Evidence map›Paper›PMID 29589272›Full record

ArticleJournal of autism and developmental disorders2018

Embedding Autism Spectrum Disorder Diagnosis Within the Medical Home: Decreasing Wait Times Through Streamlined Assessment.

Jeffrey F Hine, Catherine G Herrington, Alice M Rothman, Rachel L Mace, Barron L Patterson, Kathryn L Carlson, Zachary E Warren

Abstract read
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In one paragraph

Article in Journal of autism and developmental disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Building Capacity: A Systematic Review of Training in the Diagnosis of Autism for Community-Based Clinicians.Autism research : official journal of the International Society for Autism Research · 2025
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Paisley: Preliminary validation of a novel app-based e-Screener for ASD in children 18-36 months.Autism research : official journal of the International Society for Autism Research · 2023
    Article
  7. Article
  8. Article
  9. COVID-19 Pandemic Highlights Access Barriers for Children with Autism Spectrum Disorder.Journal of developmental and behavioral pediatrics : JDBP · 2021
    Article
  10. Article
  11. Article
  12. Article
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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

7 authors.

Jeffrey F HineVanderbilt Kennedy Center/Treatment and Research Institute for Autism Spectrum Disorders, Nashville, TN, USA. jeffrey.hine@vanderbilt.edu.
Catherine G HerringtonVanderbilt Kennedy Center/Treatment and Research Institute for Autism Spectrum Disorders, Nashville, TN, USA.
Alice M RothmanDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Rachel L MaceDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Barron L PattersonDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Kathryn L CarlsonDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Zachary E WarrenVanderbilt Kennedy Center/Treatment and Research Institute for Autism Spectrum Disorders, Nashville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long waits for diagnostic assessment prevent early identification of children suspected of having autism spectrum disorder. We evaluated the benefit of embedded diagnostic consultation within primary care clinics. Using a streamlined diagnostic model, 119 children with concerns for autism spectrum disorder were seen over 14 months. Diagnostic clarity was determined through streamlined assessment for 59% of the children, while others required follow-up. Latency from first concern to diagnosis was 55 days and median age at diagnosis was 32 months: considerably lower than national averages or comparable tertiary clinics. Findings support that embedded processes for effective triage and diagnosis within the medical home is a viable mechanism for efficient access to diagnostic services and assists in bypassing a common barrier to specialized services.

Indexed as

Waiting ListsAutism Spectrum DisorderChildChild, PreschoolFemaleHumansInfantMalePatient-Centered CareReferral and ConsultationAutism spectrum disorderDiagnosisMedical homePrimary careScreening

Identifiers

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.