Evidence map›Paper›PMID 29056979›Full record

ArticleJournal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent2017

A Critique of the New Canadian Fetal Alcohol Spectrum Disorder Guideline.

John D McLennan, Peter Braunberger

Abstract read
In one paragraph

Article in Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Advocacy-Related Information Distortion: The Case of Fetal Alcohol Spectrum Disorders.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019
    Article
  5. Persisting Concerns Regarding the New Canadian FASD Guidelines.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2018
    Article
  6. Response to "A critique for the new Canadian FASD diagnostic Guidelines".Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2018
    Article
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

2 authors.

John D McLennanScientist, Children's Hospital of Eastern Ontario - Research Institute; Research Chair in Child and Adolescent Psychiatry, Department of Psychiatry, University of Ottawa; Adjunct Associate Professor, Department of Pediatrics, University of Calgary.
Peter BraunbergerAssistant Professor, Northern Ontario School of Medicine, Thunder Bay, Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A new Fetal Alcohol Spectrum Disorder (FASD) guideline was published in the Canadian Medical Association Journal in 2016. This is relevant to the mental health field as mental health symptoms and psychiatric disorders are often identified as associated with and/or part of FASD presentations. Unfortunately, the new guideline has not advanced understanding of the interface between FASD and mental health problems; rather it may contribute to additional confusion. For example, a new recommendation to include additional mental health symptoms, such as anxiety and affect dysregulation, as manifestations contributing to a diagnosis of FASD is particularly concerning given the paucity of evidence supporting this assertion and the potential to distort delivery of mental health interventions for mental health problems. In addition, the guideline recommendation for introducing an "at risk for FASD" designation is not without risk. An appeal is made for greater scrutiny in the construction of diagnostic criteria and guidelines and for a more careful delineation of causal relationships and comorbidities to better inform the delivery of evidence-based mental health care.

Indexed as

comorbiditydiagnosisfetal alcohol syndromemental disorderspractice guidelines

Identifiers

PMID29056979
PMCPMC5642456

What OpenQuestion holds

Textmetadata
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.