Evidence map›Paper›PMID 38880989›Full record

ArticlePediatric obesity2024

Primary care perspectives on prescribing anti-obesity medication for adolescents.

Rutha Chivate, Pamela Schoemer, Maya I Ragavan, Kristin Ray, Megan O Bensignor, Andrea B Goldschmidt, Mary Ellen Vajravelu

Abstract read
In one paragraph

Article in Pediatric obesity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rutha ChivateUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0009-0007-4551-8320
Pamela SchoemerUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-9658-2783
Maya I RagavanUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Kristin RayUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Megan O BensignorCenter for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.ORCID https://orcid.org/0000-0002-9341-1858
Andrea B GoldschmidtUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Mary Ellen VajraveluUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Funding

Anti-obesity pharmacotherapy to decrease BMI and improve insulin sensitivity in adolescents with obesity and type 2 diabetesK23DK129721 · NIDDK · UNIVERSITY OF MINNESOTA · PI BENSIGNOR, MEGAN O · 2021 to 2025
$1.0M
Training in Renal, GI, Endocrine, and Epithelial BiologyT35DK065521 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEFRANCO, DONALD B, JURCZAK, MICHAEL J. · 2004 to 2024
$811k
Behavioral Economics for Activity Motivation in Adolescents and Young Adults with Prediabetes and Type 2 DiabetesK23DK125719 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VAJRAVELU, MARY ELLEN · 2020 to 2023
$789k
Developing an Adolescent Relationship Abuse Prevention Intervention for Hispanic Immigrant FamiliesK23HD104925 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAGAVAN, MAYA · 2022 to 2024
$570k
NICHD NIH HHS K23 HD104925NIDDK NIH HHS K23 DK125719NIDDK NIH HHS K23 DK129721NIDDK NIH HHS T35 DK065521NIH HHS K23DK125719NIH HHS K23DK129721NIH HHS K23HD104925NIH HHS T35 DK065521
6 · The paper itself

Abstract

backgroundRecent pediatric guidelines recommend clinicians offer anti-obesity medication (AOM) as an adjunct to intensive lifestyle intervention.

objectiveTo investigate pediatricians' perspectives about prescribing AOM, including barriers and facilitators.

methodsAn investigator-developed survey was emailed to primary care pediatric physicians (n = 187) and advanced practice providers (n = 190) within an academic-affiliated network. The survey evaluated how willing clinicians were to prescribe AOM and their agreement with 25 statements about barriers and facilitators. Three vignettes explored AOM decision-making. Multinomial logistic regression was used to determine relative risk ratios for willingness to prescribe by agreement with each statement.

resultsAmong 74 respondents (20% response rate), 24% were willing, 42% uncertain and 34% unwilling to prescribe. Most (64%) agreed that AOM should be managed only by specialists. Willingness to prescribe was associated with clinician motivation and belief in guideline practicality and applicability. Unwillingness was associated with beliefs that patients would not continue AOM long enough for benefit and that there was insufficient time or resources to implement. In vignettes, 52% were willing to prescribe AOM for a patient with severe obesity and metabolic complications, versus 11% for a patient with obesity and possible disordered eating.

conclusionsWillingness to prescribe AOM was low and was associated with perceived practicality and appropriateness for patients.

Indexed as

Anti-Obesity AgentsAttitude of Health PersonnelPediatric ObesityPractice Patterns, Physicians'Primary Health CareAdolescentAdultFemaleHumansMaleMiddle AgedPediatriciansSurveys and QuestionnairesAnti-Obesity Agentsanti‐obesity medicationpediatric obesityprimary care

Identifiers

PMID38880989
PMCPMC11239271

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.