{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:00:49Z","timestamp":1790586049498,"version":"4.1.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014840","name":"Gemeinsame Bundesausschuss","doi-asserted-by":"crossref","award":["01VSF19014"],"award-info":[{"award-number":["01VSF19014"]}],"id":[{"id":"10.13039\/501100014840","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Im Projekt INTEGRATE-ADHD wurden Routinedaten einer gesetzlichen Krankenkasse\n                    (DAK-Gesundheit) mit Daten aus einer Onlinebefragung und einer klinischen\n                    Online-Diagnostik verkn\u00fcpft. Zwischen der Dokumentation einer ADHS-Diagnose\n                    eines Kindes in den Routinedaten und dem Elternbericht der Diagnose bei der\n                    Befragung lagen mindestens neun und h\u00f6chstens 32 Monate. Die klinische\n                    Online-Diagnostik erfolgte nach AWMF-S3-Leitlinienstandard im Abstand von\n                    weiteren drei bis f\u00fcnf Monaten nach der Befragung. Nur etwa zwei Drittel der\n                    Eltern hatten die ADHS-Diagnose des Kindes bei der Onlinebefragung berichtet und\n                    nur knapp zwei Drittel der administrativen ADHS-Diagnosen wurden in der\n                    Online-Diagnostik klinisch best\u00e4tigt. Diese Studie untersucht auf Basis der\n                    Daten von 1355 Kindern und Jugendlichen mit inzidenter ADHS-Diagnose mittels\n                    deskriptiver Statistiken und logistischer Regression, ob der zeitliche Versatz\n                    zwischen dem Dokumentationszeitpunkt der Diagnose und dem Elternbericht in der\n                    Befragung respektive der Diagnose in der klinischen Untersuchung, etwa aufgrund\n                    von Recall-Bias der Eltern oder Ver\u00e4nderungen in der Symptompr\u00e4sentation bei\n                    betroffenen Kindern, die Diskrepanzen zwischen den jeweiligen Diagnosedaten\n                    erkl\u00e4ren kann. Der Kodierzeitpunkt der Diagnose lie\u00df sich mit dem Beginn- und\n                    Enddatum des Behandlungszeitraums, in dem die Diagnose dokumentiert wurde,\n                    approximieren. Im Anschluss wurde der Effekt des zeitlichen Versatzes deskriptiv\n                    und multivariat analysiert. Auch bei unterschiedlicher Approximation des\n                    Kodierzeitpunkts zeigte sich kein statistischer Zusammenhang zwischen dem\n                    zeitlichen Versatz und den Diskrepanzen zwischen den jeweiligen Diagnosedaten.\n                    Damit ergaben sich in den vorliegenden Analysen keine Hinweise darauf, dass ein\n                    zeitabh\u00e4ngiger Recall-Bias der Eltern oder Ver\u00e4nderungen der Symptompr\u00e4sentation\n                    mit nicht berichteten bzw. klinisch nicht best\u00e4tigten ADHS-Diagnosen assoziiert\n                    sind.<\/jats:p>","DOI":"10.1055\/a-2918-2975","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T20:11:18Z","timestamp":1787688678000},"source":"Crossref","is-referenced-by-count":0,"title":["Zeitlicher Versatz von Diagnoseinformationen aus unterschiedlichen\n                    Datenquellen in Data-Linkage-Projekten: Ein Problem? Eine Analyse am Beispiel\n                    von ADHS-Diagnosedaten aus dem Projekt INTEGRATE-ADHD"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8981-9428","authenticated-orcid":false,"given":"Lilian","family":"Beck","sequence":"additional","affiliation":[{"name":"Robert Koch-Institut, Abteilung f\u00fcr Epidemiologie und\n                    Gesundheitsmonitoring, Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Kristin","family":"Beyer","sequence":"additional","affiliation":[{"name":"Robert Koch-Institut, Abteilung f\u00fcr Epidemiologie und\n                    Gesundheitsmonitoring, Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heike","family":"H\u00f6lling","sequence":"additional","affiliation":[{"name":"Robert Koch-Institut, Abteilung f\u00fcr Epidemiologie und\n                    Gesundheitsmonitoring, Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Romanos","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Zentrum f\u00fcr Psychische Gesundheit,\n                    Klinik und Poliklinik f\u00fcr Kinder- und Jugendpsychiatrie, Psychosomatik und\n                    Psychotherapie, W\u00fcrzburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Jans","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Zentrum f\u00fcr Psychische Gesundheit,\n                    Klinik und Poliklinik f\u00fcr Kinder- und Jugendpsychiatrie, Psychosomatik und\n                    Psychotherapie, W\u00fcrzburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Weyrich","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Zentrum f\u00fcr Psychische Gesundheit,\n                    Klinik und Poliklinik f\u00fcr Kinder- und Jugendpsychiatrie, Psychosomatik und\n                    Psychotherapie, W\u00fcrzburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Kaman","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf, Klinik f\u00fcr Kinder- und\n                    Jugendpsychiatrie, -psychotherapie und \u2013psychosomatik, Forschungssektion \u201eChild\n                    Public Health\u201c, Hamburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Ravens-Sieberer","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf, Klinik f\u00fcr Kinder- und\n                    Jugendpsychiatrie, -psychotherapie und \u2013psychosomatik, Forschungssektion \u201eChild\n                    Public Health\u201c, Hamburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Witte","sequence":"additional","affiliation":[{"name":"Vandage GmbH, Bielefeld"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Weinert","sequence":"additional","affiliation":[{"name":"Vandage GmbH, Bielefeld"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Fiessler","sequence":"additional","affiliation":[{"name":"Universit\u00e4t W\u00fcrzburg, Institut f\u00fcr Klinische Epidemiologie und\n                    Biometrie, W\u00fcrzburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Heuschmann","sequence":"additional","affiliation":[{"name":"Universit\u00e4t W\u00fcrzburg, Institut f\u00fcr Klinische Epidemiologie und\n                    Biometrie, W\u00fcrzburg"},{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Zentrale f\u00fcr Klinische Studien,\n                    W\u00fcrzburg"},{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Institut f\u00fcr medizinische\n                    Datenwissenschaften, W\u00fcrzburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cordula","family":"Riederer","sequence":"additional","affiliation":[{"name":"DAK-Gesundheit, Hamburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"die INTEGRATE-ADHD Study Group & Robert Schlack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1093\/poq\/nfq058","article-title":"Total Survey Error: Design, Implementation, and Evaluation","volume":"74","author":"P P Biemer","year":"2010","journal-title":"Public Opinion Quarterly"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/0895-4356(90)90060-3","article-title":"Recall bias in 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