ArticleJournal of autism and developmental disorders2019
When Are We Sure? Predictors of Clinician Certainty in the Diagnosis of Autism Spectrum Disorder.
Article in Journal of autism and developmental disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- 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 · 2025Pooled it
- The Impact of Face Mask Use on Research Evaluations of 5-7 Year-Old Children With Autism Spectrum Disorder.Journal of autism and developmental disorders · 2026Article
- Pathways to autism diagnosis in adulthood.Journal of neurodevelopmental disorders · 2025Article
- Development and evaluation of robotic detection technology for assessing autism.Frontiers in psychiatry · 2025Article
- Where do neurodevelopmental conditions fit in transdiagnostic psychiatric frameworks? Incorporating a new neurodevelopmental spectrum.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Transparent deep learning to identify autism spectrum disorders (ASD) in EHR using clinical notes.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Eye-Tracking Biomarkers and Autism Diagnosis in Primary Care.JAMA network open · 2024Article
- Clinical correlates of diagnostic certainty in children and youths with Autistic Disorder.Molecular autism · 2024Article
- Accuracy of initial diagnostic impressions of autism in toddlers and behaviors that inform these impressions.Autism research : official journal of the International Society for Autism Research · 2024Article
- Diagnostic certainty during in-person and telehealth autism evaluations.JCPP advances · 2024Article
- Expert Clinician Certainty in Diagnosing Autism Spectrum Disorder in 16-30-Month-Olds: A Multi-site Trial Secondary Analysis.Journal of autism and developmental disorders · 2024Article
- Article
- Development and Replication of Objective Measurements of Social Visual Engagement to Aid in Early Diagnosis and Assessment of Autism.JAMA network open · 2023Article
- Article
- Automatically Predicting Perceived Conversation Quality in a Pediatric Sample Enriched for Autism.Interspeech · 2023Article
- Assessing and Managing Suicide Risk in Autistic Youth: Findings from a Clinician Survey in a Pediatric Psychiatric Emergency Setting.Journal of autism and developmental disorders · 2023Article
- Utility of Diagnostic Classification for Children 0-5 to Assess Features of Autism: Comparing In-person and COVID-19 Telehealth Evaluations.Journal of autism and developmental disorders · 2022Article
- Defining in Detail and Evaluating Reliability of DSM-5 Criteria for Autism Spectrum Disorder (ASD) Among Children.Journal of autism and developmental disorders · 2022Article
- Evaluation of an artificial intelligence-based medical device for diagnosis of autism spectrum disorder.NPJ digital medicine · 2022Article
- The first five minutes: Initial impressions during autism spectrum disorder diagnostic evaluations in young children.Autism research : official journal of the International Society for Autism Research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Differential diagnosis of autism spectrum disorder (ASD) is challenging, and uncertainty regarding a child's diagnosis may result in under-identification or prolonged diagnostic pathways. The current study examined diagnostic certainty, or how sure clinicians were that their diagnosis was accurate, among 478 toddler and preschool-aged children referred for possible ASD to academic medical specialty clinics. Overall, 60 percent of diagnoses were made with complete certainty. Clinicians were more certain when positively identifying ASD than ruling it out. Children presenting with a moderate (vs high or low) level of observable ASD symptoms were less likely to have a certain diagnosis. Further, clinicians rated less diagnostic certainty for older children, those with public insurance, and those with higher IQ and adaptive behavior abilities.
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Registered trials
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.