Evaluation of a records-review surveillance system used to determine the prevalence of autism spectrum disorders.
Abstract
We conducted the first study that estimates the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of a population-based autism spectrum disorders (ASD) surveillance system developed at the Centers for Disease Control and Prevention. The system employs a records-review methodology that yields ASD classification (case versus non-ASD case) and was compared with classification based on clinical examination. The study enrolled 177 children. Estimated specificity (0.96, [CI(.95) = 0.94, 0.99]), PPV (0.79 [CI(.95) = 0.66, 0.93]), and NPV (0.91 [CI(.95) = 0.87, 0.96]) were high. Sensitivity was lower (0.60 [CI(.95) = 0.45, 0.75]). Given diagnostic heterogeneity, and the broad array of ASD in the population, identifying children with ASD is challenging. Records-based surveillance yields a population-based estimate of ASD that is likely conservative.
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The ADDM Network methodology was validated compared with direct examination of children, and the methods were found to result in a prevalence estimate that is likely conservative.
“This methodology was validated, compared with direct examination of children, and the methods were found to result in a prevalence estimate that is likely conservative (41).”
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- Authors
- Nonkin Avchen, R., Wiggins, L. D., Devine, O., Van Naarden Braun, K., Rice, C., Hobson, N. C., Schendel, D., & Yeargin-Allsopp, M.
- Affiliations
- Centers for Disease Control and Prevention (US)
- RTI International (US)
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2010-06-22
- Volume
- 41
- Issue
- 2
- Pages
- 227-236
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2024515277
- Cited by
- 49
- References
- 35
- Citations by year
- 2022: 3 · 2021: 3 · 2019: 2 · 2018: 4 · 2016: 6 · 2015: 7 · 2014: 5 · 2013: 5 · 2012: 9
- FWCI
- 3.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- autism spectrum disorder, prevalence estimation, diagnostic accuracy, sensitivity and specificity, positive predictive value, negative predictive value, clinical examination comparison, population-based surveillance, children
- MeSH terms
- Child, Child Development Disorders, Pervasive, Female, Humans, Male, Medical Records, Population Surveillance, Sensitivity and Specificity, United States, Prevalence, Confidence Intervals, Chi-Square Distribution
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