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Direct mail does not improve screening in sickle cell disease
Because children with sickle cell disease have an increased risk for stroke, annual transcranial Doppler (TCD) screening is recommended for children diagnosed with sickle cell disease from ages 2 to 16 years, yet implementation has been limited. Can letters mailed directly to parents and primary providers improve compliance? To investigate this, Bundy et al mailed reminders to families and primary doctors of eligible children in one Medicaid managed care organization, and compared results with 6 other Medicaid managed care organizations serving as controls.
Source: The Journal of Pediatrics - December 18, 2014 Category: Pediatrics Authors: Paul G. Fisher Tags: The Editors' Perspective Source Type: research

Transcranial Doppler Screening of Medicaid-Insured Children with Sickle Cell Disease
Transcranial Doppler screening reduces the risk of stroke in children with sickle cell disease. We tested the effect of informational letters sent to parents and doctors of Medicaid-insured children on improving screening efficiency. The letters did not improve the low baseline screening rates, suggesting the need for more aggressive outreach. Hematologist visits were correlated with increased screening rates.
Source: The Journal of Pediatrics - October 14, 2014 Category: Pediatrics Authors: David G. Bundy, Michael T. Abrams, John J. Strouse, Carl H. Mueller, Marlene R. Miller, James F. Casella Tags: Clinical and Laboratory Observations Source Type: research

As preschool obesity rates dip, Boston Children’s expert suggests feds step to the plate
The scales may not be tipping quite so precipitously for some low-income preschoolers. So says a new report from the Centers for Disease Control and Prevention (CDC). Nineteen states saw small decreases in obesity rates among preschoolers between 2008 and 2011, while rates held steady in another 20 states. Is this cause for celebration, cautious optimism or concern? Perhaps all of the above, says David Ludwig, MD, PhD, director of the New Balance Foundation Obesity Prevention Center Boston Children’s Hospital. “The report is a small, but encouraging, sign after nearly half a century of bad news.” The latest data...
Source: Thrive, Children's Hospital Boston - September 11, 2013 Category: Pediatrics Authors: Lisa Fratt Tags: All posts Childhood obesity Children's in the news Health & wellness Healthful eating Research David Ludwig New Balance Foundation Obesity Prevention Center Source Type: news