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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Implementation of clinical practice guidelines for pediatric weight management
Karen J Coleman1, Anne C Hsii, Corinna Koebnick
1Kaiser Permanente Medical Group, Department of Research and Evaluation, Pasadena, CA, USA. Karen.J.Coleman@kp.org
The Journal of Pediatrics
|January 14, 2012
Summary
Computer-assisted tools significantly improved pediatric weight management by increasing diagnosis and counseling for overweight and obese children. This initiative enhanced identification and care within a large healthcare system.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Health Informatics
Background:
- Childhood obesity is a growing public health concern.
- Standardized approaches are needed for effective pediatric weight management.
- Integrated healthcare systems can leverage technology for improved care.
Purpose of the Study:
- To assess the impact of computer-assisted decision tools on pediatric weight management.
- To evaluate the standardization of diagnosis and management for child and adolescent obesity.
- To measure improvements in identification and counseling rates.
Main Methods:
- Large-scale implementation study analyzing electronic medical records.
- Data from 739,816 annual outpatient visits (2007-2010) for children and adolescents.
- Extracted height, weight, counseling, and diagnosis data.
Main Results:
- Height and weight measurement increased from 66% to 94% (P < .001).
- Diagnosis of overweight/obesity rose from 12% to 61% (P < .001).
- Exercise and nutrition counseling increased from 1% to 50% (P < .001).
Conclusions:
- Computer-assisted tools standardize pediatric weight management effectively.
- Concurrent pediatrician education enhances tool impact.
- Significant improvements in identification, diagnosis, and counseling for pediatric obesity were observed.
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