Physician Perspectives on Decision Making for Treatment of Pediatric Sleep-Disordered Breathing.

Abstract:

:Sleep-disordered breathing (SDB) is prevalent in children and most commonly treated by surgery with adenotonsillectomy. We aimed to learn physician perspectives of social and communication factors that influence decision making for treatment of pediatric SDB. Purposive sampling identified 10 physician key informants across disciplines and practice settings, who participated in semistructured interviews regarding SDB care experiences and communication with parents. Interviews were analyzed using directed qualitative content analysis. Physicians provided a variety of perspectives on decision making for treatment that fell into 3 overarching themes: approach to surgery and alternatives, communication and decision making with families, and sociocultural factors/barriers to care. Perspectives were moderately heterogeneous, suggesting that individual social and relational elements may significantly influence how physicians refer patients and recommend treatment, and how parents choose surgery for this prevalent condition. These findings will inform development of culturally competent communication strategies and support tools to enhance shared decision making for physicians treating children with SDB.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Boss EF,Links AR,Saxton R,Cheng TL,Beach MC

doi

10.1177/0009922817702939

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

993-1000

issue

11

eissn

0009-9228

issn

1938-2707

journal_volume

56

pub_type

杂志文章
  • Family structure and child abuse.

    abstract::Knowledge of the characteristics of family structure may be helpful to the pediatrician for predicting child abuse. During the past several decades progressive shifts from the classic family unit of two biological parents and their children to a variety of parental living arrangements have occurred. Most notable are t...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992280604500201

    authors: Oliver WJ,Kuhns LR,Pomeranz ES

    更新日期:2006-03-01 00:00:00

  • Premarketing surveillance of ibuprofen suppositories in febrile children.

    abstract::In many countries, ibuprofen is available only in oral formulations. The authors aimed to investigate parental satisfaction and possible adverse reactions among children receiving newly marketed ibuprofen suppositories, prior to their arrival at the pharmaceutical points of distribution. Children needing antipyretic m...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922810384847

    authors: Hadas D,Youngster I,Cohen A,Leibovitch E,Shavit I,Erez I,Uziel Y,Berkovitch M

    更新日期:2011-03-01 00:00:00

  • A Tablet-Based Educational Tool: Toward More Comprehensive Pediatric Patient Education.

    abstract::There is a paucity of data on the impact of mobile technology on physician-led education in the pediatric population. We performed a prospective pilot study in a pediatric diabetes clinic to evaluate the impact of tablet-based patient education. A total of 106 patients and caregivers completed postclinic surveys, 64 (...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818766621

    authors: Clifton DC,Benjamin RW,Brown AR,Ostrovsky DA,Narayan AP

    更新日期:2018-09-01 00:00:00

  • Tick-borne tularemia presenting as ulcerative lymphadenitis.

    abstract::In a patient with suppurative lymphadenitis who fails to respond to antibiotics routinely used for pyogenic adenitis, the diagnosis of tularemia should be considered if there is good evidence for recent tick or other insect exposure. A trial of streptomycin therapy may be indicated, pending culture and serology result...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287901800408

    authors: Speert DP,Britt WJ,Kaplan EL

    更新日期:1979-04-01 00:00:00

  • Variations in costs for the care of low-birth-weight infants among academic hospitals.

    abstract:OBJECTIVES:To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. DESIGN:Retrospective analysis of hospital costs for low-birth-weight in...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809341750

    authors: Herrod HG,Chang CF,Steinberg SS

    更新日期:2010-05-01 00:00:00

  • Acceptance of Behavior Guidance Techniques Used in Pediatric Dentistry by Parents From Diverse Backgrounds.

    abstract::Objective. To investigate if parental background affects acceptance of behavior guidance techniques. Background. Behavior guidance techniques are used for the safe and effective treatment of pediatric patients. Acceptance of these techniques may vary by racial and ethnic background. Methods. A total of 142 parents wer...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922819845897

    authors: Martinez Mier EA,Walsh CR,Farah CC,Vinson LA,Soto-Rojas AE,Jones JE

    更新日期:2019-08-01 00:00:00

  • Recurrent parotitis during childhood.

    abstract::A case of a child suffering from recurrent parotitis secondary to inadvertant chewing on Stensen's duct orifice suggests that this cause may be common to other children plagued by this puzzling disorder. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288001900313

    authors: Wilson WR,Eavey RD,Lang DW

    更新日期:1980-03-01 00:00:00

  • Intravenous theophylline in pediatric status asthmaticus. A prospective, randomized, double-blind, placebo-controlled trial.

    abstract::This study was conducted to determine whether intravenous theophylline, added to inhaled albuterol and intravenous methylprednisolone, provides a clinically significant benefit in the treatment of pediatric status asthmaticus. Patients aged 2 to 10 years were randomized to receive either intravenous theophylline or pl...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/000992289503400905

    authors: Bien JP,Bloom MD,Evans RL,Specker B,O'Brien KP

    更新日期:1995-09-01 00:00:00

  • Difficulty in defecation in infants with gastroesophageal reflux treated with smaller volume feeds thickened with rice cereal.

    abstract::We prospectively evaluated the incidence of difficulty in defecation in infants with gastroesophageal reflux who were treated with smaller volume feeds thickened with rice cereal and also assessed the effect of changing the cereal to oatmeal. We evaluated 53 thriving infants with uncomplicated gastroesophageal reflux ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280504400804

    authors: Mascarenhas R,Landry L,Khoshoo V

    更新日期:2005-10-01 00:00:00

  • Persistent hypertransaminasemia as the presenting finding of childhood muscle disease.

    abstract::Four children with isolated, persistent elevations of serum transaminases were investigated for hepatic disease and followed for 4 to 24 months before serum creatine kinase determinations were obtained and found to be markedly elevated. Evidence of muscle disease was obtained by close questioning, retrospectively, and...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288502400906

    authors: Rutledge J,Andersen J,Fink CW,Cook J,Strickland A

    更新日期:1985-09-01 00:00:00

  • Review of medical reports on pedophilia.

    abstract::The present report is a review of all 554 papers published on Medline on pedophilia. The first discussion is the history of the disorder from ancient Greece to the present time, especially the influence of the liberal country of the Netherlands, the North American Man-Boy Love Association, and the sexual crisis in the...

    journal_title:Clinical pediatrics

    pub_type: 历史文章,杂志文章,评审

    doi:10.1177/0009922807301483

    authors: Hughes JR

    更新日期:2007-10-01 00:00:00

  • Does an Eczema Action Plan Improve Atopic Dermatitis? A Single-Site Randomized Controlled Trial.

    abstract::The multitude of treatment options for atopic dermatitis (AD) makes management frustrating for providers and patients. Eczema action plans (EAPs) have been proposed to improve parental and provider management. We developed a single-site randomized controlled trial to evaluate the impact of an EAP on quality of life (Q...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922818795906

    authors: Brown J,Weitz NW,Liang A,Stockwell MS,Friedman S

    更新日期:2018-12-01 00:00:00

  • Recurrent Cardiology Evaluation for Innocent Heart Murmur: Echocardiogram Utilization.

    abstract::We conducted a retrospective study to identify electrocardiogram (ECG) and echocardiogram utilization among patients presenting for a follow-up cardiology evaluation with innocent heart murmur between 2012 and 2014. The 2014 echocardiogram Appropriate Use Criteria was applied. We observed high rates of ordering ECGs a...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818787280

    authors: Dalal NN,Dzelebdzic S,Frank LH,Clauss SB,Mitchell SJ,Aljohani OA,Bradley-Hewitt T,Harahsheh AS

    更新日期:2018-10-01 00:00:00

  • Sleep apnea in patients receiving growth hormone.

    abstract::Among 145 patients treated with recombinant human growth hormone (GH), four developed sleep apnea (two obstructive, two mixed) associated with tonsillar and adenoidal hypertrophy in three. These four patients had no local risk factors predisposing to upper airway obstruction (i.e., frequent pharyngitis or sinusitis). ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289703600602

    authors: Gerard JM,Garibaldi L,Myers SE,Aceto T Jr,Kotagal S,Gibbons VP,Stith J,Weber C

    更新日期:1997-06-01 00:00:00

  • Improving pediatrician knowledge about environmental triggers of asthma.

    abstract:BACKGROUND:Control of environmental triggers (ETs) greatly improves asthma outcomes in children. Disseminating these findings to general pediatricians has not been well established. METHODS:After delivering a structured and standardized presentation on ET identification and control to pediatricians, we surveyed them a...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0009922813482752

    authors: Roberts JR,Karr CJ,de Ybarrondo L,McCurdy LE,Freeland KD,Hulsey TC,Forman J

    更新日期:2013-06-01 00:00:00

  • Short-Term High-Flow Nasal Cannula for Moderate to Severe Bronchiolitis Is Effective in a General Pediatric Ward.

    abstract::We examined the clinical and physiological benefits of heated humidified high-flow nasal cannula (HHHFNC) in treating pediatric bronchiolitis in a general pediatric ward. Children aged 0 to 2 years, hospitalized with moderate to severe bronchiolitis, were connected to HHHFNC. Each child was evaluated at 4- to 10-hour ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922819877881

    authors: Sachs N,Rom E,Schonfeld T,Gavish R,Berger I,Krause I

    更新日期:2019-12-01 00:00:00

  • Ethyl vinyl chloride vapocoolant spray fails to decrease pain associated with intravenous cannulation in children.

    abstract::The purpose of the study was to determine the effect of ethyl vinyl chloride vapocoolant spray on pain reported by children undergoing intravenous cannulation. A randomized, double-blinded, placebo-controlled trial was conducted on eligible children between the ages of 9 and 18 years seen in a pediatric emergency depa...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922806291013

    authors: Costello M,Ramundo M,Christopher NC,Powell KR

    更新日期:2006-09-01 00:00:00

  • Chronic pancreatitis in late childhood and adolescence.

    abstract::Acute pancreatitis is unusual in pediatric patients, and chronic pancreatitis is even less common. Between 1983 and 1988, we diagnosed 24 patients in late childhood and adolescence with chronic pancreatitis. Our review revealed that chronic pancreatitis presents as recurrent abdominal pain in late childhood and adoles...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289403300205

    authors: Mathew P,Wyllie R,Caulfield M,Steffen R,Kay M

    更新日期:1994-02-01 00:00:00

  • Development and Utility of Quality Metrics for Ambulatory Pediatric Cardiology in Kawasaki Disease.

    abstract::The Adult Congenital and Pediatric Cardiology (ACPC) Section of the American College of Cardiology sought to develop quality indicators/metrics for ambulatory pediatric cardiology practice. The objective of this study was to report the creation of metrics for patients with Kawasaki disease. Over a period of 5 months, ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922819896098

    authors: Teitel DF,Newburger JW,Sutton N,Tani LY,Harahsheh AS,Jone PN,Mensch DJ,Cotts T,Davidson A,Dahdah N,Johnson WH Jr,Portman MA

    更新日期:2020-03-01 00:00:00

  • Neonatal adrenal hemorrhage: clinical and abdominal sonographic findings.

    abstract::Four neonates with adrenal hemorrhage are presented. The clinical manifestations included most often an abdominal mass but also anemia, jaundice, hypotension, bluish discoloration of the scrotum, and abdominal calcification. The diagnosis was established in each case upon abdominal sonographic findings. The review of ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992280104001002

    authors: Velaphi SC,Perlman JM

    更新日期:2001-10-01 00:00:00

  • Text Message Reminders for Child Influenza Vaccination in the Setting of School-Located Influenza Vaccination: A Randomized Clinical Trial.

    abstract::Half of US school children receive influenza vaccine. In our previous trials, school-located influenza vaccination (SLIV) raised vaccination rates by 5 to 8 percentage points. We assessed whether text message reminders to parents could raise vaccination rates above those observed with SLIV. Within urban elementary sch...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922818821878

    authors: Szilagyi PG,Schaffer S,Rand CM,Goldstein NPN,Younge M,Mendoza M,Albertin CS,Concannon C,Graupman E,Hightower AD,Yoo BK,Humiston SG

    更新日期:2019-04-01 00:00:00

  • Two siblings with phenotypes mimicking peroxisomal disorders but with discordant biochemical findings.

    abstract::The authors present a report on two sibling with a nearly identical phenotype mimicking peroxisomal disorder but with totally discordant biochemical findings. In an attempt to confirm the diagnosis of a peroxisomal disorder, plasma levels of very long chain fatty acids (VLCFA) and phytanic acid were determined. In add...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289002900814

    authors: Pietrzyk JJ,Turowska-Heydel D,Klimek M,Kaczmarski F,Kaluza J

    更新日期:1990-08-01 00:00:00

  • Potential substance abuse. Detection among adolescent patients. Using the Drug and Alcohol Problem (DAP) Quick Screen, a 30-item questionnaire.

    abstract::The authors administered an abbreviated revision of a previously field-tested, self-administered, brief screening test (the 30-item Drug and Alcohol Problem Quick Screen) to 355 consecutive middle-class adolescent patients seen at a five-pediatrician group practice setting. Ninety-six percent (341) of the subjects com...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289002900106

    authors: Schwartz RH,Wirtz PW

    更新日期:1990-01-01 00:00:00

  • Congenital right diaphragmatic hernia. A case report and review of the literature.

    abstract::Congenital right diaphragmatic hernia can present a difficult diagnostic problem. An illustrative case is reviewed in which the diagnosis was not considered during the initial hospitalization because chest radiographs were interpreted as showing an atelectatic and pneumonic process. Once suspected, the diagnosis was m...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288102000610

    authors: Stahl GE,Warren WS,Rosenberg H,Spackman TJ,Schnaufer L

    更新日期:1981-06-01 00:00:00

  • Maternal low- and high-depressive symptoms and safety concerns for low-income preschool children.

    abstract:OBJECTIVES:Our objective was to examine the relationship between low- and high-level depressive symptoms in mothers' and children's risks in the areas of home and car safety, monitoring, and exposure to violence. METHODS:Participants included 978 mothers of preschool-age children who were interviewed about their home ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922812473776

    authors: Conners-Burrow NA,Fussell JJ,Johnson DL,McKelvey LM,Whiteside-Mansell L,Bokony P,Kraleti S

    更新日期:2013-02-01 00:00:00

  • Sporadic pharyngitis-associated acute poststreptococcal nephritis. A four-year prospective clinical study of the acute episode.

    abstract::Between December 1980 and November 1984, the acute episode was studied prospectively in 187 children under 14 years presenting with acute poststreptococcal glomerulonephritis. The mean annual incidence was 19.5/10(5) children. The disease was mainly pharyngitis-associated and occurred throughout the year but peaked in...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288602500402

    authors: Khuffash FA,Sharda DC,Majeed HA

    更新日期:1986-04-01 00:00:00

  • Nasogastric or gastrostomy feedings in children with neurologic disabilities.

    abstract::Although pediatricians are increasingly aware of the problem of undernutrition in children with neurologic disabilities, many of these children remain poorly nourished despite prolonged attempts at oral feedings. We studied the effects of tube feeding on such children, using either nasogastric (NG) or gastrostomy (GT)...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289403300608

    authors: Naureckas SM,Christoffel KK

    更新日期:1994-06-01 00:00:00

  • Serum homocysteine and lipoprotein (a) concentrations in hypercholesterolemic and normocholesterolemic children.

    abstract::The relationship between lipids, lipoproteins, total homocysteine, and lipoprotein (a) was studied in hypercholesterolemic and normocholesterolemic children. In hypercholesterolemic children, concentrations of total cholesterol, low-density lipoprotein (LDL) cholesterol, apolipoprotein B, and triglycerides were signif...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280104000304

    authors: Laskowska-Klita T,Szymczak E,Radomyska B

    更新日期:2001-03-01 00:00:00

  • Predictors of Complications of Tonsillectomy With or Without Adenoidectomy in Hospitalized Children and Adolescents in the United States, 2001-2010: A Population-Based Study.

    abstract::Outcomes of tonsillectomy (with or without adenoidectomy [w/woA]) in hospitalized children are unclear. We sought, to describe the characteristics of hospitalized children who underwent tonsillectomy (w/woA), to estimate the prevalence of complications and to evaluate the relative impact of different comorbid conditio...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815616885

    authors: Allareddy V,Martinez-Schlurmann N,Rampa S,Nalliah RP,Lidsky KB,Allareddy V,Rotta AT

    更新日期:2016-06-01 00:00:00

  • The relationship between temperament, gender, and childhood dysfunctional voiding.

    abstract:OBJECTIVE:Dysfunctional voiding (DV) is an extremely common pediatric complaint. The goal of this study was to examine the relationship between DV and childhood temperament. METHODS:Information about the voiding behaviors and temperaments of 50 children was examined using a case-control model. Caregivers were asked to...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813492376

    authors: Colaco M,Dobkin RD,Sterling M,Schneider D,Barone J

    更新日期:2013-08-01 00:00:00