Establishment of the Pediatric Obesity Weight Evaluation Registry: A National Research Collaborative for Identifying the Optimal Assessment and Treatment of Pediatric Obesity
Establishment of the Pediatric Obesity Weight Evaluation Registry: A National Research Collaborative for Identifying the Optimal Assessment and Treatment of Pediatric Obesity
复制标题
DOI：
10.1089/chi.2016.0060
复制
发表时间：
2017-02-01
影响因子：
2.5
通讯作者：
Stratbucker, William
中科院分区：
文献类型：
--
作者：
Kirk, Shelley;Armstrong, Sarah;Stratbucker, William
背景资料：前瞻性患者登记研究已成功用于多种疾病状态，其目标是通过多机构合作改善治疗方法。在美国，严重肥胖的青少年患病率处于历史最高水平，但指导有效体重管理的证据有限。小儿肥胖体重评估登记处（POWER）成立于2013年，以确定和促进有效的干预策略，为pediatric obesity.Methods：网站在POWER提供多组分小儿体重管理（PWM）照顾青少年肥胖和收集一组定义的人口统计学和临床参数，他们定期提交给权力数据协调中心。一个程序配置文件调查完成的网站，以描述各自的PWM programmes.Results的特点：从2014年1月至2015年12月，26个美国网站参加了权力，并提交了3643与肥胖青年的数据。95%的人年龄在6-18岁之间，54%为女性，32%为非白人，32%为西班牙裔，59%为公共保险。超过三分之二的人患有严重肥胖症。所有研究中心都包括医疗提供者，并在其转诊标准中使用体重状况。其他程序的特点差异很大sites.Conclusion：电源是一个既定的国家注册表，代表了不同的样本的青少年肥胖参与多组分PWM计划在美国各地。利用高质量的数据收集和协作研究基础设施，POWER旨在为多组分PWM计划的循证指南的制定做出贡献。
Background: Prospective patient registries have been successfully utilized in several disease states with a goal of improving treatment approaches through multi-institutional collaboration. The prevalence of youth with severe obesity is at a historic high in the United States, yet evidence to guide effective weight management is limited. The Pediatric Obesity Weight Evaluation Registry (POWER) was established in 2013 to identify and promote effective intervention strategies for pediatric obesity.Methods: Sites in POWER provide multicomponent pediatric weight management (PWM) care for youth with obesity and collect a defined set of demographic and clinical parameters, which they regularly submit to the POWER Data Coordinating Center. A program profile survey was completed by sites to describe characteristics of the respective PWM programs.Results: From January 2014 through December 2015, 26 US sites were enrolled in POWER and had submitted data on 3643 youth with obesity. Ninety-five percent were 6-18 years of age, 54% female, 32% nonwhite, 32% Hispanic, and 59% publicly insured. Over two-thirds had severe obesity. All sites included a medical provider and used weight status in their referral criteria. Other program characteristics varied widely between sites.Conclusion: POWER is an established national registry representing a diverse sample of youth with obesity participating in multicomponent PWM programs across the United States. Using high-quality data collection and a collaborative research infrastructure, POWER aims to contribute to the development of evidence-based guidelines for multicomponent PWM programs.