首页|Re-referring Children for Multidisciplinary Obesity Management
Re-referring Children for Multidisciplinary Obesity Management
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NSTL
Elsevier
? 2022 Elsevier Inc.Objectives: To examine characteristics of children referred for obesity management based on referral frequency, child- and referrer-related variables associated with re-referral, and determine whether re-referral increased treatment initiation. Study design: This population-level, retrospective analysis included all 2- to 17-year-olds referred for obesity management to 1 of 3 multidisciplinary clinics in Alberta, Canada between April 2013 and December 2017. Children were dichotomized based on referral frequency, specifically once only or more than once (re-referred). Data were retrieved from standardized referral forms and patient registries. Analyses included logistic regression and generalized estimating equations models. Result: We analyzed data from 2745 children (47.2% female; mean age: 11.4 years; mean body mass index z score: 3.03) and 2705 physicians (60.2% female; 65.6% pediatricians). Overall, 300 (10.2%) children were re-referred with most (n = 276; 92.0%) being referred twice. Children were less likely to be re-referred if they were referred by a family physician (vs pediatrician) (aOR 0.62; 95% CI 0.46-0.84; P = .0018) or scheduled a clinic appointment following their index referral (aOR: 0.29; 95% CI 0.21-0.4; P < .001). Treatment initiation was higher in children who were referred once only (42.1%) vs their re-referred peers (18.0%; P < .0001); however, for children who were re-referred, they were more likely to initiate treatment following their second referral (aOR 2.3; 95% CI 1.22-4.31; P = .01). This improvement was not sustained on subsequent referrals (aOR 0.44; 95% CI 0.17-1.12; P = .08). Conclusions: Few children were re-referred for pediatric obesity management; however, for those children who were re-referred, being re-referred once only increased the likelihood of treatment initiation.
Canadaoverweightpediatricreferraltreatment
Ball G.D.C.、Eaton A.、Rathwell S.、Peng C.、Maximova K.、Kokkvoll A.、Zehnder E.、Ho J.、Perez A.
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Department of Pediatrics Faculty of Medicine and Dentistry University of Alberta
Women and Children's Health Research Institute University of Alberta
Stollery Children's Hospital Alberta Health Services
MAP Centre for Urban Health Solutions St. Michael's Hospital
Department of Pediatrics Finnmark Hospital Trust
Cumming School of Medicine University of Calgary
School of Dentistry Faculty of Medicine and Dentistry University of Alberta
NSTL
Elsevier
