{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:36:33Z","timestamp":1761676593922,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T00:00:00Z","timestamp":1516838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006087","name":"National Center on Birth Defects and Developmental Disabilities","doi-asserted-by":"publisher","award":["FOA #DD09\u2010910"],"award-info":[{"award-number":["FOA #DD09\u2010910"]}],"id":[{"id":"10.13039\/100006087","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The diagnosis of fetal alcohol syndrome (FAS) rests on identification of characteristic facial, growth, and central nervous system (CNS) features. Public health surveillance of FAS depends on documentation of these characteristics. We evaluated if reporting of FAS characteristics is associated with the type of provider examining the child.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed cases aged 7\u20139 years from the Fetal Alcohol Syndrome Surveillance Network II (FASSNetII). We included cases whose surveillance records included the type of provider (qualifying provider: developmental pediatrician, geneticist, neonatologist; other physician; or other provider) who evaluated the child as well as the FAS diagnostic characteristics (facial dysmorphology, CNS impairment, and\/or growth deficiency) reported by the provider.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 345 cases were eligible for this analysis. Of these, 188 (54.5%) had adequate information on type of provider. Qualifying physicians averaged more than six reported FAS characteristics while other providers averaged less than five. Qualifying physicians reported on facial characteristics and developmental delay more frequently than other providers. Also, qualifying physicians reported on all three domains of characteristics (facial, CNS, and growth) in 97% of cases while others reported all three characteristics on two thirds of cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Documentation in medical records during clinical evaluations for FAS is lower than optimal for cross\u2010provider communication and surveillance purposes. Lack of documentation limits the quality and quantity of information in records that serve as a major source of data for public health surveillance systems.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bdr2.1203","type":"journal-article","created":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T06:12:52Z","timestamp":1516860772000},"page":"851-862","source":"Crossref","is-referenced-by-count":2,"title":["Recognition of clinical characteristics for population\u2010based surveillance of fetal alcohol syndrome"],"prefix":"10.1002","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0064-3933","authenticated-orcid":false,"given":"Jennifer G.","family":"Andrews","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Arizona Tucson Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen K.","family":"Galindo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Arizona Tucson Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. John","family":"Meaney","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Arizona Tucson Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Argelia","family":"Benavides","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Arizona Tucson Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linnette","family":"Mayate","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Arizona Tucson Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Fox","sequence":"additional","affiliation":[{"name":"New York State Department of Health Bureau of Environmental &amp; Occupational Epidemiology Albany New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sydney","family":"Pettygrove","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of Arizona Tucson Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Cunniff","sequence":"additional","affiliation":[{"name":"Division of Medical Genetics Weill Cornell Medical College New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"American Academy of Pediatrics. (2010).Summary of changes made to the 2014 Bright Futures\/AAP Recommendations for Preventive Pediatric Health Care. Recommendations for Preventive Pediatric Health Care Bright Futures\/American Academy of Pediatrics. Elk Grove Village IL: Author."},{"volume-title":"Diagnostic guide for fetal alcohol spectrum disorders: The 4\u2010digit diagnostic code","year":"2004","author":"Astley S.","key":"e_1_2_7_3_1"},{"volume-title":"Diagnostic guide for fetal alcohol syndrome and related conditions: The 4\u2010digit diagnostic code","year":"1997","author":"Astley S.","key":"e_1_2_7_4_1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/35.4.400"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2171"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1040302"},{"issue":"3","key":"e_1_2_7_8_1","first-page":"e494","article-title":"The Canadian guidelines and the interdisciplinary clinical capacity of Canada to diagnose fetal alcohol spectrum disorder","volume":"18","author":"Clarren S. 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J.","year":"2015","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0516"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4256"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0259"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1037"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2012.01794.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3319"},{"key":"e_1_2_7_19_1","unstructured":"National Birth Defects Prevention Network (NBDPN). (2014). Guidelines for Conducting Birth Defects Surveillance. Sever LE ed. 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