Key result
Pediatric cardiology anxiety screening requires a tiered behavioral response rather than isolated referral alone.
Supports tiered behavioral health responses after PROMIS-Anx screening in pediatric cardiology; leaves open prospective validation before practice change.
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Xiao et al. (2026) conducted a letter in Pediatric heart disease and anxiety. PROMIS-Anx screening was evaluated. PROMIS-Anx screening in pediatric cardiology clinics should trigger a preplanned, tiered behavioral health response rather than serving solely as a stand-alone referral tool.
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