A Chart Review of Substance Use Screening and Related Documentation among Adolescents in Outpatient Pediatric Clinics: Implications for Practice Article Swipe
Lisa M. Kuhns
,
Brookley Rogers
,
Katie Greeley
,
Abigail L. Muldoon
,
Niranjan S. Karnik
,
Hale M. Thompson
,
Robert Garofalo
,
Maria H. Rahmandar
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.2.19943/v2
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.2.19943/v2
Background: Despite recent reductions, youth substance use continues to be a concern in the United States. Structured primary care substance use screening among adolescents is recommended, but not widely implemented. The purpose of this study was to describe the distribution and characteristics of adolescent substance use screening in outpatient clinics in a large academic medical center and assess related factors (i.e., patient age, race/ethnicity, gender, and insurance type) to inform and improve the quality of substance use screening in practice. Methods: We abstracted a random sample of 127 records of patients aged 12-17 and coded clinical notes (e.g., converted open-ended notes to discrete values) to describe screening cases and related characteristics (e.g., which substances screened, how screened). We then analyzed descriptive patterns within the data to calculate screening rates, characteristics of screening, and used multiple logistic regression to identify related factors. Results: Among 127 records, rates of screening by providers were 72% (each) for common substances (alcohol, marijuana, tobacco). The primary method of screening was use of clinical mnemonic cues rather than standardized screening tools. A total of 6% of patients reported substance use during screening. Older age and racial/ethnic minority status were associated with provider screening in multiple logistic regression models. Conclusions: Despite recommendations, low rates of structured screening in primary care persist. Failure to use a standardized screening tool may contribute to low screening rates and biased screening. These findings may be used to inform implementation of standardized and structured screening in the clinical environment.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.2.19943/v2
- https://www.researchsquare.com/article/rs-10555/v2.pdf
- OA Status
- gold
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4249894877
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4249894877Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.2.19943/v2Digital Object Identifier
- Title
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A Chart Review of Substance Use Screening and Related Documentation among Adolescents in Outpatient Pediatric Clinics: Implications for PracticeWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-04-21Full publication date if available
- Authors
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Lisa M. Kuhns, Brookley Rogers, Katie Greeley, Abigail L. Muldoon, Niranjan S. Karnik, Hale M. Thompson, Robert Garofalo, Maria H. RahmandarList of authors in order
- Landing page
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https://doi.org/10.21203/rs.2.19943/v2Publisher landing page
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https://www.researchsquare.com/article/rs-10555/v2.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.researchsquare.com/article/rs-10555/v2.pdfDirect OA link when available
- Concepts
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Documentation, Chart, Family medicine, Medicine, Outpatient clinic, Substance use, Psychology, Psychiatry, Computer science, Statistics, Internal medicine, Programming language, MathematicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2470197580, https://openalex.org/W2092571416, https://openalex.org/W2150151445, https://openalex.org/W2081381051, https://openalex.org/W2102920679, https://openalex.org/W2125013925, https://openalex.org/W2117431179, https://openalex.org/W2022292078, https://openalex.org/W2100697007, https://openalex.org/W2738141572, https://openalex.org/W2001953324, https://openalex.org/W6603580475, https://openalex.org/W82771027, https://openalex.org/W2136928616, https://openalex.org/W2156476229, https://openalex.org/W2132049747, https://openalex.org/W2113058932, https://openalex.org/W1989682316, https://openalex.org/W4246168400, https://openalex.org/W2148384322, https://openalex.org/W1992589304, https://openalex.org/W1674433088 |
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