Evidence map›Paper›PMID 29754290›Full record

ArticleJournal of autism and developmental disorders2018

Parental First Concerns and Timing of Autism Spectrum Disorder Diagnosis.

Tracy A Becerra-Culqui, Frances L Lynch, Ashli A Owen-Smith, Joseph Spitzer, Lisa A Croen

Abstract read
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 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 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

35 citing papers in PubMed, 3 syntheses or guidelines 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. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Through Parents' Eyes: Perspectives on Child Development and Family Experience During ESDM Intervention.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Detecting change in a caregiver-mediated autism intervention using the Joint Engagement Rating Inventory.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2025
    Article
  12. Exploring Factors of Diagnostic Timing Among Black Autistic Youth.Journal of autism and developmental disorders · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Korean Clinical Guideline for Autism Spectrum Disorder - Clinical Features, Course, Epidemiology, and Cause.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

5 authors.

Tracy A Becerra-CulquiDepartment of Research & Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA. Tracy.A.Becerra@kp.org.
Frances L LynchKaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.
Ashli A Owen-SmithDivision of Health Management and Policy, Georgia State University, 140 Decatur St. Suite 434, Atlanta, GA, 30303, USA.
Joseph SpitzerKaiser Permanente Developmental-Behavioral Pediatrics, Southern California Permanente Medical Group, 1011 Baldwin Park Blvd, Baldwin Park, CA, 91706, USA.
Lisa A CroenDivision of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA.

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
NIMH NIH HHS 1U19MH092201NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

Specific developmental concerns can distinguish between an early versus later diagnosis of autism spectrum disorder (ASD). Caregiver survey responses of children ≥ 9 years-of-age (2012) with ASD were used to evaluate developmental concerns and associations with age of diagnosis [early (< 3 years: n = 106) vs. later (≥ 3 years: n = 432)] using logistic regression. Concerns arose at mean age 18 and 35-months for children diagnosed early versus later, respectively. Concerns about poor eye contact (aOR 1.81, CI 1.08, 3.05), pointing/gesturing (aOR 2.74, CI 1.60, 4.70), response to own name (aOR 3.03, CI 1.75, 5.23), and babbling/speaking (aOR 1.67, CI 0.98, 2.82) were associated with an early diagnosis. Caregivers and pediatricians are critical in early identification and timely entry into intervention.

Indexed as

AttitudeEarly DiagnosisAdultAutism Spectrum DisorderChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedParentsAutism spectrum disorderDevelopmental concernsEarly diagnosisParentSurvey

Identifiers

PMID29754290
PMCPMC10289826

What OpenQuestion holds

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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.