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Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010
OBJECTIVE: The aim of the study was to analyze the adherence to current guidelines for co-morbidity screening in overweight and obese pediatric patients participating in the Adipositas-Patienten-Verlaufsdokumentation (APV) initiative in three German-speaking countries. METHODS: APV database: 181 cen...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger GmbH
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644762/ https://www.ncbi.nlm.nih.gov/pubmed/23970145 http://dx.doi.org/10.1159/000353397 |
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author | Flechtner-Mors, Marion Wiegand, Susanna Gellhaus, Ines Siefken-Kaletka, Heidi Widhalm, Kurt Reinehr, Thomas Roost, Hans-Peter Leipold, Georg Hoffmeister, Ulrike Holl, Reinhard W. |
author_facet | Flechtner-Mors, Marion Wiegand, Susanna Gellhaus, Ines Siefken-Kaletka, Heidi Widhalm, Kurt Reinehr, Thomas Roost, Hans-Peter Leipold, Georg Hoffmeister, Ulrike Holl, Reinhard W. |
author_sort | Flechtner-Mors, Marion |
collection | PubMed |
description | OBJECTIVE: The aim of the study was to analyze the adherence to current guidelines for co-morbidity screening in overweight and obese pediatric patients participating in the Adipositas-Patienten-Verlaufsdokumentation (APV) initiative in three German-speaking countries. METHODS: APV database: 181 centers from Germany, Austria and Switzerland, specialized in obesity care, contributed standardized, anonymous data of medical examinations from 65,397 patients performed between 2000 and 2010. Completeness of screening for hypertension, dyslipidemia, and impaired glucose metabolism was analyzed using adjusted means. RESULTS: Mean age of the cohort was 12.5 ± 2.9 years and 46.5% were male. 17.3% were overweight (>90th-97th percentile), 45.1% obese (>97th-99.5th percentile), and 37.7% extremely obese (>99.5th percentile). In 2000, blood pressure was documented for 55.1% of patients, increasing to 88.7% in 2010. The rate of lipid diagnostics also improved from 45.0 to 67.7%, and screening for diabetes rose from 32.7 to 62.3% in the same time period. Blood pressure measurements were performed more often during inpatient care (88.5%) compared to outpatient programs (77.5%). Screening was more complete with increasing age and increasing degree of obesity. In boys screening rate was higher than in girls. CONCLUSION: During the 11-year period, screening for co-morbidity improved significantly in overweight or obese children and adolescents. However, adherence to guidelines is still insufficient in some institutions. Quality control based on benchmarking may improve obesity care and outcome. |
format | Online Article Text |
id | pubmed-5644762 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | S. Karger GmbH |
record_format | MEDLINE/PubMed |
spelling | pubmed-56447622017-12-04 Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010 Flechtner-Mors, Marion Wiegand, Susanna Gellhaus, Ines Siefken-Kaletka, Heidi Widhalm, Kurt Reinehr, Thomas Roost, Hans-Peter Leipold, Georg Hoffmeister, Ulrike Holl, Reinhard W. Obes Facts Original Article OBJECTIVE: The aim of the study was to analyze the adherence to current guidelines for co-morbidity screening in overweight and obese pediatric patients participating in the Adipositas-Patienten-Verlaufsdokumentation (APV) initiative in three German-speaking countries. METHODS: APV database: 181 centers from Germany, Austria and Switzerland, specialized in obesity care, contributed standardized, anonymous data of medical examinations from 65,397 patients performed between 2000 and 2010. Completeness of screening for hypertension, dyslipidemia, and impaired glucose metabolism was analyzed using adjusted means. RESULTS: Mean age of the cohort was 12.5 ± 2.9 years and 46.5% were male. 17.3% were overweight (>90th-97th percentile), 45.1% obese (>97th-99.5th percentile), and 37.7% extremely obese (>99.5th percentile). In 2000, blood pressure was documented for 55.1% of patients, increasing to 88.7% in 2010. The rate of lipid diagnostics also improved from 45.0 to 67.7%, and screening for diabetes rose from 32.7 to 62.3% in the same time period. Blood pressure measurements were performed more often during inpatient care (88.5%) compared to outpatient programs (77.5%). Screening was more complete with increasing age and increasing degree of obesity. In boys screening rate was higher than in girls. CONCLUSION: During the 11-year period, screening for co-morbidity improved significantly in overweight or obese children and adolescents. However, adherence to guidelines is still insufficient in some institutions. Quality control based on benchmarking may improve obesity care and outcome. S. Karger GmbH 2013-08 2013-08-17 /pmc/articles/PMC5644762/ /pubmed/23970145 http://dx.doi.org/10.1159/000353397 Text en Copyright © 2013 by S. Karger GmbH, Freiburg http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only. |
spellingShingle | Original Article Flechtner-Mors, Marion Wiegand, Susanna Gellhaus, Ines Siefken-Kaletka, Heidi Widhalm, Kurt Reinehr, Thomas Roost, Hans-Peter Leipold, Georg Hoffmeister, Ulrike Holl, Reinhard W. Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010 |
title | Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010 |
title_full | Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010 |
title_fullStr | Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010 |
title_full_unstemmed | Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010 |
title_short | Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010 |
title_sort | screening for co-morbidity in 65,397 obese pediatric patients from germany, austria and switzerland: adherence to guidelines improved from the year 2000 to 2010 |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644762/ https://www.ncbi.nlm.nih.gov/pubmed/23970145 http://dx.doi.org/10.1159/000353397 |
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