Abstract
Background: Childhood obesity is associated with dyslipidemia, fatty liver disease, and type 2 diabetes. Expert guidelines recommend screening for these conditions in children with obesity. Aims and objectives: The objective of the study was to compare rates of laboratory screening for dyslipidemia, fatty liver disease, and type 2 diabetes in children with obesity prior to and following implementation of a point-of-care decision support tool. Methods: We performed a retrospective record review of children with body mass index (BMI) ≥95th percentile for age and gender (age 7–18 years) undergoing well-child/sports examination visits. Multivariable logistic regression models were used to adjust for patient and provider confounders. Results: There was no increase in the rates of screening following implementation of the point-of-care decision support tool. Tests were more likely to be recommended in children with severe obesity and in females. Conclusions: The implementation of a point-of-care decision support tool was not associated with improvement in screening rates for dyslipidemia, fatty liver disease, and type 2 diabetes for children with obesity. Further strategies are needed to improve rates of screening for obesity-related comorbid conditions in children with obesity.
Original language | English (US) |
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Article number | 67 |
Journal | Children |
Volume | 7 |
Issue number | 7 |
DOIs | |
State | Published - Jul 2020 |
Keywords
- Comorbidity
- Diabetes mellitus
- Dyslipidemia
- Liver diseases
- Pediatric obesity
- Point-of-care systems
- Type 2
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health