{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:12:39Z","timestamp":1777493559833,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T00:00:00Z","timestamp":1582848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Child and Adolescent Psychopharmacology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To examine metabolic monitoring rates in commercially insured children and adolescents treated with a second-generation antipsychotic (SGA) during calendar years (CYs) 2016 and 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, data were collected from a large national commercial health plan for the period covering January 1, 2016 to December 31, 2017. Commercially insured children and adolescents, aged 8\u201319 years with \u22652 SGA prescription claims during the CY, were identified for the CY2016 and CY2017 cohorts. The primary outcome of interest was the percentage of subjects with any glucose or lipid metabolism parameter monitoring. Other calculated metabolic testing rates included glucose, hemoglobin A1c (HbA1c), low-density lipoprotein cholesterol (LDL-C), other cholesterol (including triglycerides), and combined glucose and lipid metabolism testing (\u22651 test for blood glucose or HbA1c and \u22651 test for LDL-C or other cholesterol).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In CY2016 and CY2017, 1502 and 1239 subjects, respectively, were identified for this study. The most common psychiatric diagnoses in CY2016 and CY2017 were major depressive disorder (57.1%, 56.5%, respectively), anxiety disorders (42.9%, 47.5%), attention-deficit\/hyperactivity disorder (41.6%, 45.8%), and bipolar disorder (24.1%, 25.9%). The rate of any metabolic testing was 53.5% in CY2016 and 51.3% in CY2017. Glucose testing (50.3%, 46.9%, respectively) was most common in both CYs, followed by LDL-C testing (31.2%, 28.5%). Rates of combined glucose and lipid metabolism testing were 30.7% in CY2016 and 26.9% in CY2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Given the known potential for adverse cardiometabolic effects, rates of metabolic monitoring associated with SGA use in children and adolescents urgently need to be improved. There is a critical need for understanding barriers to routine monitoring, particularly of lipids, and developing interventions to enhance metabolic monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/cap.2019.0087","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T16:55:46Z","timestamp":1576688146000},"page":"119-122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Metabolic Monitoring Rates of Youth Treated with Second-Generation Antipsychotics in Usual Care: Results of a Large US National Commercial Health Plan"],"prefix":"10.1177","volume":"30","author":[{"given":"Jennifer D.","family":"Hayden","sequence":"first","affiliation":[{"name":"Humana Healthcare Research, Inc., Louisville, Kentucky."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Libby","family":"Horter","sequence":"additional","affiliation":[{"name":"Humana Healthcare Research, Inc., Louisville, Kentucky."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":", III","given":"Taft","family":"Parsons","sequence":"additional","affiliation":[{"name":"Humana, Inc., Louisville, Kentucky."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Ruble","sequence":"additional","affiliation":[{"name":"Humana, Inc., Louisville, Kentucky."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"Townsend","sequence":"additional","affiliation":[{"name":"Humana, Inc., Louisville, Kentucky."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina C.","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience, College of Medicine, University of Cincinnati, Cincinnati, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Patino","family":"Duran","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience, College of Medicine, University of Cincinnati, Cincinnati, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Welge","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience, College of Medicine, University of Cincinnati, Cincinnati, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Crystal","sequence":"additional","affiliation":[{"name":"Center for Health Services Research, Institute for Health, Rutgers University, New Brunswick, New Jersey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick C.","family":"Patel","sequence":"additional","affiliation":[{"name":"Humana Healthcare Research, Inc., Louisville, Kentucky."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph U.","family":"Correll","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York."},{"name":"Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra\/Northwell, Hempstead, New York."},{"name":"The Feinstein Institute for Medical Research, Manhasset, New York."},{"name":"Department of Child and Adolescent Psychiatry, Charit\u00e9 Universit\u00e4tsmedizin Berlin, Berlin, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa P.","family":"DelBello","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience, College of Medicine, University of Cincinnati, Cincinnati, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,28]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.2.596"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540260801889179"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2011.156"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2015.21.9.769"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.2923"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2010.48"},{"key":"e_1_3_2_8_1","volume-title":"National Committe for Quality Assurance","author":"National Committee for Quality Assurance (NCQA)","year":"2018","unstructured":"National Committee for Quality Assurance (NCQA): Healthcare Effectiveness Data and Information Set (HEDIS) 2019 Technical Specifications for Health Plans, Volume 2. National Committe for Quality Assurance, Washington, DC, 2018."},{"key":"e_1_3_2_9_1","unstructured":"National Committee for Quality Assurance (NCQA): Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM). www.ncqa.org\/hedis\/measures\/metabolic-monitoring-for-children-and-adolescents-on-antipsychotics. Accessed January16 2019."},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900089"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0828"}],"container-title":["Journal of Child and Adolescent Psychopharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/cap.2019.0087","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cap.2019.0087","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cap.2019.0087","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:55:40Z","timestamp":1777388140000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/cap.2019.0087"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,28]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1089\/cap.2019.0087"],"URL":"https:\/\/doi.org\/10.1089\/cap.2019.0087","relation":{},"ISSN":["1044-5463","1557-8992"],"issn-type":[{"value":"1044-5463","type":"print"},{"value":"1557-8992","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,28]]}}}