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"Decision supports"

Original Article
[English]
Clinical Decision Supports in Electronic Health Records to Promote Childhood Obesity-Related Care: Results from a 2015 Survey of Healthcare Providers
Megan R. Harrison, Elizabeth A. Lundeen, Brook Belay, Alyson B. Goodman
Clin Nutr Res 2019;8(4):255-264.   Published online October 14, 2019
DOI: https://doi.org/10.7762/cnr.2019.8.4.255

Obesity-related clinical decision support tools in electronic health records (EHRs) can improve pediatric care, but the degree of adoption of these tools is unknown. DocStyles 2015 survey data from US pediatric healthcare providers (n = 1,156) were analyzed. Multivariable logistic regression identified provider characteristics associated with three EHR functionalities: automatically calculating body mass index (BMI) percentile (AUTO), displaying BMI trajectory (DISPLAY), and flagging abnormal BMIs (FLAG). Most providers had EHRs (88%). Of those with EHRs, 90% reporting having AUTO, 62% DISPLAY, and 54% FLAG functionalities. Only provider age was associated with all three functionalities. Compared to providers aged > 54 years, providers < 40 years had greater odds for: AUTO (adjusted odds ratio [aOR], 3.0; 95% confidence interval [CI], 1.58–5.70), DISPLAY (aOR, 2.07; 95% CI, 1.38–3.12), and FLAG (aOR, 1.67; 95% CI, 1.14–2.44). Future investigations can elucidate causes of lower adoption of EHR functions that display growth trajectories and flag abnormal BMIs.

Citations

Citations to this article as recorded by  
  • Treating Childhood Obesity: Building and Evaluating Evidence-Based Models of Integrated Care
    Zina C McSweeney, Richard C Antonelli, Cara B Ebbeling
    Journal of the Endocrine Society.2025;[Epub]     CrossRef
  • Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity
    Sarah E. Hampl, Sandra G. Hassink, Asheley C. Skinner, Sarah C. Armstrong, Sarah E. Barlow, Christopher F. Bolling, Kimberly C. Avila Edwards, Ihuoma Eneli, Robin Hamre, Madeline M. Joseph, Doug Lunsford, Eneida Mendonca, Marc P. Michalsky, Nazrat Mirza,
    Pediatrics.2023;[Epub]     CrossRef
  • Childhood obesity diagnosis and management remains a challenge despite the use of electronic health records: A retrospective study
    Jean‐Sébastien Paquette, Laurence Théorêt, Laurence Veilleux, Johann Graham, Marie‐Pier Paradis, Nathalie Chamberland, Gabrielle Lanctôt, Pascale Breault, Mathieu Pelletier, Samuel Boudreault
    Health Science Reports.2022;[Epub]     CrossRef
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