COMPUTER-ASSISTED TOOLS ALERT PEDIATRICIANS TO OBESE PATIENTS
PASADENA, Calif., Feb. 21, 2012 /PRNewswire/ — Electronic health annals and embedded tools can rapt and direct pediatricians so they can improved manage the weight of immature kids and teenagers, according to a new Kaiser Permanente investigate published online in The Journal of Pediatrics.
Researchers analyzed visits for scarcely 740,000 immature kids and teenagers ages 2 to seventeen to weigh the stroke of computer-assisted preference collection and found that extracting information from the electronic illness record almost improves the marker and diagnosis of overweight and plumpness between immature kids and adolescents, and also facilitated practice and nourishment counseling.
“By regulating electronic healing record collection we can diagnose and address obesity-related issues at a race turn rsther than than usually between a couple of families. These are good collection that could be implemented by physicians in a accumulation of clinical settings to improved diagnose and manage plumpness between immature kids and adolescents,” pronounced investigate lead writer Karen Coleman, PhD, from Kaiser Permanente’s Southern California Department of Research & Evaluation.
The superiority of plumpness has increasing neatly in immature kids and teenagers in the final thirty years, with at slightest eighteen percent of 12- to 19-year-olds right away deliberate obese. To address this thespian increase, the American Academy of Pediatrics Expert Committee discipline endorsed standardised approaches to the marker and diagnosis of overweight and portly immature kids and teenagers as well as impediment of overweight and plumpness between an at-risk race in clinical settings. To date, these discipline have been inconsistently or feeble implemented.
For this reason the Kaiser Permanente Southern California Pediatric Weight Management Initiative was implemented in 2008 to urge confluence to these discipline and to safeguard that KPSC met the Healthcare Effectiveness Data and Information Set (commonly well known as HEDIS) mandate for the dimensions of pediatric tallness and weight and practice and nourishment conversing for immature kids and adolescents.
“One of the initial stairs in traffic with any widespread is anticipating successful ways to brand the patients at risk. The pediatric plumpness widespread is no exception. Tools such as these will be a good assistance to the first caring pediatrician, and will concede not usually progressing assessment, though can assistance direct the providers to the endorsed contrast and treatment,” pronounced investigate co-author Amy Porter, MD, Kaiser Permanente Southern California pediatrician.
Before the KPSC initiative, 66 percent of all immature kids and teenagers in the investigate had tallness and weight documented in KP HealthConnect, Kaiser Permanente’s electronic illness record that is the largest non-governmental healing record complement in the world. Three years after the beginning was implemented, this increasing to 94 percent. Among immature kids and adolescents, diagnosis of overweight or plumpness increasing significantly from twelve percent in 2007 to 61 percent in 2010, and documented rates of conversing about practice and nourishment increasing significantly from 1 percent in 2007 to 50 percent in 2010.
The rate of clinically diagnosing overweight and plumpness increasing opposite all age and secular and racial groups. The enlarge was top between overweight and portly immature kids 2 to 5 years aged (13 percent to 75 percent) and in intensely portly immature kids and immature adults opposite all ages (23 percent to 75 percent).
The KPSC beginning began as a outcome of implementing tallness and weight as a vicious pointer in the electronic illness record. This done it simpler for pediatricians to fast consider either their patients were overweight or obese. When the tallness and weight are entered in to the EHR, BMI and BMI-for-age percentiles are distributed based on the World Health Organization and the Centers for Disease Control and Prevention criteria. Growth draft graphs in the EHR track and arrangement this information to assistance physicians guard their patient’s tallness and weight to establish if the studious is at risk for obesity.
Few studies have reported the stroke that a systemwide clinical beginning can have on mending the diagnosis and management of plumpness between immature kids and adolescents.
This investigate is part of the Kaiser Permanente’s ongoing work to brand and yield childhood plumpness through investigate and village programs. Previous investigate studies associated to childhood plumpness include:
- a investigate that found immature kids who are overweight or portly have a significantly aloft superiority of psoriasis, and teenagers with psoriasis, in any case of their physique weight, have aloft cholesterol levels,
- a investigate that found intensely portly immature kids have a 40 percent aloft risk of gastroesophageal reflux mildew and immature kids who are tolerably portly have a thirty percent aloft risk of GERD compared to normal weight children
- a investigate that found extreme plumpness is inspiring more immature kids at younger ages, with twelve percent of African American teenage girls, 11.2 percent of Hispanic teenage boys, 7.3 percent of boys and 5.5 percent of girls 2 – nineteen years of age right away personal as intensely obese.
Kaiser Permanente is operative with HBO (Home Box Office), the Institute of Medicine, Centers for Disease Control and Prevention, National Institutes of Health and the Michael & Susan Dell Foundation to address plumpness as a vicious open illness predicament with HBO’s ultimate documentary series: The Weight of the Nation. The array and debate spotlights the astringency of the plumpness widespread and showcases strategies that work in sequence to catalyze movement to end obesity.
Study authors include: Karen J. Coleman, PhD, Corinna Koebnick, PhD, and Ning Smith, PhD, from the Southern California Permanente Medical Group, Department of Research & Evaluation, Pasadena, Calif.; Ana F. Alpern, MD, Brenna Bley, DO, Marianne Yousef, MD, Erin M. Shih, MD, Keila J. Trimble-Cox, MD, Amy H. Porter, MD, and Steven D. Woods, MD, MSPH, from the Department of Pediatrics, Kaiser Permanente Southern California, Los Angeles; and Anne C. Hsii, MD, from the Division of Adolescent Medicine, Stanford University School of Medicine, Stanford, Calif.
About the Kaiser Permanente Department of Research & Evaluation
The Department of Research & Evaluation (R & E) conducts high-quality, innovative investigate in to mildew etiology, prevention, diagnosis and caring delivery. Investigators control epidemiology, illness sciences, and behavioral investigate as well as clinical trials. Areas of seductiveness include diabetes and obesity, cancer, HIV/AIDS, cardiovascular disease, aging and cognition, conceiving physically outcomes, women’s and children’s health, peculiarity and safety, and pharmacoepidemiology. Located in Pasadena, Calif., the dialect focuses on translating investigate to practice fast to good the illness and lives of Kaiser Permanente Southern California members and the ubiquitous population. Visit www.kp.org/research.
About Kaiser Permanente
Kaiser Permanente is committed to assisting figure the destiny of illness care. We are famous as a single of America’s heading illness caring providers and not-for-profit illness plans. Founded in 1945, our goal is to yield high-quality, affordable illness caring services and to urge the illness of our members and the communities we serve. We now serve 8.9 million members in 9 states and the District of Columbia. Care for members and patients is focused on their sum illness and guided by their personal physicians, specialists and group of caregivers. Our consultant and caring healing teams are empowered and upheld by industry-leading technology advances and collection for illness promotion, mildew prevention, state-of-the art caring smoothness and world-class ongoing mildew management. Kaiser Permanente is dedicated to caring innovations, clinical research, illness preparation and the await of village health. For more information, go to: www.kp.org/newscenter.
For more information:Sandra Hernandez-Millett, sandra.d.hernandez-millett@kp.org, 626-405-5384Emily Schwartz, eschwartz@golinharris.com, 415 318 4371
PASADENA, Calif., Feb. 21, 2012 /PRNewswire/ — Electronic health annals and embedded tools can rapt and direct pediatricians so they can improved manage the weight of immature kids and teenagers, according to a new Kaiser Permanente investigate published online in The Journal of Pediatrics.
Researchers analyzed visits for scarcely 740,000 immature kids and teenagers ages 2 to seventeen to weigh the stroke of computer-assisted preference collection and found that extracting information from the electronic illness record almost improves the marker and diagnosis of overweight and plumpness between immature kids and adolescents, and also facilitated practice and nourishment counseling.
“By regulating electronic healing record collection we can diagnose and address obesity-related issues at a race turn rsther than than usually between a couple of families. These are good collection that could be implemented by physicians in a accumulation of clinical settings to improved diagnose and manage plumpness between immature kids and adolescents,” pronounced investigate lead writer Karen Coleman, PhD, from Kaiser Permanente’s Southern California Department of Research & Evaluation.
The superiority of plumpness has increasing neatly in immature kids and teenagers in the final thirty years, with at slightest eighteen percent of 12- to 19-year-olds right away deliberate obese. To address this thespian increase, the American Academy of Pediatrics Expert Committee discipline endorsed standardised approaches to the marker and diagnosis of overweight and portly immature kids and teenagers as well as impediment of overweight and plumpness between an at-risk race in clinical settings. To date, these discipline have been inconsistently or feeble implemented.
For this reason the Kaiser Permanente Southern California Pediatric Weight Management Initiative was implemented in 2008 to urge confluence to these discipline and to safeguard that KPSC met the Healthcare Effectiveness Data and Information Set (commonly well known as HEDIS) mandate for the dimensions of pediatric tallness and weight and practice and nourishment conversing for immature kids and adolescents.
“One of the initial stairs in traffic with any widespread is anticipating successful ways to brand the patients at risk. The pediatric plumpness widespread is no exception. Tools such as these will be a good assistance to the first caring pediatrician, and will concede not usually progressing assessment, though can assistance direct the providers to the endorsed contrast and treatment,” pronounced investigate co-author Amy Porter, MD, Kaiser Permanente Southern California pediatrician.
Before the KPSC initiative, 66 percent of all immature kids and teenagers in the investigate had tallness and weight documented in KP HealthConnect, Kaiser Permanente’s electronic illness record that is the largest non-governmental healing record complement in the world. Three years after the beginning was implemented, this increasing to 94 percent. Among immature kids and adolescents, diagnosis of overweight or plumpness increasing significantly from twelve percent in 2007 to 61 percent in 2010, and documented rates of conversing about practice and nourishment increasing significantly from 1 percent in 2007 to 50 percent in 2010.
The rate of clinically diagnosing overweight and plumpness increasing opposite all age and secular and racial groups. The enlarge was top between overweight and portly immature kids 2 to 5 years aged (13 percent to 75 percent) and in intensely portly immature kids and immature adults opposite all ages (23 percent to 75 percent).
The KPSC beginning began as a outcome of implementing tallness and weight as a vicious pointer in the electronic illness record. This done it simpler for pediatricians to fast consider either their patients were overweight or obese. When the tallness and weight are entered in to the EHR, BMI and BMI-for-age percentiles are distributed based on the World Health Organization and the Centers for Disease Control and Prevention criteria. Growth draft graphs in the EHR track and arrangement this information to assistance physicians guard their patient’s tallness and weight to establish if the studious is at risk for obesity.
Few studies have reported the stroke that a systemwide clinical beginning can have on mending the diagnosis and management of plumpness between immature kids and adolescents.
This investigate is part of the Kaiser Permanente’s ongoing work to brand and yield childhood plumpness through investigate and village programs. Previous investigate studies associated to childhood plumpness include:
- a investigate that found immature kids who are overweight or portly have a significantly aloft superiority of psoriasis, and teenagers with psoriasis, in any case of their physique weight, have aloft cholesterol levels,
- a investigate that found intensely portly immature kids have a 40 percent aloft risk of gastroesophageal reflux mildew and immature kids who are tolerably portly have a thirty percent aloft risk of GERD compared to normal weight children
- a investigate that found extreme plumpness is inspiring more immature kids at younger ages, with twelve percent of African American teenage girls, 11.2 percent of Hispanic teenage boys, 7.3 percent of boys and 5.5 percent of girls 2 – nineteen years of age right away personal as intensely obese.
Kaiser Permanente is operative with HBO (Home Box Office), the Institute of Medicine, Centers for Disease Control and Prevention, National Institutes of Health and the Michael & Susan Dell Foundation to address plumpness as a vicious open illness predicament with HBO’s ultimate documentary series: The Weight of the Nation. The array and debate spotlights the astringency of the plumpness widespread and showcases strategies that work in sequence to catalyze movement to end obesity.
Study authors include: Karen J. Coleman, PhD, Corinna Koebnick, PhD, and Ning Smith, PhD, from the Southern California Permanente Medical Group, Department of Research & Evaluation, Pasadena, Calif.; Ana F. Alpern, MD, Brenna Bley, DO, Marianne Yousef, MD, Erin M. Shih, MD, Keila J. Trimble-Cox, MD, Amy H. Porter, MD, and Steven D. Woods, MD, MSPH, from the Department of Pediatrics, Kaiser Permanente Southern California, Los Angeles; and Anne C. Hsii, MD, from the Division of Adolescent Medicine, Stanford University School of Medicine, Stanford, Calif.
About the Kaiser Permanente Department of Research & Evaluation
The Department of Research & Evaluation (R & E) conducts high-quality, innovative investigate in to mildew etiology, prevention, diagnosis and caring delivery. Investigators control epidemiology, illness sciences, and behavioral investigate as well as clinical trials. Areas of seductiveness include diabetes and obesity, cancer, HIV/AIDS, cardiovascular disease, aging and cognition, conceiving physically outcomes, women’s and children’s health, peculiarity and safety, and pharmacoepidemiology. Located in Pasadena, Calif., the dialect focuses on translating investigate to practice fast to good the illness and lives of Kaiser Permanente Southern California members and the ubiquitous population. Visit www.kp.org/research.
About Kaiser Permanente
Kaiser Permanente is committed to assisting figure the destiny of illness care. We are famous as a single of America’s heading illness caring providers and not-for-profit illness plans. Founded in 1945, our goal is to yield high-quality, affordable illness caring services and to urge the illness of our members and the communities we serve. We now serve 8.9 million members in 9 states and the District of Columbia. Care for members and patients is focused on their sum illness and guided by their personal physicians, specialists and group of caregivers. Our consultant and caring healing teams are empowered and upheld by industry-leading technology advances and collection for illness promotion, mildew prevention, state-of-the art caring smoothness and world-class ongoing mildew management. Kaiser Permanente is dedicated to caring innovations, clinical research, illness preparation and the await of village health. For more information, go to: www.kp.org/newscenter.
For more information:Sandra Hernandez-Millett, sandra.d.hernandez-millett@kp.org, 626-405-5384Emily Schwartz, eschwartz@golinharris.com, 415 318 4371