Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic

Objective . To evaluate the association between documenting excess weight and ordering screening tests. Methods . We retrospectively reviewed well-child visits for patients 2 to 18 years old at a pediatric resident clinic. We evaluated visits of patients with body mass index ≥ 85th percentile for do...

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Main Authors:	Alanna Higgins MD, MPH, Megan McCarville MD, MPH, Jacob Kurowski MD, Scott McEwen MD, PhD, Robert R. Tanz MD
Format:	Article
Language:	English
Published:	SAGE Publishing 2014-11-01
Series:	Global Pediatric Health
Online Access:	https://doi.org/10.1177/2333794X14559396

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spelling	doaj-6a037bdc736747b395e24a90008ca5212020-11-25T04:02:52ZengSAGE PublishingGlobal Pediatric Health2333-794X2014-11-01110.1177/2333794X1455939610.1177_2333794X14559396Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity ClinicAlanna Higgins MD, MPH0Megan McCarville MD, MPH1Jacob Kurowski MD2Scott McEwen MD, PhD3Robert R. Tanz MD4Northwestern University Feinberg School of Medicine, Chicago, IL, USABlue Cross and Blue Shield Association, Chicago, IL, USANorthwestern University Feinberg School of Medicine, Chicago, IL, USANorthwestern University Feinberg School of Medicine, Chicago, IL, USANorthwestern University Feinberg School of Medicine, Chicago, IL, USAObjective . To evaluate the association between documenting excess weight and ordering screening tests. Methods . We retrospectively reviewed well-child visits for patients 2 to 18 years old at a pediatric resident clinic. We evaluated visits of patients with body mass index ≥ 85th percentile for documentation of excess weight in the electronic medical record (EMR) and screening tests ordered. Associations were investigated with χ 2 tests. Results . Of 522 patients, 215 (41%) were overweight (19%) or obese (22%). Among obese and overweight patients, 92/215 (43%) had documentation of excess weight in the EMR. Screening tests were ordered for 39/92 (42%) patients with a diagnosis of excess weight versus 8/123 (6.5%) of those without one ( P < .001). Conclusions . Documentation rates of excess weight by practitioners were low and worse for younger children and those with milder degrees of excess weight. Documenting excess weight in the EMR was highly associated with ordering of screening tests.https://doi.org/10.1177/2333794X14559396
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Alanna Higgins MD, MPH Megan McCarville MD, MPH Jacob Kurowski MD Scott McEwen MD, PhD Robert R. Tanz MD
spellingShingle	Alanna Higgins MD, MPH Megan McCarville MD, MPH Jacob Kurowski MD Scott McEwen MD, PhD Robert R. Tanz MD Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic Global Pediatric Health
author_facet	Alanna Higgins MD, MPH Megan McCarville MD, MPH Jacob Kurowski MD Scott McEwen MD, PhD Robert R. Tanz MD
author_sort	Alanna Higgins MD, MPH
title	Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic
title_short	Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic
title_full	Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic
title_fullStr	Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic
title_full_unstemmed	Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic
title_sort	diagnosis and screening of overweight and obese children in a resident continuity clinic
publisher	SAGE Publishing
series	Global Pediatric Health
issn	2333-794X
publishDate	2014-11-01
description	Objective . To evaluate the association between documenting excess weight and ordering screening tests. Methods . We retrospectively reviewed well-child visits for patients 2 to 18 years old at a pediatric resident clinic. We evaluated visits of patients with body mass index ≥ 85th percentile for documentation of excess weight in the electronic medical record (EMR) and screening tests ordered. Associations were investigated with χ 2 tests. Results . Of 522 patients, 215 (41%) were overweight (19%) or obese (22%). Among obese and overweight patients, 92/215 (43%) had documentation of excess weight in the EMR. Screening tests were ordered for 39/92 (42%) patients with a diagnosis of excess weight versus 8/123 (6.5%) of those without one ( P < .001). Conclusions . Documentation rates of excess weight by practitioners were low and worse for younger children and those with milder degrees of excess weight. Documenting excess weight in the EMR was highly associated with ordering of screening tests.
url	https://doi.org/10.1177/2333794X14559396
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Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic

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