提高镰状细胞病儿童经颅多普勒超声检查的完成率：临床与基于人群的评估

IF 2.4 3区医学 Q2 HEMATOLOGY

Pediatric Blood & Cancer Pub Date : 2025-01-20 DOI:10.1002/pbc.31549

Madhav Vissa, Priya Parikh, Chuck McCulloch, Neha Bhasin, Michael D. Cabana, Jong Chung, Anne Marsh, Trisha Wong, Marsha Treadwell, Naomi S. Bardach

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引用次数: 0

摘要

经颅多普勒（TCD）筛查对于预防儿童镰状细胞病（SCD）的卒中至关重要，但筛查率在全国范围内很低。我们使用医疗补助行政索赔来评估TCD完成率之前和之后的12个月的QI倡议，以提高太平洋镰状细胞区域合作（PSCRC）的比率。我们发现QI参与者的TCD筛查率增加（52.4%至58.6%），但未参与SCD人群的TCD筛查率没有增加（48.3%至38.3%）。QI参与站点的增加在倡议后1年没有持续。为了维持较高的TCD筛查率，从而改善SCD结果，地方临床一级的QI倡议可能需要卫生系统伙伴关系的补充。

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Improving Completion Rates of Transcranial Doppler Ultrasounds in Children With Sickle Cell Disease Using Quality Improvement Efforts: In-Clinic Versus Population-Based Assessments

Transcranial Doppler (TCD) screening is essential for stroke prevention in children with sickle cell disease (SCD), but screening rates are low nationally. We use Medicaid administrative claims to assess TCD completion rates before and after a 12-month QI initiative to improve rates in the Pacific Sickle Cell Regional Collaborative (PSCRC). We found an increase in TCD screening rates for QI participant sites (52.4% to 58.6%), but not for the nonparticipant SCD population (48.3% to 38.3%). The increase in QI participant sites was not sustained 1 year after the initiative. Local clinic-level QI initiatives may need to be supplemented with health system partnerships to sustain higher TCD screening rates, thereby improving SCD outcomes.

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来源期刊

Pediatric Blood & Cancer 医学-小儿科

CiteScore

4.90

自引率

9.40%

发文量

546

审稿时长

1.5 months

期刊介绍： Pediatric Blood & Cancer publishes the highest quality manuscripts describing basic and clinical investigations of blood disorders and malignant diseases of childhood including diagnosis, treatment, epidemiology, etiology, biology, and molecular and clinical genetics of these diseases as they affect children, adolescents, and young adults. Pediatric Blood & Cancer will also include studies on such treatment options as hematopoietic stem cell transplantation, immunology, and gene therapy.