International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
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Original Article

Volume 10, Number 1, March 2021, pages 1-5

Primary Care Referral Perspectives in Pediatric Failure to Thrive and Outcomes From a Diagnostic Clinic


Figure 1.
Figure 1. (a) PCPs’ most likely next management. (b) Most important factor for DRG referral. PCP: primary care provider; FTT: failure to thrive; DRG: Diagnostic Referral Group.
Figure 2.
Figure 2. Management at DRG visit. FTT: failure to thrive; DRG: Diagnostic Referral Group.
Figure 3.
Figure 3. (a) DRG interventions. (b) DRG referrals. Diagnostic Referral Group.


Table 1. Characteristics of All Patients With FTT, Evaluated by the DRG for FTT Between January 1, 2012 and December 31, 2016.
All FTT patientsPatients with known genetic or congenital diagnosisPatients with suspected genetic or congenital diagnosisPatients with no suspected genetic or congenital diagnosis
The median and quartiles are included for age due to a large positive skew to these data. Percentages given are with respect to total FTT patients or with respect to the subgroup considered. FTT: failure to thrive; DRG: Diagnostic Referral Group.
Number of patients25741 (15.9%)53 (20.6%)163 (63.4%)
Average age30.7 months (2.5 years)57.9 months (4.8 years)27.4 months (2.3 years)24.9 months (2.1 years)
Standard deviation39.79 months56.7 months34.89 months33.05 months
Median age17361615
25th, 75th quartiles8, 2416, 849, 246, 24
Average weight-for-age z-score3.013.683.182.79
Standard deviation1.181.841.020.94
Average number of DRG visits1.482.241.831.17
Standard deviation1.071.671.350.49
Average associated diagnoses1.584.981.920.61
Standard deviation2.32.912.120.97


Table 2. Characteristics of Included Physicians (Community Physicians Surveyed) Who Referred Patients With FTT to the DRG for FTT Evaluation.
Percentages given are respective to all included physician responses. MD: doctor of medicine; DO: doctor of osteopathic medicine; FTT: failure to thrive; DRG: Diagnostic Referral Group.
Pediatrics58 (72%)MD73 (90%)
Family medicine21 (26%)DO8 (10%)
Medicine-pediatrics2 (2%)