{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T17:37:43Z","timestamp":1791308263228,"version":"4.3.1"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,9,7]],"date-time":"2014-09-07T00:00:00Z","timestamp":1410048000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p> A retrospective analysis of a 35-year single-center experience with pediatric tics and Tourette syndrome was conducted. 482 charts from 1972 to 2007 were reviewed. Follow-up surveys were mailed to last known address and 83 patients responded (17%). Response rate was affected by long interval from last visit; contact information was often incorrect as it was the address of the patient as a child. Males constituted 84%. Mean tic onset was 6.6 years. At first visit, 83% had multiple motor tics and &gt;50% had comorbidities. 44% required only 1 visit and 90% less than 12 visits. Follow-up showed positive clinical and social outcomes in 73\/83 survey responses. Of those indicating a poor outcome, mean educational level was lower and attention deficit\/hyperactivity disorder and learning disabilities were significantly higher. Access to knowledgeable caregivers was a problem for adult patients. A shortage of specialists may in part be addressed by interested general pediatricians. <\/jats:p>","DOI":"10.1177\/0009922814550396","type":"journal-article","created":{"date-parts":[[2014,9,9]],"date-time":"2014-09-09T04:18:12Z","timestamp":1410236292000},"page":"138-144","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Tourette Syndrome"],"prefix":"10.1177","volume":"54","author":[{"given":"Debra L.","family":"Byler","sequence":"first","affiliation":[{"name":"Penn State College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Chan","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Lehman","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley D.","family":"Brown","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syeda","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheston","family":"Berlin","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,9,7]]},"reference":[{"key":"bibr1-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-0009922814550396","first-page":"23","volume":"27","author":"Hassan N","year":"2012","journal-title":"Funct Neurol"},{"key":"bibr3-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1996.00550060051016"},{"key":"bibr4-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1177\/002221949202500909"},{"key":"bibr5-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2009.09.002"},{"key":"bibr6-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(05)70018-1"},{"key":"bibr7-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.607"},{"key":"bibr8-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.10.021"},{"key":"bibr9-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181a206b1"},{"key":"bibr10-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.1.14"},{"key":"bibr11-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.12296"},{"key":"bibr12-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0707741104"},{"key":"bibr13-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2012.01.031"},{"key":"bibr14-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1177\/08830738060210081001"},{"key":"bibr15-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22487"},{"key":"bibr16-0009922814550396","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/732038"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922814550396","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0009922814550396","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922814550396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T17:02:10Z","timestamp":1740848530000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0009922814550396"}},"subtitle":["A General Pediatrician\u2019s 35-Year Experience at a Single Center With Follow-up in Adulthood"],"short-title":[],"issued":{"date-parts":[[2014,9,7]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1177\/0009922814550396"],"URL":"https:\/\/doi.org\/10.1177\/0009922814550396","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,7]]}}}