Recording of overweight and obesity as a health problem by primary care pediatricians in an electronic medical record.

Abstract:

INTRODUCTION:Under-diagnosis and underrecording of overweight and obesity in pediatrics is very common. Using an electronic medical record may be helpful. The objective was to establish the percentage of recording of this problem by primary care pediatricians and analyze if it was associated with the performance of ancillary tests. METHODS:Cross-sectional study. The recording of this problem among overweight and obese pediatric patients and the presence of blood glucose, triglycerides, and high-density lipoprotein cholesterol results in obese patients were assessed. RESULTS:A total of 7471 overweight and obese patients were included; this health problem was adequately recorded in only 19 %. Among all obese patients (n = 1957), 44 % had adequate recording of this health problem; 32 % had lab test results showing a significant association among outcome measures. CONCLUSIONS:The percentage of overweight and obesity recording and ancillary test performance was low. Recording was associated with a higher level of test ordering. :Introducción. El subdiagnóstico y subregistro de sobrepeso y obesidad en pediatría es muy frecuente. El uso de una historia clínica electrónica podría contribuir favorablemente. El objetivo fue conocer el porcentaje de registro de este problema por pediatras de cabecera y analizar si se asociaba con la realización de estudios complementarios. Métodos. Estudio de corte transversal. Se evaluó el registro del problema en pacientes pediátricos con sobrepeso y obesidad, y la presencia de resultados de glucemia, triglicéridos y colesterol de alta densidad en pacientes obesos. Resultados. Se analizaron 7471 pacientes con sobrepeso y obesidad; el registro adecuado del problema fue del 19 %. El 44 % de los obesos (n = 1957) tenía registro adecuado y el 32 %, resultados de laboratorio, con asociación significativa entre variables. Conclusiones. Los porcentajes de registro de sobrepeso y obesidad y realización de estudios complementarios fueron bajos. El registro del problema se asoció a mayor solicitud de estudios.

journal_name

Arch Argent Pediatr

authors

Silva C,Mulli V,Caffulli M,Busaniche J

doi

10.5546/aap.2020.eng.132

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

132-135

issue

2

eissn

0325-0075

issn

1668-3501

journal_volume

118

pub_type

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