Cited by 182Child and Adolescent HealthInfant Development and Preterm CareDevelopmental and Educational Neuropsychology

Evidence-based milestone ages as a framework for developmental surveillance

Open access
Dosman, Cara F, Andrews, Debbi, Goulden, Keith J·2012·Paediatrics & Child Health

Abstract

Developmental surveillance is the process of monitoring child development over time to promote healthy development and to identify possible problems. Standardized developmental screeners have greater sensitivity than milestone-based history taking. Unfortunately, Canadian screening guidelines, to date, are sparse, logistical barriers to implementation have slowed uptake of screening tests and physicians continue to rely on milestones. When using clinical impression as a framework for surveillance, clinicians may not know when to consider a milestone delayed because developmental attainments exist within an age range and there is an absence of referenced percentiles on available published tables, which are particularly problematic for the cognitive and social-emotional sectors, which are less familiar to physicians. A novel, five-sector milestone framework with upper limits, referenced to the best available level of evidence, is presented. This framework may be used in teaching and may help physicians to better recognize failed milestones to facilitate early identification of children at risk for developmental disorders.

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Crossref · 10.1093/pch/17.10.561

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18 of 18 references verified0 citation errors · 0 not checkable

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  • Milestones within checklists would represent milestones above the 50th percentile to ensure that most children would achieve the milestone by a given age.

    “Second, milestones within checklists would represent milestones above the 50th percentile3,4,7,8 to ensure that most children would achieve the milestone by a given age.”
  • The domain tables generated from this work linking developmental milestones to empirically informed evidence and published clinical opinion could improve training of professionals and methods for surveillance.

    “The domain tables generated from this work linking developmental milestones to empirically informed evidence and published clinical opinion could improve training of professionals and methods for surveillance,4,7,8 such as incorporation of the CDC’s open access milestones/checklists into electronic health records.”

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Authors
Dosman, C. F., Andrews, D., & Goulden, K. J.
Affiliations
University of Alberta (CA)
Venue
Paediatrics & Child Health
Published
2012-12
Volume
17
Issue
10
Pages
561-568
ISSN
  • 1205-7088 (ISSN-L)
  • 1918-1485
OpenAlex
W1588355294
Cited by
182
References
18
Citations by year
2026: 13 · 2025: 21 · 2024: 26 · 2023: 18 · 2022: 14 · 2021: 19 · 2020: 27 · 2019: 15 · 2018: 9 · 2017: 2 · 2016: 6 · 2015: 7 · 2014: 3 · 2012: 2
FWCI
6.82
Type
journal article
Language
en
Open access
Locations
  • Paediatrics & Child Health (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords
child development monitoring, developmental milestones, developmental screening, screening guidelines, clinical impression, developmental delay, developmental disorders, cognitive development, social-emotional development, early detection

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