title: Transcranial Doppler screening of Medicaid-insured children with sickle cell disease.
abstract: 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.
authors.affiliation: Division of General Pediatrics, Department of Pediatrics, Medical University of South Carolina, Charleston, SC. Electronic address: dbundy@musc.edu.
authors.forename: David G
authors.initials: DG
authors.lastname: Bundy
authors.affiliation: The Hilltop Institute, University of Maryland, Baltimore County, Baltimore, MD.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Abrams
authors.affiliation: Division of Pediatric Hematology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD; Division of Hematology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: John J
authors.initials: JJ
authors.lastname: Strouse
authors.affiliation: The Hilltop Institute, University of Maryland, Baltimore County, Baltimore, MD.
authors.forename: Carl H
authors.initials: CH
authors.lastname: Mueller
authors.affiliation: Division of Quality and Safety, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Children's Hospital Association, Alexandria, VA.
authors.forename: Marlene R
authors.initials: MR
authors.lastname: Miller
authors.affiliation: Division of Pediatric Hematology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: James F
authors.initials: JF
authors.lastname: Casella
mesh_terms: D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000000981:diagnostic imaging*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data; D008484:Medicaid; D017585:Ultrasonography, Doppler, Transcranial / Q000379:methods* / Q000706:statistics & numerical data; D014481:United States