Int J Clin Pediatr

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

Journal website https://www.theijcp.org

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

Figures

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. Management at DRG visit. FTT: failure to thrive; DRG: Diagnostic Referral Group.

Figure 3. (a) DRG interventions. (b) DRG referrals. Diagnostic Referral Group.

Tables

**Table 1.** Characteristics of All Patients With FTT, Evaluated by the DRG for FTT Between January 1, 2012 and December 31, 2016.
	All FTT patients	Patients with known genetic or congenital diagnosis	Patients with suspected genetic or congenital diagnosis	Patients 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 patients	257	41 (15.9%)	53 (20.6%)	163 (63.4%)
Average age	30.7 months (2.5 years)	57.9 months (4.8 years)	27.4 months (2.3 years)	24.9 months (2.1 years)
Standard deviation	39.79 months	56.7 months	34.89 months	33.05 months
Median age	17	36	16	15
25th, 75th quartiles	8, 24	16, 84	9, 24	6, 24
%Male	59.9	63.4	69.8	55.8
Average weight-for-age z-score	3.01	3.68	3.18	2.79
Standard deviation	1.18	1.84	1.02	0.94
Average number of DRG visits	1.48	2.24	1.83	1.17
Standard deviation	1.07	1.67	1.35	0.49
Average associated diagnoses	1.58	4.98	1.92	0.61
Standard deviation	2.3	2.91	2.12	0.97

**Table 2.** Characteristics of Included Physicians (Community Physicians Surveyed) Who Referred Patients With FTT to the DRG for FTT Evaluation.
Specialties	Respondents	Degree	Respondents
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.
Pediatrics	58 (72%)	MD	73 (90%)
Family medicine	21 (26%)	DO	8 (10%)
Medicine-pediatrics	2 (2%)