1
40
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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September 2020 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
September 2020 List
URL Address
<a href="http://doi.org/10.1186/s12887-020-02253-z" target="_blank" rel="noreferrer noopener">http://doi.org/10.1186/s12887-020-02253-z</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Comorbidity patterns and socioeconomic inequalities in children under 15 with medical complexity: a population-based study
Publisher
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BMC Pediatrics
Date
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2020
Subject
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Administrative data; Child; Comorbidity; Health inequalities; Latent class analysis; Medical complexity; Socioeconomic factors
Creator
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Carrilero N; Dalmau-Bueno A; García-Altés A
Description
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BACKGROUND: Children with medical complexity (CMC) denotes the profile of a child with diverse acute and chronic conditions, making intensive use of the healthcare services and with special health and social needs. Previous studies show that CMC are also affected by the socioeconomic position (SEP) of their family. The aim of this study is to describe the pathologic patterns of CMC and their socioeconomic inequalities in order to better manage their needs, plan healthcare services accordingly, and improve the care models in place. METHODS: Cross-sectional study with latent class analysis (LCA) of the CMC population under the age of 15 in Catalonia in 2016, using administrative data. LCA was used to define multimorbidity classes based on the presence/absence of 57 conditions. All individuals were assigned to a best-fit class. Each comorbidity class was described and its association with SEP tested. The Adjusted Morbidity Groups classification system (Catalan acronym GMA) was used to identify the CMC. The main outcome measures were SEP, GMA score, sex, and age distribution, in both populations (CMC and non-CMC) and in each of the classes identified. RESULTS: 71% of the CMC population had at least one parent with no employment or an annual income of less than €18,000. Four comorbidity classes were identified in the CMC: oncology (36.0%), neurodevelopment (13.7%), congenital and perinatal (19.8%), and respiratory (30.5%). SEP associations were: oncology OR 1.9 in boys and 2.0 in girls; neurodevelopment OR 2.3 in boys and 1.8 in girls; congenital and perinatal OR 1.7 in boys and 2.1 in girls; and respiratory OR 2.0 in boys and 2.0 in girls. CONCLUSIONS: Our findings show the existence of four different patterns of comorbidities in CMC and a significantly high proportion of lower SEP children in all classes. These results could benefit CMC management by creating more efficient multidisciplinary medical teams according to each comorbidity class and a holistic perspective taking into account its socioeconomic vulnerability.
Identifier
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<a href="http://doi.org/10.1186/s12887-020-02253-z" target="_blank" rel="noreferrer noopener">10.1186/s12887-020-02253-z</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Administrative data
Bmc Pediatrics
Carrilero N
Child
Comorbidity
Dalmau-Bueno A
García-Altés A
Health inequalities
Latent Class Analysis
Medical Complexity
September 2020 List
Socioeconomic Factors
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
September 2021 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
September 2021 List
URL Address
<a href="http://doi.org/10.1002/cncr.33763" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/cncr.33763</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Children and adolescents with hematologic cancers deserve better end-of-life care
Publisher
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Cancer.
Date
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2021
Subject
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children; adolescents; palliative care; cancer; end of life; administrative data; hematologic; high intensity
Creator
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Rapoport A; Gupta S
Description
An account of the resource
Children and adolescents with hematologic malignancies consistently experience higher rates of aggressive care at the end of life. Clinicians and researchers must now turn their attention to reducing this disparity.
Identifier
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<a href="http://doi.org/10.1002/cncr.33763" target="_blank" rel="noreferrer noopener">10.1002/cncr.33763</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
Administrative data
Adolescents
Cancer
Cancer.
Children
End Of Life
Gupta S
hematologic
high intensity
Palliative Care
Rapoport A
September 2021 List