Title |
Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records
|
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Published in |
Journal of Autism and Developmental Disorders, February 2015
|
DOI | 10.1007/s10803-015-2358-0 |
Pubmed ID | |
Authors |
Karen J. Coleman, Marta A. Lutsky, Vincent Yau, Yinge Qian, Magdalena E. Pomichowski, Phillip M. Crawford, Frances L. Lynch, Jeanne M. Madden, Ashli Owen-Smith, John A. Pearson, Kathryn A. Pearson, Donna Rusinak, Virginia P. Quinn, Lisa A. Croen |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 33% |
Switzerland | 1 | 33% |
Canada | 1 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 67% |
Scientists | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Mexico | 1 | 2% |
Unknown | 48 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 11 | 22% |
Student > Master | 7 | 14% |
Student > Ph. D. Student | 4 | 8% |
Student > Doctoral Student | 4 | 8% |
Student > Bachelor | 4 | 8% |
Other | 11 | 22% |
Unknown | 8 | 16% |
Readers by discipline | Count | As % |
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Psychology | 9 | 18% |
Nursing and Health Professions | 9 | 18% |
Medicine and Dentistry | 8 | 16% |
Social Sciences | 6 | 12% |
Arts and Humanities | 3 | 6% |
Other | 4 | 8% |
Unknown | 10 | 20% |