Lack of Age-Appropriate Reference Intervals Causing Potentially Missed Alerts in Clinical Reports of Dyslipidemia
This study shows that only 12.5% of laboratory reports (2/16) included age-appropriate pediatric reference ranges for all lipid and lipoproteins. The use of erroneous reference range(s) could lead to missed alerts of dyslipidemia in up to 97.3% (total cholesterol), 93.6% (high-density lipoprotein ch...
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Veröffentlicht in: | The Journal of pediatrics 2023-01, Vol.252, p.208-212.e3 |
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container_title | The Journal of pediatrics |
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creator | Sena, Cecilia Ohene-Adjei, Michael Deng, Shuliang Patibandla, Nandan May, Benjamin de Ferranti, Sarah D. Starc, Thomas J. Thaker, Vidhu V. |
description | This study shows that only 12.5% of laboratory reports (2/16) included age-appropriate pediatric reference ranges for all lipid and lipoproteins. The use of erroneous reference range(s) could lead to missed alerts of dyslipidemia in up to 97.3% (total cholesterol), 93.6% (high-density lipoprotein cholesterol), 94.8% (low-density lipoprotein cholesterol), and 87.8% (triglycerides) of youth in the population-based National Health and Nutrition Examination Survey cohort. These findings highlight the potential missed opportunities for reinforcing lifestyle counseling for dyslipidemia in addition to obesity in youth. |
doi_str_mv | 10.1016/j.jpeds.2022.08.017 |
format | Article |
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The use of erroneous reference range(s) could lead to missed alerts of dyslipidemia in up to 97.3% (total cholesterol), 93.6% (high-density lipoprotein cholesterol), 94.8% (low-density lipoprotein cholesterol), and 87.8% (triglycerides) of youth in the population-based National Health and Nutrition Examination Survey cohort. These findings highlight the potential missed opportunities for reinforcing lifestyle counseling for dyslipidemia in addition to obesity in youth.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2022.08.017</identifier><identifier>PMID: 36115623</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Child ; Cholesterol, HDL ; Cholesterol, LDL ; Dyslipidemias - diagnosis ; Humans ; Nutrition Surveys ; Triglycerides</subject><ispartof>The Journal of pediatrics, 2023-01, Vol.252, p.208-212.e3</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-9b50211f9a0e3092c9b6f9e12f55d92e20c87bec95991992381cfb465ccae1373</citedby><cites>FETCH-LOGICAL-c382t-9b50211f9a0e3092c9b6f9e12f55d92e20c87bec95991992381cfb465ccae1373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347622007260$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36115623$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sena, Cecilia</creatorcontrib><creatorcontrib>Ohene-Adjei, Michael</creatorcontrib><creatorcontrib>Deng, Shuliang</creatorcontrib><creatorcontrib>Patibandla, Nandan</creatorcontrib><creatorcontrib>May, Benjamin</creatorcontrib><creatorcontrib>de Ferranti, Sarah D.</creatorcontrib><creatorcontrib>Starc, Thomas J.</creatorcontrib><creatorcontrib>Thaker, Vidhu V.</creatorcontrib><title>Lack of Age-Appropriate Reference Intervals Causing Potentially Missed Alerts in Clinical Reports of Dyslipidemia</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>This study shows that only 12.5% of laboratory reports (2/16) included age-appropriate pediatric reference ranges for all lipid and lipoproteins. The use of erroneous reference range(s) could lead to missed alerts of dyslipidemia in up to 97.3% (total cholesterol), 93.6% (high-density lipoprotein cholesterol), 94.8% (low-density lipoprotein cholesterol), and 87.8% (triglycerides) of youth in the population-based National Health and Nutrition Examination Survey cohort. These findings highlight the potential missed opportunities for reinforcing lifestyle counseling for dyslipidemia in addition to obesity in youth.</description><subject>Adolescent</subject><subject>Child</subject><subject>Cholesterol, HDL</subject><subject>Cholesterol, LDL</subject><subject>Dyslipidemias - diagnosis</subject><subject>Humans</subject><subject>Nutrition Surveys</subject><subject>Triglycerides</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdtKAzEQhoMotlafQJC8wK6TpHvIhUipR6gootchm52tqdvdNVkLfXtTq6I3Xg3MzP_N4SfkmEHMgKWni3jRYeljDpzHkMfAsh0yZCCzKM2F2CVDCJVIjLN0QA68XwCAHAPsk4FIGUtSLobkbabNK20rOpljNOk613bO6h7pI1bosDFIb5se3UrXnk71u7fNnD60PTa91XW9pnfWeyzppEbXe2obOq1tY42uA6FrN7kAv1j72na2xKXVh2SvCjA8-ooj8nx1-TS9iWb317fTySwyIud9JIsEOGOV1IACJDeySCuJjFdJUkqOHEyeFWhkIiWTkoucmaoYp4kxGpnIxIicb7nde7HE0oSNna5VOG-p3Vq12qq_lca-qHm7Ugy4gGScBILYEoxrvXdY_YgZqI0FaqE-LVAbCxTkKlgQVCe_5_5ovn8eGs62DRiuX1l0yhu7-XRpHZpela39d8AHhI-bOA</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Sena, Cecilia</creator><creator>Ohene-Adjei, Michael</creator><creator>Deng, Shuliang</creator><creator>Patibandla, Nandan</creator><creator>May, Benjamin</creator><creator>de Ferranti, Sarah D.</creator><creator>Starc, Thomas J.</creator><creator>Thaker, Vidhu V.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20230101</creationdate><title>Lack of Age-Appropriate Reference Intervals Causing Potentially Missed Alerts in Clinical Reports of Dyslipidemia</title><author>Sena, Cecilia ; Ohene-Adjei, Michael ; Deng, Shuliang ; Patibandla, Nandan ; May, Benjamin ; de Ferranti, Sarah D. ; Starc, Thomas J. ; Thaker, Vidhu V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-9b50211f9a0e3092c9b6f9e12f55d92e20c87bec95991992381cfb465ccae1373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Cholesterol, HDL</topic><topic>Cholesterol, LDL</topic><topic>Dyslipidemias - diagnosis</topic><topic>Humans</topic><topic>Nutrition Surveys</topic><topic>Triglycerides</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sena, Cecilia</creatorcontrib><creatorcontrib>Ohene-Adjei, Michael</creatorcontrib><creatorcontrib>Deng, Shuliang</creatorcontrib><creatorcontrib>Patibandla, Nandan</creatorcontrib><creatorcontrib>May, Benjamin</creatorcontrib><creatorcontrib>de Ferranti, Sarah D.</creatorcontrib><creatorcontrib>Starc, Thomas J.</creatorcontrib><creatorcontrib>Thaker, Vidhu V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sena, Cecilia</au><au>Ohene-Adjei, Michael</au><au>Deng, Shuliang</au><au>Patibandla, Nandan</au><au>May, Benjamin</au><au>de Ferranti, Sarah D.</au><au>Starc, Thomas J.</au><au>Thaker, Vidhu V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lack of Age-Appropriate Reference Intervals Causing Potentially Missed Alerts in Clinical Reports of Dyslipidemia</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>252</volume><spage>208</spage><epage>212.e3</epage><pages>208-212.e3</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>This study shows that only 12.5% of laboratory reports (2/16) included age-appropriate pediatric reference ranges for all lipid and lipoproteins. The use of erroneous reference range(s) could lead to missed alerts of dyslipidemia in up to 97.3% (total cholesterol), 93.6% (high-density lipoprotein cholesterol), 94.8% (low-density lipoprotein cholesterol), and 87.8% (triglycerides) of youth in the population-based National Health and Nutrition Examination Survey cohort. These findings highlight the potential missed opportunities for reinforcing lifestyle counseling for dyslipidemia in addition to obesity in youth.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36115623</pmid><doi>10.1016/j.jpeds.2022.08.017</doi></addata></record> |
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source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Adolescent Child Cholesterol, HDL Cholesterol, LDL Dyslipidemias - diagnosis Humans Nutrition Surveys Triglycerides |
title | Lack of Age-Appropriate Reference Intervals Causing Potentially Missed Alerts in Clinical Reports of Dyslipidemia |
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