دورية أكاديمية
Disparities in pediatric hospital use during transition to adult healthcare for young adults with childhood-onset chronic conditions.
| العنوان: | Disparities in pediatric hospital use during transition to adult healthcare for young adults with childhood-onset chronic conditions. |
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| المؤلفون: | Jenkins AM; Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.; Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA., Lanzkron S; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA., Auger KA; Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Department of Pediatrics, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA. |
| المصدر: | Journal of hospital medicine [J Hosp Med] 2024 Jun; Vol. 19 (6), pp. 495-504. Date of Electronic Publication: 2024 Mar 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 101271025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-5606 (Electronic) Linking ISSN: 15535592 NLM ISO Abbreviation: J Hosp Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : Hoboken, NJ : Wiley Original Publication: Hoboken, NJ : John Wiley & Sons, 2006- |
| مواضيع طبية MeSH: | Hospitals, Pediatric*/statistics & numerical data , Transition to Adult Care*/statistics & numerical data, Humans ; Male ; Cross-Sectional Studies ; Female ; Adult ; Chronic Disease ; Young Adult ; Cystic Fibrosis/therapy ; Healthcare Disparities/statistics & numerical data ; Anemia, Sickle Cell/therapy ; Anemia, Sickle Cell/epidemiology ; Heart Defects, Congenital/therapy ; United States ; Hospitalization/statistics & numerical data |
| مستخلص: | Background: Young adults (YA) with childhood-onset chronic conditions-particularly YA with cystic fibrosis (CF), congenital heart disease (CHD), and sickle cell disease (SCD)-continue to have pediatric hospital admissions. Factors associated with this continued pediatric hospital use remain underexplored. Objective: To determine if pediatric hospital use by YA differed (1) across condition and (2) within each condition by sociodemographic factors. Methods: Conducted a cross-sectional analysis of admissions for YA 22-35 years with CF, CHD, and SCD from 2016 to 2020 in the National Inpatient Sample. Admissions for YA with CF, CHD, and SCD were identified by international classification of diseases, 10th revision-clinical modification diagnosis codes. To determine if conditions or sociodemographic factors were associated with YA pediatric hospital use, we used multivariable logistic regression with separate models for the different objectives. Results: YA with SCD had lower odds of pediatric hospital use compared to YA with CF. Relationships between sociodemographic factors and pediatric hospital use varied. Black YA with both CF and CHD had lower odds of pediatric hospital use than white YA with CF and CHD. For YA with SCD, despite 17,810 (6.5%) having rural residence, zero (0) had pediatric hospital use; whereas YA with CF living in a rural area had greater odds of pediatric hospital use compared to urban residents. Conclusion: YA with SCD used pediatric hospitals less than YA with either CF or CHD. Coupled with our findings that Black YA with CF and CHD had less pediatric hospital use, these data may reflect systematic racial differences within pediatric to adult healthcare transition programs. (© 2024 Society of Hospital Medicine.) |
| References: | American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians. A consensus statement on health care transitions for young adults with special health care needs. Pediatrics. 2002;110(6):1304‐1306. American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians, Transitions Clinical Report Authoring Group. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2011;128(1):182‐200. doi:10.1542/peds.2011-0969. White PH, Cooley WC, Transitions Clinical Report Authoring Group, American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2018;142(5):e20182587. doi:10.1542/peds.2018-2587. Jenkins AM, Berry JG, Perrin JM, et al. What types of hospitals do adolescents and young adults with complex chronic conditions use? Acad Pediatr. 2022;22(6):1033‐1040. doi:10.1016/j.acap.2021.12.020. Goodman DM, Hall M, Levin A, et al. Adults with chronic health conditions originating in childhood: inpatient experience in children's hospitals. Pediatrics. 2011;128(1):5‐13. doi:10.1542/peds.2010-2037. Allen AQ, Hall M, Goodman DM, McCoy E, Winer JC, Kleinman MS. The increasing proportion of adult discharges at children's hospitals, 2004–2019. J Hosp Med. 2022;17(12):990‐993. doi:10.1002/jhm.12960. Yankaskas JR, Marshall BC, Sufian B, Simon RH, Rodman D. Cystic fibrosis adult care. Chest. 2004;125(1):1S‐39S. doi:10.1378/chest.125.1_suppl.1S. Okumura MJ, Campbell AD, Nasr SZ, Davis MM. Inpatient health care use among adult survivors of chronic childhood illnesses in the United States. Arch Pediatr Adolesc Med. 2006;160(10):1054. doi:10.1001/archpedi.160.10.1054. Goodman DM, Mendez E, Throop C, Ogata ES. Adult survivors of pediatric illness: the impact on pediatric hospitals. Pediatrics. 2002;110(3):583‐589. doi:10.1542/peds.110.3.583. Dunbar P, Hall M, Gay JC, et al. Hospital readmission of adolescents and young adults with complex chronic disease. JAMA Netw Open. 2019;2(7):e197613. doi:10.1001/jamanetworkopen.2019.7613. Strouse JJ, Jordan LC, Lanzkron S, Casella JF. The excess burden of stroke in hospitalized adults with sickle cell disease. Am J Hematol. 2009;84(9):548‐552. doi:10.1002/ajh.21476. Agarwal S, Sud K, Menon V. Nationwide hospitalization trends in adult congenital heart disease across 2003–2012. J Am Heart Assoc. 2016;5(1):e002330. doi:10.1161/JAHA.115.002330. Smedley B, Stith A, Nelson A. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press; 2003:12875. doi:10.17226/12875. Bailey K, Lee S, de Los Reyes T, et al. Quality indicators for youth transitioning to adult care: a systematic review. Pediatrics. 2022;150:e2021055033. doi:10.1542/peds.2021-055033. Hassan M, Bonafede MM, Limone B, Hodgkins P, Sawicki G. The burden of cystic fibrosis in the Medicaid population. Clinicoecon Outcomes Res. 2018;10:423‐431. doi:10.2147/CEOR.S162021. Brousseau DC. Acute care utilization and rehospitalizations for sickle cell disease. JAMA. 2010;303(13):1288‐1294. doi:10.1001/jama.2010.378. Piper KN, Baxter KJ, McCarthy I, Raval MV. Distinguishing children's hospitals from non‐children's hospitals in large claims data. Hosp Pediatr. 2020;10(2):123‐128. doi:10.1542/hpeds.2019-0218. Power‐Hays A, McGann PT. When actions speak louder than words—racism and sickle cell disease. N Engl J Med. 2020;383(20):1902‐1903. doi:10.1056/NEJMp2022125. Wickham H, Averick M, Bryan J, et al. Welcome to the tidyverse. J Open Source Softw. 2019;4(43):1686. doi:10.21105/joss.01686. Lumley T. Analysis of complex survey samples. J Stat Softw. 2004;9:1‐19. doi:10.18637/jss.v009.i08. Lumley T. survey: analysis of complex survey samples. 2023. Accessed January 15, 2024. https://cran.r-project.org/web/packages/survey/index.html. Pollard TJ, Johnson AEW, Raffa JD, Mark RG. tableone: an open source Python package for producing summary statistics for research papers. JAMIA Open. 2018;1(1):26‐31. doi:10.1093/jamiaopen/ooy012. Neuwirth E. RColorBrewer: ColorBrewer Palettes. 2014. Accessed December 12, 2022. https://CRAN.R-project.org/package=RColorBrewer. Smith WR, Valrie C, Sisler I. Structural racism and impact on sickle cell disease. Hematol Oncol Clin North Am. 2022;36(6):1063‐1076. doi:10.1016/j.hoc.2022.08.008. Shafer PR, Ndugga N. Fighting the institutionalization of racism in Medicaid. Am J Public Health. 2020;110(12):1790‐1791. doi:10.2105/AJPH.2020.305946. Gray WN, Schaefer MR, Resmini‐Rawlinson A, Wagoner ST. Barriers to transition from pediatric to adult care: a systematic review. J Pediatr Psychol. 2018;43(5):488‐502. doi:10.1093/jpepsy/jsx142. Javalkar K, Nazareth M, Diaz‐Gonzalez de Ferris ME. Trends and disparities in health care transition preparation from 2016 to 2019: findings from the US National Survey of Children's Health. J Pediatr. 2022;247:95‐101. doi:10.1016/j.jpeds.2022.05.027. Coller RJ, Ahrens S, Ehlenbach ML, et al. Transitioning from general pediatric to adult‐oriented inpatient care: national survey of US children's hospitals. J Hosp Med. 2018;13(1):13‐20. doi:10.12788/jhm.2923. Bulgin D, Tanabe P, Jenerette C. Stigma of sickle cell disease: a systematic review. Issues Ment Health Nurs. 2018;39(8):675‐686. doi:10.1080/01612840.2018.1443530. Kavanagh PL, Fasipe TA, Wun T. Sickle cell disease: a review. JAMA. 2022;328(1):57‐68. doi:10.1001/jama.2022.10233. Essien UR, Ifidon A, Sue KL. Black pain matters: prioritizing antiracism and equity in the opioid epidemic. J Hosp Med. 2021;16(10):638‐639. doi:10.12788/jhm.3703. Hoch AM, Schoenberger SF, Boyle TP, Hadland SE, Gai MJ, Bagley SM. Attitudes and training related to substance use in pediatric emergency departments. Addict Sci Clin Pract. 2022;17(1):59. doi:10.1186/s13722-022-00339-w. Bailey ZD, Feldman JM, Bassett MT. How structural racism works—racist policies as a root cause of U.S. racial health inequities. N Engl J Med. 2021;384(8):768‐773. doi:10.1056/NEJMms2025396. Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453‐1463. doi:10.1016/S0140-6736(17)30569-X. Boynton‐Jarrett R, Raj A, Inwards‐Breland DJ. Structural integrity: recognizing, measuring, and addressing systemic racism and its health impacts. EClinicalMedicine. 2021;36:100921. doi:10.1016/j.eclinm.2021.100921. Farooq F, Mogayzel PJ, Lanzkron S, Haywood C, Strouse JJ. Comparison of US federal and foundation funding of research for sickle cell disease and cystic fibrosis and factors associated with research productivity. JAMA Netw Open. 2020;3(3):e201737. doi:10.1001/jamanetworkopen.2020.1737. |
| معلومات مُعتمدة: | Academic Pediatric Association Young Investigator Award; Society of General Internal Medicine Founders Award |
| تواريخ الأحداث: | Date Created: 20240322 Date Completed: 20240603 Latest Revision: 20240603 |
| رمز التحديث: | 20240603 |
| DOI: | 10.1002/jhm.13322 |
| PMID: | 38517142 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1553-5606 |
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| DOI: | 10.1002/jhm.13322 |