
Remote Screening for Pediatric Diabetes Gets Closer
For Professionals Research Updates Type 2 Diabetes
Remote Screening for Pediatric Diabetes Gets Closer
Researchers sought to determine if the use of a computerized support system would allow for improved identification of pediatric patients at high risk for prediabetes and type 2 diabetes, and its implications to initiate earlier treatment.
With Tamara S. Hannon, MD, MS, and Elena Christofides, MD
Given the rising prevalence of diabetes in the pediatric population, the value of a remote screening method to foster an earlier, more consistent diagnosis, was pursued with the aim of improving clinical outcomes.
Tamara S. Hannon, MD, MS, associate professor of pediatrics at Indiana University School of Medicine in Indianapolis, Indiana, and her colleagues, sought to employ the Child Health Improvement Through Computer Automation (CHICA), a computerized clinical decision support system, to decrease screening barriers and improve rates of diagnosis and follow-up for prediabetes and type 2 diabetes (T2D) in children;1 the study was published in JAMA Pediatrics .
The findings indicated that the proportion of youths meeting the outcomes criteria for T2Dbody mass index (BMI) and at least 2 other risk factors was an astonishing 41.3%.1
Based on the authors literature review, they had expected greater than 20% of their patients 10 years or older would have a BMI at or above the 85thpercentile and at least 2 risk factors for T2D.2
While the CHICA analysis did not increase the proportion of youths identified with diabetes risk factors, it more than quadrupled the rate of scree
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