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Heterogeneity in Autism Spectrum Disorder Case-Finding Algorithms in United States Health Administrative Database Analyses / Scott D. GROSSE in Journal of Autism and Developmental Disorders, 52-9 (September 2022)
[article]
Titre : Heterogeneity in Autism Spectrum Disorder Case-Finding Algorithms in United States Health Administrative Database Analyses Type de document : Texte imprimé et/ou numérique Auteurs : Scott D. GROSSE, Auteur ; Phyllis NICHOLS, Auteur ; Kwame NYARKO, Auteur ; Matthew MAENNER, Auteur ; Melissa L. DANIELSON, Auteur ; Lindsay SHEA, Auteur Article en page(s) : p.4150-4163 Langues : Anglais (eng) Mots-clés : Algorithms Autism Spectrum Disorder/diagnosis/epidemiology Databases, Factual Humans Insurance Coverage United States/epidemiology Autism spectrum disorder Case-finding algorithms Claims data Health services research article to disclose. Index. décimale : PER Périodiques Résumé : Strengthening systems of care to meet the needs of individuals with autism spectrum disorder (ASD) is of growing importance. Administrative data provide advantages for research and planning purposes, including large sample sizes and the ability to identify enrollment in insurance coverage and service utilization of individuals with ASD. Researchers have employed varying strategies to identify individuals with ASD in administrative data. Differences in these strategies can limit the comparability of results across studies. This review describes implications of the varying strategies that have been employed to identify individuals with ASD in US claims databases, with consideration of the strengths and limitations of each approach. En ligne : http://dx.doi.org/10.1007/s10803-021-05269-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486
in Journal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.4150-4163[article] Heterogeneity in Autism Spectrum Disorder Case-Finding Algorithms in United States Health Administrative Database Analyses [Texte imprimé et/ou numérique] / Scott D. GROSSE, Auteur ; Phyllis NICHOLS, Auteur ; Kwame NYARKO, Auteur ; Matthew MAENNER, Auteur ; Melissa L. DANIELSON, Auteur ; Lindsay SHEA, Auteur . - p.4150-4163.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.4150-4163
Mots-clés : Algorithms Autism Spectrum Disorder/diagnosis/epidemiology Databases, Factual Humans Insurance Coverage United States/epidemiology Autism spectrum disorder Case-finding algorithms Claims data Health services research article to disclose. Index. décimale : PER Périodiques Résumé : Strengthening systems of care to meet the needs of individuals with autism spectrum disorder (ASD) is of growing importance. Administrative data provide advantages for research and planning purposes, including large sample sizes and the ability to identify enrollment in insurance coverage and service utilization of individuals with ASD. Researchers have employed varying strategies to identify individuals with ASD in administrative data. Differences in these strategies can limit the comparability of results across studies. This review describes implications of the varying strategies that have been employed to identify individuals with ASD in US claims databases, with consideration of the strengths and limitations of each approach. En ligne : http://dx.doi.org/10.1007/s10803-021-05269-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486 Practice Patterns for Early Screening and Evaluation for Autism Spectrum Disorder Diagnosis in Bulgaria / Georgi ISKROV in Journal of Autism and Developmental Disorders, 51-3 (March 2021)
[article]
Titre : Practice Patterns for Early Screening and Evaluation for Autism Spectrum Disorder Diagnosis in Bulgaria Type de document : Texte imprimé et/ou numérique Auteurs : Georgi ISKROV, Auteur ; Georgi VASILEV, Auteur ; Martin MITEV, Auteur ; Ralitsa NIKOLOVA, Auteur ; Mariya STOYKOVA, Auteur ; Rumen STEFANOV, Auteur Article en page(s) : p.778-789 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Delay Diagnosis Early detection Health policy Health services research Index. décimale : PER Périodiques Résumé : The aims of this study were to describe the practice patterns for early screening and evaluation for ASD diagnosis in Bulgaria, as well as to identify potential barriers and facilitators in this process. We surveyed a sample of pediatricians and pediatric psychiatrists to analyze the use of standardized instruments, application of biomarkers, parental collaboration and future policy prospects. We found a significant support for the idea of a national program for ASD in Bulgaria. These insights provide an evidence-based analysis that could help improve services, guide research and inform policies in regard to ASD. Further work is necessary to better understand other stakeholders' opinions and perspectives, especially those of patients and their families. En ligne : http://dx.doi.org/10.1007/s10803-019-04170-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443
in Journal of Autism and Developmental Disorders > 51-3 (March 2021) . - p.778-789[article] Practice Patterns for Early Screening and Evaluation for Autism Spectrum Disorder Diagnosis in Bulgaria [Texte imprimé et/ou numérique] / Georgi ISKROV, Auteur ; Georgi VASILEV, Auteur ; Martin MITEV, Auteur ; Ralitsa NIKOLOVA, Auteur ; Mariya STOYKOVA, Auteur ; Rumen STEFANOV, Auteur . - p.778-789.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-3 (March 2021) . - p.778-789
Mots-clés : Autism spectrum disorder Delay Diagnosis Early detection Health policy Health services research Index. décimale : PER Périodiques Résumé : The aims of this study were to describe the practice patterns for early screening and evaluation for ASD diagnosis in Bulgaria, as well as to identify potential barriers and facilitators in this process. We surveyed a sample of pediatricians and pediatric psychiatrists to analyze the use of standardized instruments, application of biomarkers, parental collaboration and future policy prospects. We found a significant support for the idea of a national program for ASD in Bulgaria. These insights provide an evidence-based analysis that could help improve services, guide research and inform policies in regard to ASD. Further work is necessary to better understand other stakeholders' opinions and perspectives, especially those of patients and their families. En ligne : http://dx.doi.org/10.1007/s10803-019-04170-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443 Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015 / S. H. ZUVEKAS in Journal of Autism and Developmental Disorders, 51-8 (August 2021)
[article]
Titre : Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015 Type de document : Texte imprimé et/ou numérique Auteurs : S. H. ZUVEKAS, Auteur ; S. D. GROSSE, Auteur ; T. A. LAVELLE, Auteur ; M. J. MAENNER, Auteur ; P. DIETZ, Auteur ; X. JI, Auteur Article en page(s) : p.2950-2958 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder/diagnosis/economics/therapy Child Child, Preschool Female Health Care Costs Health Expenditures Humans Male United States Autism spectrum disorder Cost analysis Health economics Health services research article to disclose. Index. décimale : PER Périodiques Résumé : Published healthcare cost estimates for children with autism spectrum disorder (ASD) vary widely. One possible contributor is different methods of case ascertainment. In this study, ASD case status was determined using two sources of parent reports among 45,944 children ages 3-17 years in the Medical Expenditure Panel Survey (MEPS) linked to the National Health Interview Survey (NHIS) Sample Child Core questionnaire. In a two-part regression model, the incremental annual per-child cost of ASD relative to no ASD diagnosis was $3930 (2018 US dollars) using ASD case status from the NHIS Child Core and $5621 using current-year ASD case status from MEPS. Both estimates are lower than some published estimates but still represent substantial costs to the US healthcare system. En ligne : http://dx.doi.org/10.1007/s10803-020-04704-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2950-2958[article] Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015 [Texte imprimé et/ou numérique] / S. H. ZUVEKAS, Auteur ; S. D. GROSSE, Auteur ; T. A. LAVELLE, Auteur ; M. J. MAENNER, Auteur ; P. DIETZ, Auteur ; X. JI, Auteur . - p.2950-2958.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2950-2958
Mots-clés : Adolescent Autism Spectrum Disorder/diagnosis/economics/therapy Child Child, Preschool Female Health Care Costs Health Expenditures Humans Male United States Autism spectrum disorder Cost analysis Health economics Health services research article to disclose. Index. décimale : PER Périodiques Résumé : Published healthcare cost estimates for children with autism spectrum disorder (ASD) vary widely. One possible contributor is different methods of case ascertainment. In this study, ASD case status was determined using two sources of parent reports among 45,944 children ages 3-17 years in the Medical Expenditure Panel Survey (MEPS) linked to the National Health Interview Survey (NHIS) Sample Child Core questionnaire. In a two-part regression model, the incremental annual per-child cost of ASD relative to no ASD diagnosis was $3930 (2018 US dollars) using ASD case status from the NHIS Child Core and $5621 using current-year ASD case status from MEPS. Both estimates are lower than some published estimates but still represent substantial costs to the US healthcare system. En ligne : http://dx.doi.org/10.1007/s10803-020-04704-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453 Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada / M. PENNER in Molecular Autism, 9 (2018)
[article]
Titre : Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada Type de document : Texte imprimé et/ou numérique Auteurs : M. PENNER, Auteur ; Evdokia ANAGNOSTOU, Auteur ; W. J. UNGAR, Auteur Article en page(s) : 16p. Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Diagnosis Early detection Health services research Pediatrics Index. décimale : PER Périodiques Résumé : Background: Inefficient diagnostic practices for autism spectrum disorder (ASD) may contribute to longer wait times, delaying access to intervention. The objectives were to describe the diagnostic practices of Canadian pediatricians and to identify determinants of longer wait time for ASD diagnosis. Methods: An online survey was conducted through the Canadian Paediatric Society's developmental pediatrics, community pediatrics, and mental health sections. Participants were asked for demographic information, whether they diagnosed ASD, and elements of their diagnostic assessment. A multiple linear regression of total wait time (time from referral to communication of the diagnosis to the family) as a function of practice characteristics was conducted. Results: A total of 90 participants completed the survey, of whom 57 diagnosed ASD in their practices (63.3%). Respondents reported varied use of multi-disciplinary teams, with 53% reporting participation in a team. No two identically composed teams were reported. Respondents also had varied use of diagnostic tools, with 21% reporting no use of tools. The median reported total wait for ASD diagnosis time was 7 months (interquartile range 4-12 months). Longer time spent on assessment was the only variable that remained significantly associated with longer wait time in multiple regression (p = 0.002). Use of diagnostic tools did not significantly affect wait time. Conclusion: Canadian ASD diagnostic practices vary widely and wait times for these assessments are substantial-7 months from referral to receipt of diagnosis. Time spent on the assessment is a significant determinant of wait time, highlighting the need for efficient assessment practices. En ligne : http://dx.doi.org/10.1186/s13229-018-0201-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=354
in Molecular Autism > 9 (2018) . - 16p.[article] Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada [Texte imprimé et/ou numérique] / M. PENNER, Auteur ; Evdokia ANAGNOSTOU, Auteur ; W. J. UNGAR, Auteur . - 16p.
Langues : Anglais (eng)
in Molecular Autism > 9 (2018) . - 16p.
Mots-clés : Autism spectrum disorder Diagnosis Early detection Health services research Pediatrics Index. décimale : PER Périodiques Résumé : Background: Inefficient diagnostic practices for autism spectrum disorder (ASD) may contribute to longer wait times, delaying access to intervention. The objectives were to describe the diagnostic practices of Canadian pediatricians and to identify determinants of longer wait time for ASD diagnosis. Methods: An online survey was conducted through the Canadian Paediatric Society's developmental pediatrics, community pediatrics, and mental health sections. Participants were asked for demographic information, whether they diagnosed ASD, and elements of their diagnostic assessment. A multiple linear regression of total wait time (time from referral to communication of the diagnosis to the family) as a function of practice characteristics was conducted. Results: A total of 90 participants completed the survey, of whom 57 diagnosed ASD in their practices (63.3%). Respondents reported varied use of multi-disciplinary teams, with 53% reporting participation in a team. No two identically composed teams were reported. Respondents also had varied use of diagnostic tools, with 21% reporting no use of tools. The median reported total wait for ASD diagnosis time was 7 months (interquartile range 4-12 months). Longer time spent on assessment was the only variable that remained significantly associated with longer wait time in multiple regression (p = 0.002). Use of diagnostic tools did not significantly affect wait time. Conclusion: Canadian ASD diagnostic practices vary widely and wait times for these assessments are substantial-7 months from referral to receipt of diagnosis. Time spent on the assessment is a significant determinant of wait time, highlighting the need for efficient assessment practices. En ligne : http://dx.doi.org/10.1186/s13229-018-0201-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=354 Cost-Effectiveness of Universal or High-Risk Screening Compared to Surveillance Monitoring in Autism Spectrum Disorder / T. YUEN in Journal of Autism and Developmental Disorders, 48-9 (September 2018)
[article]
Titre : Cost-Effectiveness of Universal or High-Risk Screening Compared to Surveillance Monitoring in Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : T. YUEN, Auteur ; M. T. CARTER, Auteur ; P. SZATMARI, Auteur ; W. J. UNGAR, Auteur Article en page(s) : p.2968-2979 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Cost-effectiveness analysis Health services research Screening Index. décimale : PER Périodiques Résumé : The American Academy of Pediatrics recommends universal screening for autism spectrum disorder at 18 and 24 months. This study compared the cost-effectiveness of universal or high-risk screening to surveillance monitoring. Simulation models estimated the costs and outcomes from birth to age 6 years. The incremental cost per child diagnosed by 36 months was $41,651.6 for high-risk screening and $757,116.9 for universal screening from the societal perspective. Universal screening may not be a cost-effective approach to increase earlier treatment initiation, as most children initiated treatment after age 60 months. Eliminating wait times resulted in more children initiated treatment by 48 months, but at a high initial cost that may be offset by future cost-savings related to better outcomes. En ligne : http://dx.doi.org/10.1007/s10803-018-3571-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367
in Journal of Autism and Developmental Disorders > 48-9 (September 2018) . - p.2968-2979[article] Cost-Effectiveness of Universal or High-Risk Screening Compared to Surveillance Monitoring in Autism Spectrum Disorder [Texte imprimé et/ou numérique] / T. YUEN, Auteur ; M. T. CARTER, Auteur ; P. SZATMARI, Auteur ; W. J. UNGAR, Auteur . - p.2968-2979.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-9 (September 2018) . - p.2968-2979
Mots-clés : Autism spectrum disorder Cost-effectiveness analysis Health services research Screening Index. décimale : PER Périodiques Résumé : The American Academy of Pediatrics recommends universal screening for autism spectrum disorder at 18 and 24 months. This study compared the cost-effectiveness of universal or high-risk screening to surveillance monitoring. Simulation models estimated the costs and outcomes from birth to age 6 years. The incremental cost per child diagnosed by 36 months was $41,651.6 for high-risk screening and $757,116.9 for universal screening from the societal perspective. Universal screening may not be a cost-effective approach to increase earlier treatment initiation, as most children initiated treatment after age 60 months. Eliminating wait times resulted in more children initiated treatment by 48 months, but at a high initial cost that may be offset by future cost-savings related to better outcomes. En ligne : http://dx.doi.org/10.1007/s10803-018-3571-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367 Parental Perceptions of a Comprehensive Diagnostic Evaluation for Toddlers at Risk for Autism Spectrum Disorder / D. T. JASHAR in Journal of Autism and Developmental Disorders, 49-5 (May 2019)
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