Evidence map›Paper›PMID 26011086›Full record

ArticleAutism research : official journal of the International Society for Autism Research2015

Patterns of Risk for Multiple Co-Occurring Medical Conditions Replicate Across Distinct Cohorts of Children with Autism Spectrum Disorder.

Kimberly A Aldinger, Christianne J Lane, Jeremy Veenstra-VanderWeele, Pat Levitt

Open access · hybridAbstract read
In one paragraph

Article in Autism research : official journal of the International Society for Autism Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Review
  8. A longitudinal evaluation of gastrointestinal symptoms in children with autism spectrum disorder.Autism : the international journal of research and practice · 2025
    Article
  9. Article
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  16. Review
  17. Drug-refractory irritability and related factors in autistic children.International journal of developmental disabilities · 2024
    Article
  18. Autism spectrum disorder: Comorbidity and demographics in a clinical sample.International journal of developmental disabilities · 2024
    Article
  19. Article
  20. Article

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Kimberly A AldingerCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, Washington.
Christianne J LaneColumbia University and the New York State Psychiatric Institute, New York, New York.
Jeremy Veenstra-VanderWeeleProgram in Developmental Neurogenetics, Institute for the Developing Mind, Children's Hospital Los Angeles, Los Angeles, California.
Pat LevittDepartment of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
University of Southern California · USChildren's Hospital of Los Angeles · USColumbia University · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
The MET Signaling System,Autism and Gastrointestinal DysfunctionR21HD065289 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LEVITT, PAT · 2009 to 2010
$570k
NCATS NIH HHS UL1 TR001855NICHD NIH HHS R21 HD065289
6 · The paper itself

Abstract

Children with autism spectrum disorder (ASD) may present with multiple medical conditions in addition to ASD symptoms. This study investigated whether there are predictive patterns of medical conditions that co-occur with ASD, which could inform medical evaluation and treatment in ASD, as well as potentially identify etiologically meaningful subgroups. Medical history data were queried in the multiplex family Autism Genetic Resource Exchange (AGRE). Fourteen medical conditions were analyzed. Replication in the Simons Simplex Collection (SSC) was attempted using available medical condition data on gastrointestinal disturbances (GID), sleep problems, allergy and epilepsy. In the AGRE cohort, no discrete clusters emerged among 14 medical conditions. GID and seizures were enriched in unaffected family members, and together with sleep problems, were represented in both AGRE and SSC. Further analysis of these medical conditions identified predictive co-occurring patterns in both samples. For a child with ASD, the presence of GID predicts sleep problems and vice versa, with an approximately 2-fold odds ratio in each direction. These risk patterns were replicated in the SSC sample, and in addition, there was increased risk for seizures and sleep problems to co-occur with GID. In these cohorts, seizure alone was not predictive of the other conditions co-occurring, but behavioral impairments were more severe as the number of co-occurring medical symptoms increased. These findings indicate that interdisciplinary clinical care for children with ASD will benefit from evaluation for specific patterns of medical conditions in the affected child and their family members.

Indexed as

Autism Spectrum DisorderChildCluster AnalysisCohort StudiesComorbidityEpilepsyFemaleGastrointestinal DiseasesHumansHypersensitivityMaleOdds RatioSleep Wake Disordersgastrointestinal disturbancesmedical symptomsseizuresleep

Identifiers

PMID26011086
PMCPMC4736680
OpenAlexW1910409271

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.