CHIPRA: AHRQ Child and Adolescent Health Update

AHRQ Child and Adolescent Health Update
Volume 11, Number 08—August 10, 2009

Today's Headlines:
1. AHRQ NAC Subcommittee on Children's Healthcare Quality Measures for Medicaid and CHIP Programs to meet on Sep. 17-18, 2009
2. Release of AHRQ Quality Indicator Version 4.0
3. Funding Opportunity Announcement: AHRQ Developing Prospective Practice-Based Comparative Effectiveness Research Clinical Registries: Orthopedic Devices, Drugs, and Procedures
4. AHRQ's Third Annual Conference Set for September 13-16
5. AHRQ-Related Articles
6. AHRQ-Funded/Authored Articles
7. Research by Others Using AHRQ Data or Products
8. National Healthcare Quality Report (NHQR)- /National Healthcare Disparities Report (NHDR)-Related Articles



1. AHRQ NAC Subcommittee on Children's Healthcare Quality Measures for Medicaid and CHIP Programs to meet on Sep. 17-18, 2009

Visit our Web site at http://www.ahrq.gov/chip/chipraact.htm for more information.


2. Release of AHRQ Quality Indicator Version 4.0

The Agency for Healthcare Research and Quality (AHRQ) has announced the release of the AHRQ Quality Indicators Version 4.0 for the Prevention Quality Indicators (PQI), Inpatient Quality Indicators (IQI), Patient Safety Indicators (PSI), and Pediatric Quality Indicators (PDI) modules. The software and documentation can be downloaded at the AHRQ QI Web site at: http://www.qualityindicators.ahrq.gov/software.htm.


3. Funding Opportunity Announcement: AHRQ Developing Prospective Practice-Based Comparative Effectiveness Research Clinical Registries: Orthopedic Devices, Drugs, and Procedures

A new funding opportunity announcement (FOA) was issued July 6 by the U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality (AHRQ). Through RFA-HS-10-008, “AHRQ Developing Prospective Practice-Based Comparative Effectiveness Research Clinical Registries: Orthopedic Devices, Drugs, and Procedures (P50),” will support the development of a sustainable, prospective clinical registry comprised of orthopedic devices, drugs, and procedures. Letters of intent are due by September 4, 2009, and the application receipt date is September 23, 2009.

The goal of this practice-based data registry is rigorous clinical and scientific research, including comparative effectiveness and safety research. The registry will provide evidence regarding the short- and long-term benefits and harms of implantable orthopedic devices, drugs, and other procedures. AHRQ anticipates that this type of research data infrastructure will become a model and the basis for other similar national registries.

The initial focus of the registry will be the development of an infrastructure for data collection and comparative effectiveness research activities with a concentration on hip and knee replacements. The applicant is expected to form the core of the registry: a Research and Data Coordinating Center functioning through the guidance of the Registry Steering Committee. The applicant is also expected to develop a registry infrastructure that includes at least five clinical centers at institutions that perform high volumes of hip and knee replacements.

The registry will also provide the infrastructure for conducting multicenter collaborative clinical studies to address effectiveness and patient outcomes questions, as well as emerging public health issues related to orthopedic procedures and devices. A minimum of three core research studies are to be included in the grant application for the orthopedic registry under the P50 specialized center grant mechanism. For more information, visit the Efffective Health Care Program Web site at http://www.effectivehealthcare.ahrq.gov


4. AHRQ's Third Annual Conference Set for September 13-16

Save the Dates! AHRQ's 2009 Annual Conference, “Research to Reform: Achieving Health System Change,” will be held September 13-16 at the North Bethesda Marriott, in Bethesda, MD. The conference will feature exciting opportunities to learn about AHRQ's latest research aimed at accelerating system-wide improvements in the quality, safety, efficiency, and effectiveness of care.

Conference sessions will feature leading experts involved in AHRQ-sponsored research and implementation projects. For the conference agenda, as well as detailed information on abstract submission and conference registration, please visit the conference Web site at http://meetings.capconcorp.com/ahrq/. Select to access presentations from the 2008 Annual Conference.



5. AHRQ-Related Articles

American Journal of Public Health

Belenko S, Dembo R, Rollie M, et al. Detecting, preventing, and treating sexually transmitted diseases among adolescent arrestees: an unmet public health need. Am J Public Health 2009 Jun;99(6):1032-41. [Cites AHRQ-funded articles by Forrest, et al. (Pediatrics, 2000); Starfield, et al. (J Epidemiol Community Health, 2002); and Cunningham, et al. (Med Care 1995). Also cites AHRQ publication, Supporting Research That Improves Health Care for Children and Adolescents, 2005.] Select to access the abstract in PubMed®.

Pediatrics

Bergman DA, Beck A, Rahm AK. The use of internet-based technology to tailor well-child care encounters. Pediatrics 2009 Jul;124(1):e37-e43. (Cites AHRQ-funded articles by Newacheck et al. (Arch Pediatr Adolesc Med, 2005) and Hassol, et al. [J Am Med Inform Assoc, 2004]). Select to access the abstract in PubMed®.

Beekman RH 3rd, Duncan BW, Hagler DJ, et al. Pathways to approval of pediatric cardiac devices in the United States: challenges and solutions. Pediatrics 2009 Jul;124(1):e155-62. (Mentions AHRQ's instructions by Congress to “develop a plan for expanding pediatric medical device research and development” and the resulting July 23, 2008 Pediatric Medical Devices Stakeholders' Workshop [p. e157].) Select to access the abstract in PubMed®.

Committee on Injury, Violence, and Poison Prevention. Policy statement—Role of the pediatrician in youth violence prevention. Pediatrics 2009 Jul;124(1):393-402. (Cites AHRQ publication, Preventing Violence and Related Health-Risking Social Behaviors in Adolescents, 2004.) Select to access the abstract in PubMed®.

Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health. Policy statement—The future of pediatrics: mental health competencies for pediatric primary care. Pediatrics 2009 Jul;124(1):410-21. (Includes AHRQ's National Guideline Clearinghouse™ in Appendix 2: Web Resources for Treatment and Referral Decisions for Primary Care.) Select to access the abstract in PubMed®.


6. AHRQ-Funded/Authored Articles

American Journal of Epidemiology

Rosenbaum JE. Truth or consequences: the intertemporal consistency of adolescent self-report on the Youth Risk Behavior Survey. Am J Epidemiol 2009 Jun 1;169(11):1388-97. (Supported in part by grant T32 HS00060-12.) Select to access the abstract in PubMed®.

Clinical Pediatrics

Teufel RJ 2nd, Kazley AS, Basco WT Jr. Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. Clin Pediatr 2009 May;48(4):389-96. (Supported by grant K08 HS15679 [to third author]). Select to access the abstract in PubMed®.

Medical Care

Meredith LS, Stein BD, Paddock SM, et al. Perceived barriers to treatment for adolescent depression. Med Care 2009 Jun;47(6):677-85. (Cites AHRQ-funded articles by Asarnow, et al. [J Adolesc Health, 2005, J Child Clin Psychol, 2001, and JAMA, 2005], Wells, et al. [JAMA, 2000], Schoenbaum, et al. [JAMA, 2001], and others.) Select to access the abstract in PubMed®.

Pediatrics

Kanegaye JT, Nigrovic LE, Malley R, et al. Diagnostic value of immature neutrophils (bands) in the cerebrospinal fluid of children with cerebrospinal fluid pleocytosis. Pediatrics 2009 Jun;123(6):e967-e971. (Cites AHRQ-funded article by Spanos, et al. [JAMA, 1989]). Select to access the abstract in PubMed®.

O'Brien MA, Prosser LA, Paradise JL, et al. New vaccines against otitis media: projected benefits and cost-effectiveness. Pediatrics 2009 Jun;123(6):1452-63. (Cites AHRQ-funded articles by Lee, et al. [Pediatrics, 2005] and Finkelstein, et al. [Pediatrics, 2003]). Select to access the abstract in PubMed®.

Lokker N, Sanders L, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics 2009 Jun;123(6):1464-71. (Cites AHRQ-funded articles by Schillinger, et al. [JAMA, 2002] and Kaushal, et al. [JAMA, 2001]). Select to access the abstract in PubMed®.

Delobel-Ayoub M, Arnaud C, White-Koning M, et al. Behavioral problems and cognitive performance at 5 years of age after very preterm birth: the EPIPAGE Study. Pediatrics 2009 Jun;123(6):1485-92. (Cites AHRQ-funded articles by Saigal, et al. [Pediatrics, 2003, and Pediatrics, 2003]). Select to access the abstract in PubMed®.

Lam HS, Wong SP, Liu FY et al. Attitudes toward neonatal intensive care treatment of preterm infants with a high risk of developing long-term disabilities. Pediatrics 2009 Jun;123(6):1501-8. (Cites AHRQ-funded article by Saigal, et al. [JAMA, 1999]). Select to access the abstract in PubMed®.

Kaempf JW, Tomlinson MW, Campbell B, et al. Counseling pregnant women who may deliver extremely premature infants: medical care guidelines, family choices, and neonatal outcomes. Pediatrics 2009 Jun;123(6):1509-15. (Cites AHRQ-funded article by Lorenz, et al. [Arch Pediatr Adolesc Med, 1998]). Select to access the abstract in PubMed®.

Marks K, Hix-Small H, Clark K, et al. Lowering developmental screening thresholds and raising quality improvement for preterm children. Pediatrics 2009 Jun;123(6):1516-23. (Cites AHRQ-funded article by Sices, et al. [Pediatrics, 2004]). Select to access the abstract in PubMed®.

Sherlock R, Chessex P. Shielding parenteral nutrition from light: does the available evidence support a randomized, controlled trial? Pediatrics 2009 Jun;123(6):1529-33. (Cites AHRQ-funded article by Richardson, et al. [J Pediatr, 2001]). Select to access the abstract in PubMed®.

Winterstein AG, Gerhard T, Shuster J, et al. Cardiac safety of methylphenidate versus amphetamine salts in the treatment of ADHD. Pediatrics 2009 Jul;124(1):e75-e80. (Supported in part by grant U18 HS16097.) Select to access the abstract in PubMed®.

Alexander DC, Bundy DG, Shore AD, et al. Cardiovascular medication errors in children. Pediatrics 2009 Jul;124(1):324-32. (Supported in part by grant 1 R03 HS16774-01A1.) Select to access the abstract in PubMed®.

Also see the AHRQ-funded articles by Chou, et al. (Ann Intern Med, 2009) cited in U.S. Preventive Services Task Force (USPSTF)/Put Prevention Into Practice (PPIP)-Related Articles, and by Terasawa, et al. (Ann Intern Med, 2009) cited in Evidence-based Practice Centers-Related Articles.

Archives of Pediatrics and Adolescent Medicine

Tebb KP, Wibbelsman C, Neuhaus JM, et al. Screening for asymptomatic Chlamydia infections among sexually active adolescent girls during pediatric urgent care. Arch Pediatr Adolesc Med 2009 Jun;163(6):559-64. (Supported in part by grant R01 HS10537-04 [co-funded with CDC and the Kaiser Garfield Memorial Fund]). Select to access the abstract in PubMed®.



7. Research by Others Using AHRQ Data or Products

Urology

Novak TE, Lakshmanan Y, Trock BJ, et al. Sex prevalence of pediatric kidney stone disease in the United States: an epidemiologic investigation. Urology 2009 May 8;(Epub):1-4. (Uses and cites 2003 HCUP Kids' Inpatient Database [KID] data.) Select to access the abstract in PubMed®.

Pediatrics

Lewis C, Teeple E, Robertson A, et al. Preventive dental care for young, Medicaid-insured children in Washington State. Pediatrics 2009 Jul;124(1):e120-7. (Uses and cites 2003 MEPS data.) Select to access the abstract in PubMed®.



8. National Healthcare Quality Report (NHQR)- /National Healthcare Disparities Report (NHDR)-Related Articles

Journal of Pediatrics

Conway PH, Keren R. Factors associated with variability in outcomes for children hospitalized with urinary tract infection. J Pediatr 2009 Jun;154(6):789-96. (Cites AHRQ publication, Care of Children and Adolescents in US Hospitals, HCUP Fact Book No. 4, 2003, and notes that “national data has demonstrated disparities in outcomes for racial and ethnic minorities across many diseases”, citing AHRQ's NHDR, 2006.) Select to access the abstract in PubMed®.

Pediatrics

Brandon GD, Adeniyi-Jones S, Kirkby S, et al. Are outcomes and care processes for preterm neonates influenced by health insurance status? Pediatrics 2009 Jul;124(1):122-7. (Cites AHRQ's NHDR, 2006.) Select to access the abstract in PubMed®.

Agency for Healthcare Research and Quality (AHRQ).
Agency for Healthcare Research and Quality (AHRQ) ·