Pediatricians' Reported Practices Regarding Developmental Screening: Do Guidelines Work? Do They Help?

Sand, Nina; Silverstein, Michael; Glascoe, Frances Page; Gupta, V. B.; Tonniges, Thomas F.; O’Connor, Karen G.

doi:10.1542/peds.2004-1809

Cited by 275 publications

(234 citation statements)

References 25 publications

(17 reference statements)

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“…Within the context of this document, clear distinctions have been drawn among (1) surveillance, the process of recognizing children who may be at risk of developmental delays, (2) screening, the use of standardized tools to identify and refine that recognized risk, and (3) evaluation, a complex process aimed at identifying specific developmental disorders that are affecting a child. These definitions build on existing definitions.…”

Section: Note Regarding Languagementioning

confidence: 99%

“…[2][3][4] A recent survey of American Academy of Pediatrics (AAP) members revealed that despite publication of the 2001 policy statement "Developmental Surveillance and Screening of Infants and Young Children" 5 and national efforts to improve developmental screening in the primary care setting, few pediatricians use effective means to screen their patients for developmental problems. 2 This 2006 statement replaces the 2001 policy statement and provides an algorithm as a strategy to support health care professionals in developing a pattern and practice of attention to development that can and should continue well beyond 3 years of age.…”

Section: Introductionmentioning

confidence: 99%

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Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening

Duby¹,

Lipkin²,

et al. 2006

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Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home and an appropriate responsibility of all pediatric health care professionals. This statement provides an algorithm as a strategy to support health care professionals in developing a pattern and practice for addressing developmental concerns in children from birth through 3 years of age. The authors recommend that developmental surveillance be incorporated at every well-child preventive care visit. Any concerns raised during surveillance should be promptly addressed with standardized developmental screening tests. In addition, screening tests should be administered regularly at the 9-, 18-, and 30-month visits. (Because the 30-month visit is not yet a part of the preventive care system and is often not reimbursable by third-party payers at this time, developmental screening can be performed at 24 months of age. In addition, because the frequency of regular pediatric visits decreases after 24 months of age, a pediatrician who expects that his or her patients will have difficulty attending a 30-month visit should conduct screening during the 24-month visit.) The early identification of developmental problems should lead to further developmental and medical evaluation, diagnosis, and treatment, including early developmental intervention. Children diagnosed with developmental disorders should be identified as children with special health care needs, and chronic-condition management should be initiated. Identification of a developmental disorder and its underlying etiology may also drive a range of treatment planning, from medical treatment of the child to family planning for his or her parents. INTRODUCTIONEarly identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home 1 and an appropriate responsibility of all pediatric health care professionals. Delayed or disordered development can be caused by specific medical conditions www.pediatrics.org/cgi

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Section: Note Regarding Languagementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening

Duby¹,

Lipkin²,

et al. 2006

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“…Physician estimates of the developmental status of children are much less accurate when only clinical impressions, rather than formal screening tools, are used, 256,257 yet a minority of PCPs use formal developmental screening instruments, 258,259 and few pediatricians specifically screen for ASDs. 5 A standardized screening tool should be administered at any point when concerns about ASDs are raised spontaneously by a parent or as a result of clinician observations or surveillance questions about social, communicative, and play behaviors (Steps 5a and 5b).…”

Section: Screening For Asds (Steps 5a-5c)mentioning

confidence: 99%

Identification and Evaluation of Children With Autism Spectrum Disorders

Johnson

Myers²

2007

Pediatrics

1,619

1,021

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Autism spectrum disorders are not rare; many primary care pediatricians care for several children with autism spectrum disorders. Pediatricians play an important role in early recognition of autism spectrum disorders, because they usually are the first point of contact for parents. Parents are now much more aware of the early signs of autism spectrum disorders because of frequent coverage in the media; if their child demonstrates any of the published signs, they will most likely raise their concerns to their child's pediatrician. It is important that pediatricians be able to recognize the signs and symptoms of autism spectrum disorders and have a strategy for assessing them systematically. Pediatricians also must be aware of local resources that can assist in making a definitive diagnosis of, and in managing, autism spectrum disorders. The pediatrician must be familiar with developmental, educational, and community resources as well as medical subspecialty clinics. This clinical report is 1 of 2 documents that replace the original American Academy of Pediatrics policy statement and technical report published in 2001. This report addresses background information, including definition, history, epidemiology, diagnostic criteria, early signs, neuropathologic aspects, and etiologic possibilities in autism spectrum disorders. In addition, this report provides an algorithm to help the pediatrician develop a strategy for early identification of children with autism spectrum disorders. The accompanying clinical report addresses the management of children with autism spectrum disorders and follows this report on page 1162 [available at www.pediatrics.org/cgi/content/full/120/5/1162]. Both clinical reports are complemented by the toolkit titled “Autism: Caring for Children With Autism Spectrum Disorders: A Resource Toolkit for Clinicians,” which contains screening and surveillance tools, practical forms, tables, and parent handouts to assist the pediatrician in the identification, evaluation, and management of autism spectrum disorders in children.

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“…Estes prejuízos futuros podem ser minimizados com a intervenção precoce. Realizar a triagem para detecção de anormalidades e riscos para o desenvolvimento facilita a intervenção terapêutica, especialmente em períodos do crescimento da criança em que suas adaptações neuropsicomotoras não estejam totalmente desenvolvidas 15,16 . Diversos elementos relacionados às características da prematuridade e suas comorbidades são utilizados como indicadores de risco para o desenvolvimento.…”

Section: Introductionunclassified

Early diagnosis of abnormal development of preterm newborns: assessment instruments

Santos¹,

Araujo²,

Porto³

2008

J Pediatr (Rio J)

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ResumoObjetivo: Revisar criticamente os instrumentos de avaliação mais utilizados na atualidade na literatura para triagem e identificação precoce de anormalidades no desenvolvimento em crianças. Fontes dos dados:Foi realizado um levantamento bibliográfico nas bases de dados no SciELO, plataforma CAPES, PubMed e Google Scholar, com os unitermos "prematuridade", "atraso no desenvolvimento", "paralisia cerebral", "diagnóstico precoce" e "testes de avaliação". Síntese dos dados:Foram listados 455 títulos, sendo selecionados para esta revisão 174 artigos com base em título, relevância temática e resumo. Apenas artigos originais, disponíveis em meio eletrônico, a partir de 1985, com informação sobre a construção, aplicabilidade e propriedades psicométricas dos testes foram usados. Sources: A search on SciELO, PubMed and Google Scholar was performed using the terms "prematurity," "developmental delay," "cerebral palsy," "early diagnosis" and "evaluation tests." Conclusões Summary of the findings:A total of 455 references were listed, and 174 studies were selected for this review based on title,

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Pediatricians' Reported Practices Regarding Developmental Screening: Do Guidelines Work? Do They Help?

Cited by 275 publications

References 25 publications

Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening

Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening

Identification and Evaluation of Children With Autism Spectrum Disorders

Early diagnosis of abnormal development of preterm newborns: assessment instruments

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