Evidence-based milestone ages as a framework for developmental surveillance
Open accessAbstract
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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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.”
From Evidence-Informed Milestones for Developmental Surveillance Tools (2022) · cites this paper as [8]
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.”
From Evidence-Informed Milestones for Developmental Surveillance Tools (2022) · cites this paper as [8]
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Self-citationSensory processing considerations in Australian paediatric feeding guidelines: A scoping review
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- Authors
- Dosman, C. F., Andrews, D., & Goulden, K. J.
- Affiliations
- University of Alberta (CA)
- ORCID
- Dosman, Cara F
- Venue
- Paediatrics & Child Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-12
- Volume
- 17
- Issue
- 10
- Pages
- 561-568
- ISSN
- 1205-7088 (ISSN-L)
- 1918-1485
- PMC
- PMC3549694
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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