Evidence map›Paper›PMID 28292045›Full record

ArticleThe Pan African medical journal2016

Prevalence and comorbidities of autism among children referred to the outpatient clinics for neurodevelopmental disorders.

Davin Mbeya Mpaka, Daniel Luwa E-Andjafono Okitundu, Ally Omba Ndjukendi, Adelin Mankubu N'situ, Sebastien Yabassi Kinsala, Joachim Ebwel Mukau, Valentin Malanda Ngoma, Espérance Kashala-Abotnes, Samuel Ma-Miezi-Mampunza, Annick Vogels and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in The Pan African medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 49 citations in OpenAlex.

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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

11 authors at 4 institutions in 3 countries.

Davin Mbeya MpakaDepartment of psychiatry, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo.
Daniel Luwa E-Andjafono OkitunduDepartment of Neurology, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo.
Ally Omba NdjukendiDepartment of psychiatry, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo.
Adelin Mankubu N'situDepartment of psychiatry, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo.
Sebastien Yabassi KinsalaDepartment of psychiatry, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo.
Joachim Ebwel MukauNational University of Pedagogy and Center for Assessment and Intervention for Children with mental Handicap and/or Autism, Democratic Republic of the Congo.
Valentin Malanda NgomaDepartment of psychiatry, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo.
Espérance Kashala-AbotnesDepartment of Neurology, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo; Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Samuel Ma-Miezi-MampunzaDepartment of psychiatry, Center for Neuro- Psycho- Pathology, School of Medicine, University of Kinshasa, Democratic Republic of the Congo.
Annick VogelsKatholieke Universiteit Leuven (KUL).
Jeans SteyaertKatholieke Universiteit Leuven (KUL).
University of Kinshasa · CDKU Leuven · BEUniversité Pédagogique Nationale · CDUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAutism spectrum disorders (ASD) is a neurodevelopmental disorder that has been rarely diagnosed in Sub-Saharan Africa. Although a proportion of children do present features of ASD in the Democratic Republic of Congo (DRC), little is known about it prevalence. Often, the co-morbidities constitute the upfront symptoms and therefore may it recognition and management difficult, aggravating as such the prognosis. The present study therefore aimed at studying the clinical profile of autism spectrum disorder (ASD) and the associated morbidities among children and adolescents in outpatient clinics in Kinshasa, the Democratic Republic of Congo.

methodsWe conducted a cross sectional study in the three outpatients centers receiving patients referred for neurodevelopmental disorders in Kinshasa, DRC, from June 2008 to June 2010. A total of 450 subjects aged from 1-18 years old were referred and included in the study. The clinical diagnosis for ASD was made using the DSM-IV-R and the ADIR. Co-morbidities were identified using DSM-IV-R criteria together with an extensive clinical interview and observation. All patients were subject to an intellectual quotient evaluation and an electroencephalogram reporting.

resultsOf the 450 subjects referred, 120 (29.3%) received the diagnosis of ASD, with boys outnumbering girls (OR 3:1. The mean age was 7.9 years (SD 3.4) (p< 0.001). Intellectual disability (75.83 %) and epilepsy (72.50%) were the main co-morbidities significantly associated with autism (p< 0.001). It was also found that co-morbidities were most frequent in subjects with an IQ<70 (p=0.05).

conclusionASD is frequent among patients referred for neurodevelopmental disorders in the three outpatients' centers for neurodevelopmental disorders in Kinshasa. Males seem to be more affected than female. The main co-morbidities were epilepsy and intellectual disabilities. Our findings suggest that it is important to screen for ASD and co-morbidities among all subjects referred for neurodevelopmental disorders and to undertake survey on ASD in various structures of rejected children from the society in Kinshasa DRC. This will help to identify and manage ASD and associated co-morbidities at an early stage for a better prognosis.

Indexed as

AdolescentAmbulatory Care FacilitiesAutism Spectrum DisorderChildChild, PreschoolComorbidityCross-Sectional StudiesDemocratic Republic of the CongoEpilepsyFemaleHumansInfantIntellectual DisabilityIntelligenceMaleMass ScreeningASDcomorbidityepilepsyintellectual disabilityKinshasa/ Democratic Republic of the Congoneuro-developmental disordersprevalence

Identifiers

PMID28292045
PMCPMC5324163
OpenAlexW2535040099

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LicenceCC BY
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Registered trials

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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.