{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T10:24:10Z","timestamp":1777026250481,"version":"3.51.4"},"reference-count":31,"publisher":"American Academy of Pediatrics (AAP)","issue":"Supplement_2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES:<\/jats:title>\n                  <jats:p>To describe the clinical practices of physicians in the Developmental-Behavioral Pediatrics Network (DBPNet) to (1) diagnose autism spectrum disorders (ASDs), identify comorbidities, and evaluate etiology and (2) compare actual practice to established guidelines.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>A total of 56 developmental-behavioral pediatricians completed encounter forms, including demographic\/clinical information, for up to 10 consecutive new-patient visits given a diagnosis of ASD. Data were summarized by using descriptive statistics. Analysis of the statistical significance of differences between sites (n = 10) used general estimating equations and mixed-effects logistic regression to adjust for clustering by clinician within site.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>A total of 284 ASD forms were submitted. Most assessments (56%) were completed in 1 visit (27.5% in 2 visits, 8.6% in 3 visits). Use of the Childhood Autism Rating Scale, Autism Diagnostic Observation Schedule, or Screening Tool for Autism in Toddlers and Young Children varied across sites from 28.6% to 100% of encounters (P &amp;lt; .001). A developmental assessment was reviewed\/completed at 87.7% of encounters (range: 77.8%\u2013100%; P = .061), parent behavior rating scales were reviewed\/completed at 65.9% (range: 35.7%\u201391.4%; P = .19), and teacher behavior rating scales were reviewed\/completed at 38.4% (range: 15%\u201369.2%; P = .19). Only 17.3% (95% confidence interval: 12.8%\u201321.7%) of evaluations were completed by an interdisciplinary team. A majority (71%) of patients had at least 1 comorbid diagnosis (31% had at least 2 and 12% at had least 3). Etiologic evaluations were primarily genetic (karyotype: 49%; microarray: 69.7%; fragile X: 71.5%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Despite site variability, the majority of diagnostic evaluations for ASD within DBPNet were completed by developmental-behavioral pediatricians without an interdisciplinary team and included a developmental assessment, ASD-specific assessment tools, and parent behavior rating scales. These findings document the multiple components of assessment used by DBPNet physicians and where they align with existing guidelines.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2015-2851f","type":"journal-article","created":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T09:42:43Z","timestamp":1454319763000},"page":"S79-S89","source":"Crossref","is-referenced-by-count":20,"title":["Diagnosis of Autism Spectrum Disorder by Developmental-Behavioral Pediatricians in Academic Centers: A DBPNet Study"],"prefix":"10.1542","volume":"137","author":[{"given":"Robin L.","family":"Hansen","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of California\u2013Davis School of Medicine, Davis, California;"},{"name":"MIND Institute, University of California\u2013Davis, Sacramento, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan J.","family":"Blum","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania; and"},{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Gaham","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine","family":"Shults","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the DBPNet Steering Committee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2016,2,1]]},"reference":[{"key":"2021120906204457000_B1","author":"American Psychiatric Association 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