Shona C Hang, Kristen Hassmiller Lich, Kevin J Kelly, Diane M Howell, Michael J Steiner
We conducted a cross-sectional study to evaluate timeliness of patient arrival at a pediatric multispecialty clinic. Bivariate and ordered logistic regression analyses were conducted to determine the odds of late arrival by specified patient- and visit-level characteristics. A total of 64 856 visits were available for analysis, of which 6513 (10.0%) were late arrivals. The odds of late arrival were higher for patients who spoke English (odds ratio [OR] = 1.34, P < .001) compared with those who spoke Spanish, had Medicaid (OR = 1...
October 5, 2016: Clinical Pediatrics
Valerie S Harder, Webb E Long, Susan E Varni, Jenney Samuelson, Judith S Shaw
Patient-centered medical home (PCMH) transformation has been challenging for pediatric practices, in part because of the National Committee for Quality Assurance (NCQA) PCMH focus on conditions and processes specific to adult patients. Realizing the potential challenges faced by pediatric practices, Vermont supported pediatric-informed facilitators to help practices during PCMH transformation. This study characterizes the impact of pediatric-informed facilitators; provides benchmark data on NCQA scores, number of facilitation meetings, and the time between facilitation start and end; and compares pediatric- and adult-serving practices...
September 27, 2016: Clinical Pediatrics
Joshua Daily, R Thomas Collins, Elijah Bolin
No abstract text is available yet for this article.
September 27, 2016: Clinical Pediatrics
Jonathan Leong, Maria-Stella Serrano
No abstract text is available yet for this article.
September 27, 2016: Clinical Pediatrics
Dominique J Karas, Jathin Bandari, Danielle N Browning, Bruce L Jacobs, Benjamin J Davies
Under the Sunshine Act, pharmaceutical and product industry payments to physicians are reported in a public database. We sought to characterize payments received by pediatricians in the first full year of disclosures in 2014. We used the National Centers for Medicare and Medicaid Services Open Payment files to identify pediatricians who received payments. Payment characteristics were stratified, and descriptive statistical analysis was performed, including mean, median, and ranges of payments. Between January 1, 2014, and December 31, 2014, 35 697 pediatricians received payments amounting to $30 031 960...
September 23, 2016: Clinical Pediatrics
Leah Kern, Janet Crow, Christine B Williams, Eyla Boies, Sheila Gahagan, Kyung E Rhee
In 2011, the National Heart Lung and Blood Institute recommended universal lipid screening (ULS) in 9- to 11-year-old children. This study aimed to determine whether a quality improvement (QI) initiative increased ULS. Data were abstracted from the electronic medical record to compare screening behaviors 1 year preimplementation and postimplementation. A focus group was conducted to examine physicians' attitudes. In preimplementation and postimplementation years, the number of 9- to 11-year-olds seen for well-child checks were 356 and 357, respectively...
September 23, 2016: Clinical Pediatrics
Heather VanderMeulen, Jeffrey M Pernica, Madan Roy, April J Kam
Objective To assess the promptness and appropriateness of management in pediatric cases of necrotizing fasciitis (NF). Methods A retrospective chart review examined cases of pediatric NF treated at a pediatric tertiary care center over a 10-year period. Results Twelve patients were identified over the 10-year period. The median (25th to 75th centile) times to appropriate antibiotic administration, infectious disease consults, surgical consults and debridement surgeries were 2.6 (2.1-3.2), 7.7 (3.4-24.4), 4...
September 23, 2016: Clinical Pediatrics
Rachel Clark, Lauren Klein, Abby Nunn, Michael Reardon, Debbie-Ann Shirley
No abstract text is available yet for this article.
September 19, 2016: Clinical Pediatrics
Shahnawaz M Amdani, Salaam Sallaam, Sanjeev Aggarwal
No abstract text is available yet for this article.
September 19, 2016: Clinical Pediatrics
Natan E Seidel, Beth D Harper
No abstract text is available yet for this article.
September 19, 2016: Clinical Pediatrics
Shannon Frattaroli, Wendy Shields, Elise Omaki, Matthew Molloy, Andrea C Gielen
No abstract text is available yet for this article.
September 13, 2016: Clinical Pediatrics
Neeraja Nagarajan, Sydur Rahman, Emily F Boss
Despite increased emphasis on patient satisfaction as a quality measure in health care, little is known about the influence of race in parent-reported experience of care in pediatrics. This study evaluates the association of race with patient satisfaction scores in an inpatient pediatric tertiary care hospital in one year. Risk-adjusted multivariable logistic regression was performed to evaluate the association of minority race with the likelihood to provide a top-box (=5) satisfaction score for 38 individual questions across 8 domains...
September 11, 2016: Clinical Pediatrics
Emiko Y Petrosky, Gui Liu, Susan Hariri, Lauri E Markowitz
The National Health and Nutrition Examination Survey (NHANES) collects information on human papillomavirus (HPV) vaccination history as well as sexual activity. We evaluated data from NHANES to assess report of HPV vaccination with ≥1 dose and 3 doses among females and males aged 11 to 26 years during 2007-2014. We also examined age at first vaccine dose and age at first sexual activity among females aged 14 to 26 years. Vaccination significantly increased in females aged 13 to 26 years, but not among 11- to 12-year-old girls, and remained low for both females and males...
September 8, 2016: Clinical Pediatrics
Dianne Lee, Ilana Harwayne-Gidansky
No abstract text is available yet for this article.
September 8, 2016: Clinical Pediatrics
Alisha Kamboj, Thiphalak Chounthirath, Huiyun Xiang, Gary A Smith
This study investigated the epidemiology of traumatic brain injuries (TBIs) occurring to young children, associated with consumer products at home in the United States. Data from the National Electronic Injury Surveillance System were analyzed. There were an estimated 2 292 896 (95% CI = 1 707 891-2 877 900) children <5 years of age treated in US emergency departments for a TBI associated with a consumer product at home during 1991-2012, which equals an annual average of 104 223 (95% CI = 77 631-130 814) children...
September 6, 2016: Clinical Pediatrics
Rachael M Billock, Thiphalak Chounthirath, Gary A Smith
This study characterizes the epidemiology of nonfatal pediatric firework-related injuries in the United States among children and adolescents by analyzing data from the National Electronic Injury Surveillance System from 1990 through 2014. During this 25-year period, an estimated 136 991 (95% CI = 113 574-160 408) children <20 years old were treated in US emergency departments for firework-related injuries. The annual injury rate decreased significantly by 30.4% during this period. Most of those injured were male (75...
August 21, 2016: Clinical Pediatrics
Matthew A Magyar, Diana Metropulos, James W Antoon
No abstract text is available yet for this article.
August 21, 2016: Clinical Pediatrics
Chinonyerem Ashley Pace
Infantile colic is a self-limiting condition characterized by recurrent, prolonged periods of intense crying in an inconsolable infant. The etiology is unknown although many hypotheses have been proposed. Colic can be very frustrating for parents to deal with, thus it is important to provide reassurance and resources. Also, there are therapeutic interventions available that have shown some efficacy in reducing the symptoms of colic, but more evidence is needed to support their use.
August 15, 2016: Clinical Pediatrics
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