National Quality Indicators in Pediatric Sickle Cell Anemia.
Pediatrics
; 153(4)2024 Apr 01.
Article
in En
| MEDLINE
| ID: mdl-38444343
ABSTRACT
OBJECTIVE:
To assess nationally endorsed claims-based quality measures in pediatric sickle cell anemia (SCA).METHODS:
Using data from the Sickle Cell Data Collection programs in California and Georgia from 2010 to 2019, we evaluated 2 quality measures in individuals with hemoglobin S/S or S/ß-zero thalassemia (1) the proportion of patients aged 3 months to 5 years who were dispensed antibiotic prophylaxis for at least 300 days within each measurement year and (2) the proportion of patients aged 2 to 15 years who received at least 1 transcranial Doppler ultrasound (TCD) within each measurement year. We then evaluated differences by year and tested whether performance on quality measures differed according to demographic and clinical factors.RESULTS:
Only 22.2% of those in California and 15.5% in Georgia met or exceeded the quality measure for antibiotic prophylaxis, with increased odds associated with rural residence in Georgia (odds ratio 1.61; 95% confidence interval 1.21-2.14) compared with urban residence and a trend toward increased odds associated with a pediatric hematologist prescriber (odds ratio 1.28; 95% confidence interval 0.97, 1.69) compared with a general pediatrician. Approximately one-half of the sample received an annual assessment of stroke risk using TCD (47.4% in California and 52.7% in Georgia), with increased odds each additional year in both states and among younger children.CONCLUSIONS:
The rates of receipt of recommended antibiotic prophylaxis and annual TCD were low in this sample of children with SCA. These evidence-based quality measures can be tracked over time to help identify policies and practices that maximize survival in SCA.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stroke
/
Anemia, Sickle Cell
Limits:
Child
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Pediatrics
Year:
2024
Document type:
Article
Country of publication: