domingo, 4 de noviembre de 2012

Effects of Immediate Telephone Follow-Up with Prov... [J Pediatr. 2012] - PubMed - NCBI

J Pediatr. 2012 Oct 23. pii: S0022-3476(12)01013-X. doi: 10.1016/j.jpeds.2012.08.055. [Epub ahead of print]

Effects of Immediate Telephone Follow-Up with Providers on Sweat Chloride Test Timing after Cystic Fibrosis Newborn Screening Identifies a Single Mutation.

La Pean A, Farrell MH, Eskra KL, Farrell PM.

Source

Center for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, WI.

Abstract

OBJECTIVE:

To assess whether reporting "possible cystic fibrosis (CF)" newborn screening (NBS) results via fax plus simultaneous telephone contact with primary care providers (PCPs) versus fax alone influenced 3 outcomes: undergoing a sweat chloride test, age at sweat chloride testing, and undergoing sweat testing before age 8 weeks.

STUDY DESIGN:

This was a retrospective cohort comparison of infants born in Wisconsin whose PCP received a telephone intervention (n = 301) versus recent historical controls whose PCP did not (n = 355). Intervention data were collected during a longitudinal research and quality improvement effort; deidentified comparison data were constructed from auxiliary NBS tracking information. Parametric and nonparametric statistical analyses were performed for group differences.

RESULTS:

Most infants (92%) with "possible CF" NBS results whose PCP lacked telephone intervention ultimately underwent sweat testing, underlining efficacy for fax-only reporting. Telephone intervention was significantly associated with improvements in the infants undergoing sweat testing at age ≤6 weeks and <8 .008=".008" 3.5-day="3.5-day" a="a" academic="academic" age="age" and="and" at="at" centers="centers" community-affiliated="community-affiliated" did="did" effect="effect" for="for" greater="greater" in="in" infants="infants" intervention="intervention" medical="medical" nonsignificant="nonsignificant" of="of" p="p" patients="patients" pcps="pcps" reduction="reduction" slight="slight" so="so" statistically="statistically" sweat="sweat" telephone="telephone" testing.="testing." testing="testing" the="the" those="those" underwent="underwent" versus="versus" was="was" weeks="weeks" whose="whose">

CONCLUSION:

Reporting "possible CF" NBS results via fax plus simultaneous telephone follow-up with PCPs increases the rate of sweat chloride testing before 8 weeks of age, when affected infants are more likely to receive full benefits of early diagnosis and treatment.
Copyright © 2012 Mosby, Inc. All rights reserved.