Health Services Utilization Among Children With and Without Autism Spectrum Disorders / Janet R. CUMMINGS in Journal of Autism and Developmental Disorders, 46-3 (March 2016)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.910-920 Titre : Health Services Utilization Among Children With and Without Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Janet R. CUMMINGS, Auteur ; Frances L. LYNCH, Auteur ; Kristal C. RUST, Auteur ; Karen J. COLEMAN, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli A. OWEN-SMITH, Auteur ; Vincent M. YAU, Auteur ; Yinge QIAN, Auteur ; Kathryn A. PEARSON, Auteur ; Phillip M. CRAWFORD, Auteur ; Maria L. MASSOLO, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur Article en page(s) : p.910-920 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Health care utilization  Preventive services  Children  Adolescents Index. décimale : PER Périodiques Résumé : Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD)—including preventive services not previously studied. To examine these differences, we estimated logistic and count data models, controlling for demographic characteristics, comorbid physical health, and mental health conditions. Results indicated that youth with an ASD had greater health care use in many categories, but were less likely to receive important preventive services including flu shots and other vaccinations. An improved understanding of the overall patterns of health care use among this population could enable health systems to facilitate the receipt of appropriate and effective health care. En ligne : http://dx.doi.org/10.1007/s10803-015-2634-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=281 [article] Health Services Utilization Among Children With and Without Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Janet R. CUMMINGS, Auteur ; Frances L. LYNCH, Auteur ; Kristal C. RUST, Auteur ; Karen J. COLEMAN, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli A. OWEN-SMITH, Auteur ; Vincent M. YAU, Auteur ; Yinge QIAN, Auteur ; Kathryn A. PEARSON, Auteur ; Phillip M. CRAWFORD, Auteur ; Maria L. MASSOLO, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur . - p.910-920. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.910-920 Mots-clés : Autism spectrum disorders  Health care utilization  Preventive services  Children  Adolescents Index. décimale : PER Périodiques Résumé : Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD)—including preventive services not previously studied. To examine these differences, we estimated logistic and count data models, controlling for demographic characteristics, comorbid physical health, and mental health conditions. Results indicated that youth with an ASD had greater health care use in many categories, but were less likely to receive important preventive services including flu shots and other vaccinations. An improved understanding of the overall patterns of health care use among this population could enable health systems to facilitate the receipt of appropriate and effective health care. En ligne : http://dx.doi.org/10.1007/s10803-015-2634-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=281

Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children / Stacey E. ALEXEEFF in Journal of Autism and Developmental Disorders, 47-7 (July 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-7 (July 2017) . - p.2067-2079 Titre : Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children Type de document : Texte imprimé et/ou numérique Auteurs : Stacey E. ALEXEEFF, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Meghan N. DAVIGNON, Auteur ; Frances LYNCH, Auteur ; Phillip M. CRAWFORD, Auteur ; Robert DAVIS, Auteur ; Lisa A. CROEN, Auteur Article en page(s) : p.2067-2079 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Comorbidity  Medical conditions Index. décimale : PER Périodiques Résumé : This study examines medical conditions diagnosed prior to the diagnosis of autism spectrum disorder (ASD). Using a matched case control design with 3911 ASD cases and 38,609 controls, we found that 38 out of 79 medical conditions were associated with increased ASD risk. Developmental delay, mental health, and neurology conditions had the strongest associations (ORs 2.0–23.3). Moderately strong associations were observed for nutrition, genetic, ear nose and throat, and sleep conditions (ORs 2.1–3.2). Using machine learning methods, we clustered children based on their medical conditions prior to ASD diagnosis and demonstrated ASD risk stratification. Our findings provide new evidence indicating that children with ASD have a disproportionate burden of certain medical conditions preceding ASD diagnosis. En ligne : https://doi.org/10.1007/s10803-017-3130-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=313 [article] Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children [Texte imprimé et/ou numérique] / Stacey E. ALEXEEFF, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Meghan N. DAVIGNON, Auteur ; Frances LYNCH, Auteur ; Phillip M. CRAWFORD, Auteur ; Robert DAVIS, Auteur ; Lisa A. CROEN, Auteur . - p.2067-2079. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-7 (July 2017) . - p.2067-2079 Mots-clés : Autism spectrum disorder  Comorbidity  Medical conditions Index. décimale : PER Périodiques Résumé : This study examines medical conditions diagnosed prior to the diagnosis of autism spectrum disorder (ASD). Using a matched case control design with 3911 ASD cases and 38,609 controls, we found that 38 out of 79 medical conditions were associated with increased ASD risk. Developmental delay, mental health, and neurology conditions had the strongest associations (ORs 2.0–23.3). Moderately strong associations were observed for nutrition, genetic, ear nose and throat, and sleep conditions (ORs 2.1–3.2). Using machine learning methods, we clustered children based on their medical conditions prior to ASD diagnosis and demonstrated ASD risk stratification. Our findings provide new evidence indicating that children with ASD have a disproportionate burden of certain medical conditions preceding ASD diagnosis. En ligne : https://doi.org/10.1007/s10803-017-3130-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=313

Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial / Abisola E. IDU ; R. Yates COLEY ; Kara L. CUSHING-HAUGEN ; Deborah KING ; Ashley GLASS ; Rebecca C. PHILLIPS ; Anne D. RENZ ; Chester J. PABINIAK ; Vina F. GRAHAM ; Ella E. THOMPSON ; James D. RALSTON ; Gregory E. SIMON ; Erin S. GONZALEZ ; Kathleen M. MYERS ; Arne BECK ; LeeAnn M. QUINTANA ; Arthur J. RUNKLE ; Megan ROGERS ; Deirdre M. FOSTER ; Gregory N. CLARKE ; Stefan MASSIMINO ; Phillip M. CRAWFORD ; Julie A. CAVESE ; Anthony R. CORDARO ; Laura I. CHAVEZ ; Kelly J. KELLEHER ; Nadine SCHWARTZ ; Kristina R. JINER ; Swan Bee LIU ; Sara CONDRAC ; Robert J. HILT in Journal of Child Psychology and Psychiatry, 66-3 (March 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-3 (March 2025) . - p.301-310 Titre : Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial Type de document : Texte imprimé et/ou numérique Auteurs : Abisola E. IDU, Auteur ; R. Yates COLEY, Auteur ; Kara L. CUSHING-HAUGEN, Auteur ; Deborah KING, Auteur ; Ashley GLASS, Auteur ; Rebecca C. PHILLIPS, Auteur ; Anne D. RENZ, Auteur ; Chester J. PABINIAK, Auteur ; Vina F. GRAHAM, Auteur ; Ella E. THOMPSON, Auteur ; James D. RALSTON, Auteur ; Gregory E. SIMON, Auteur ; Erin S. GONZALEZ, Auteur ; Kathleen M. MYERS, Auteur ; Arne BECK, Auteur ; LeeAnn M. QUINTANA, Auteur ; Arthur J. RUNKLE, Auteur ; Megan ROGERS, Auteur ; Deirdre M. FOSTER, Auteur ; Gregory N. CLARKE, Auteur ; Stefan MASSIMINO, Auteur ; Phillip M. CRAWFORD, Auteur ; Julie A. CAVESE, Auteur ; Anthony R. CORDARO, Auteur ; Laura I. CHAVEZ, Auteur ; Kelly J. KELLEHER, Auteur ; Nadine SCHWARTZ, Auteur ; Kristina R. JINER, Auteur ; Swan Bee LIU, Auteur ; Sara CONDRAC, Auteur ; Robert J. HILT, Auteur Article en page(s) : p.301-310 Langues : Anglais (eng) Mots-clés : Antipsychotic  guidelines  consulting  accessibility Index. décimale : PER Périodiques Résumé : Background Antipsychotic medications (AP) are inappropriately prescribed to young people. The goal of this pragmatic trial was to test a four-component approach to improved targeting of antipsychotic prescribing to people aged ?3 and <18?years. Methods Clinicians in four health systems were cluster randomized by the number of previous AP orders and service line ? specialty mental health and all others. Intervention arm clinicians received a best practice alert and child psychiatrist consultation and feedback. Families received system navigation and expedited access to psychotherapy. Primary outcomes were total days' supply of AP medication and proportion of youth with any AP supply at 6?months. We estimated the log-odds of AP use at 6?months and the relative rate of AP over 6?months. The Safer and Targeted Use of Antipsychotics in Youth (SUAY) trial took place between 3/2018 and 12/2020. Results The trial enrolled 733 patients. The odds ratio (OR) comparing use at 6?months was 0.75 (95% CI: 0.52, 1.09). The mean number of days using AP was 118.5 for intervention patients and 128.2 for control patients (relative risk [RR]?=?0.92; 95% CI: 0.81?1.04). Exploratory heterogeneity of treatment effects (HTE) was not detected in groups defined by age, gender, provider specialty, and insurance type. HTE by race/ethnicity was present: among youth of color, mean days' supply was 103.2 for intervention arm and 131.2 for the control arm (RR 0.79, 95% CI: 0.67?0.93). Among secondary outcomes, only new psychotherapy referrals differed with 44.3% (n?=?154) of intervention participants having a new order for psychotherapy compared to 33.5% (n?=?129) in the control arm (OR 1.47: 95% CI: 1.01?2.14). Conclusions This intervention did not result in less AP use at 6?months or a reduction in the days' supply of AP medication, although psychotherapy orders increased. The intervention may be effective for some subgroups. En ligne : https://doi.org/10.1111/jcpp.14059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548 [article] Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial [Texte imprimé et/ou numérique] / Abisola E. IDU, Auteur ; R. Yates COLEY, Auteur ; Kara L. CUSHING-HAUGEN, Auteur ; Deborah KING, Auteur ; Ashley GLASS, Auteur ; Rebecca C. PHILLIPS, Auteur ; Anne D. RENZ, Auteur ; Chester J. PABINIAK, Auteur ; Vina F. GRAHAM, Auteur ; Ella E. THOMPSON, Auteur ; James D. RALSTON, Auteur ; Gregory E. SIMON, Auteur ; Erin S. GONZALEZ, Auteur ; Kathleen M. MYERS, Auteur ; Arne BECK, Auteur ; LeeAnn M. QUINTANA, Auteur ; Arthur J. RUNKLE, Auteur ; Megan ROGERS, Auteur ; Deirdre M. FOSTER, Auteur ; Gregory N. CLARKE, Auteur ; Stefan MASSIMINO, Auteur ; Phillip M. CRAWFORD, Auteur ; Julie A. CAVESE, Auteur ; Anthony R. CORDARO, Auteur ; Laura I. CHAVEZ, Auteur ; Kelly J. KELLEHER, Auteur ; Nadine SCHWARTZ, Auteur ; Kristina R. JINER, Auteur ; Swan Bee LIU, Auteur ; Sara CONDRAC, Auteur ; Robert J. HILT, Auteur . - p.301-310. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-3 (March 2025) . - p.301-310 Mots-clés : Antipsychotic  guidelines  consulting  accessibility Index. décimale : PER Périodiques Résumé : Background Antipsychotic medications (AP) are inappropriately prescribed to young people. The goal of this pragmatic trial was to test a four-component approach to improved targeting of antipsychotic prescribing to people aged ?3 and <18?years. Methods Clinicians in four health systems were cluster randomized by the number of previous AP orders and service line ? specialty mental health and all others. Intervention arm clinicians received a best practice alert and child psychiatrist consultation and feedback. Families received system navigation and expedited access to psychotherapy. Primary outcomes were total days' supply of AP medication and proportion of youth with any AP supply at 6?months. We estimated the log-odds of AP use at 6?months and the relative rate of AP over 6?months. The Safer and Targeted Use of Antipsychotics in Youth (SUAY) trial took place between 3/2018 and 12/2020. Results The trial enrolled 733 patients. The odds ratio (OR) comparing use at 6?months was 0.75 (95% CI: 0.52, 1.09). The mean number of days using AP was 118.5 for intervention patients and 128.2 for control patients (relative risk [RR]?=?0.92; 95% CI: 0.81?1.04). Exploratory heterogeneity of treatment effects (HTE) was not detected in groups defined by age, gender, provider specialty, and insurance type. HTE by race/ethnicity was present: among youth of color, mean days' supply was 103.2 for intervention arm and 131.2 for the control arm (RR 0.79, 95% CI: 0.67?0.93). Among secondary outcomes, only new psychotherapy referrals differed with 44.3% (n?=?154) of intervention participants having a new order for psychotherapy compared to 33.5% (n?=?129) in the control arm (OR 1.47: 95% CI: 1.01?2.14). Conclusions This intervention did not result in less AP use at 6?months or a reduction in the days' supply of AP medication, although psychotherapy orders increased. The intervention may be effective for some subgroups. En ligne : https://doi.org/10.1111/jcpp.14059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548

Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records / Karen J. COLEMAN in Journal of Autism and Developmental Disorders, 45-7 (July 2015)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.1989-1996 Titre : Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records Type de document : Texte imprimé et/ou numérique Auteurs : Karen J. COLEMAN, Auteur ; Marta A. LUTSKY, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Magdalena E. POMICHOWSKI, Auteur ; Phillip M. CRAWFORD, Auteur ; Frances L. LYNCH, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli OWEN-SMITH, Auteur ; John A. PEARSON, Auteur ; Kathryn A. PEARSON, Auteur ; Donna RUSINAK, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur Année de publication : 2015 Article en page(s) : p.1989-1996 Langues : Anglais (eng) Mots-clés : Population-based  Racial/ethnic minorities  Chart review  Children  Adolescents Index. décimale : PER Périodiques Résumé : To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth <18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were >2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03–4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05–2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research. En ligne : http://dx.doi.org/10.1007/s10803-015-2358-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261 [article] Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records [Texte imprimé et/ou numérique] / Karen J. COLEMAN, Auteur ; Marta A. LUTSKY, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Magdalena E. POMICHOWSKI, Auteur ; Phillip M. CRAWFORD, Auteur ; Frances L. LYNCH, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli OWEN-SMITH, Auteur ; John A. PEARSON, Auteur ; Kathryn A. PEARSON, Auteur ; Donna RUSINAK, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur . - 2015 . - p.1989-1996. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.1989-1996 Mots-clés : Population-based  Racial/ethnic minorities  Chart review  Children  Adolescents Index. décimale : PER Périodiques Résumé : To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth <18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were >2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03–4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05–2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research. En ligne : http://dx.doi.org/10.1007/s10803-015-2358-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261

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