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Concordance of Diagnosis of Autism Spectrum Disorder Made by Pediatricians vs a Multidisciplinary Specialist Team

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Key Points Question How accurate are general pediatricians at assessing children for autism spectrum disorder (ASD) compared with a multidisciplinary team? Findings This diagnostic study enrolled 17 general pediatricians and… Click to show full abstract

Key Points Question How accurate are general pediatricians at assessing children for autism spectrum disorder (ASD) compared with a multidisciplinary team? Findings This diagnostic study enrolled 17 general pediatricians and 106 children with possible ASD who were referred to them. When the pediatrician thought ASD was present, the team agreed 89% of the time; when the pediatrician did not think ASD was present, the team agreed only 60% of the time. Meaning The concordance between pediatrician diagnosis of ASD and that of an expert team was high, but when ruling out ASD, the concordance was lower; additionally, children with co-occurring delays are potential candidates for community assessment.

Keywords: concordance; team; autism spectrum; spectrum disorder; asd

Journal Title: JAMA Network Open
Year Published: 2023

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