Evidence map›Paper›PMID 30005612›Full record

ReviewBMC psychiatry2018

Clinical practice guidelines for diagnosis of autism spectrum disorder in adults and children in the UK: a narrative review.

Jennie Hayes, Tamsin Ford, Hateem Rafeeque, Ginny Russell

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Cognitive Profile in Autism and ADHD: A Meta-Analysis of Performance on the WAIS-IV and WISC-V.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2024
    Pooled it
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  12. Nurses and Climate Change: A Narrative Review of Nursing Associations' Recommendations for Integrating Climate Change Mitigation Strategies.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
    Review
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  14. Diagnosing Autism in Adults: Clinically Focused Recommendations.Journal of health service psychology · 2024
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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

4 authors.

Jennie HayesUniversity of Exeter Medical School, St Luke's Campus, University of Exeter, Exeter, EX1 2LU, UK. Jennie.Hayes@exeter.ac.uk.ORCID 0000-0002-5506-797X
Tamsin FordUniversity of Exeter Medical School, St Luke's Campus, University of Exeter, Exeter, EX1 2LU, UK.
Hateem RafeequeUniversity of Exeter Medical School, St Luke's Campus, University of Exeter, Exeter, EX1 2LU, UK.
Ginny RussellUniversity of Exeter Medical School, St Luke's Campus, University of Exeter, Exeter, EX1 2LU, UK.

Funding

Medical Research Council G108/625Wellcome TrustWellcome Trust 108676/Z/15/Z
6 · The paper itself

Abstract

backgroundResearch suggests that diagnostic procedures for Autism Spectrum Disorder are not consistent across practice and that diagnostic rates can be affected by contextual and social drivers. The purpose of this review was to consider how the content of clinical practice guidelines shapes diagnoses of Autism Spectrum Disorder in the UK; and investigate where, within those guidelines, social factors and influences are considered.

methodsWe electronically searched multiple databases (NICE Evidence Base; TRIP; Social Policy and Practice; US National Guidelines Clearinghouse; HMIC; The Cochrane Library; Embase; Global health; Ovid; PsychARTICLES; PsychINFO) and relevant web sources (government, professional and regional NHS websites) for clinical practice guidelines. We extracted details of key diagnostic elements such as assessment process and diagnostic tools. A qualitative narrative analysis was conducted to identify social factors and influences.

resultsTwenty-one documents were found and analysed. Guidelines varied in recommendations for use of diagnostic tools and assessment procedures. Although multidisciplinary assessment was identified as the 'ideal' assessment, some guidelines suggested in practice one experienced healthcare professional was sufficient. Social factors in operational, interactional and contextual areas added complexity to guidelines but there were few concrete recommendations as to how these factors should be operationalized for best diagnostic outcomes.

conclusionAlthough individual guidelines appeared to present a coherent and systematic assessment process, they varied enough in their recommendations to make the choices available to healthcare professionals particularly complex and confusing. We recommend a more explicit acknowledgement of social factors in clinical practice guidelines with advice about how they should be managed and operationalised to enable more consistency of practice and transparency for those coming for diagnosis.

Indexed as

AdultAutism Spectrum DisorderChildHumansPractice Guidelines as TopicPractice Patterns, Physicians'United KingdomAutism spectrum disorderClinical guidelineClinical judgementDiagnosisDiagnostic uncertaintyNarrative reviewSocial factors

Identifiers

PMID30005612
PMCPMC6044100

What OpenQuestion holds

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LicenceCC BY
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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.