Evidence map›Paper›PMID 31799449›Full record

ArticleBMJ paediatrics open2019

Investigating the association between early years foundation stage profile scores and subsequent diagnosis of an autism spectrum disorder: a retrospective study of linked healthcare and education data.

Barry Wright, Mark Mon-Williams, Brian Kelly, Stefan Williams, David Sims, Faisal Mushtaq, Kuldeep Sohal, Jane Elizabeth Blackwell, John Wright

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in BMJ paediatrics open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Maternal glycaemia and child educational attainment at age 5 in the Born in Bradford cohort.Diabetic medicine : a journal of the British Diabetic Association · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Barry WrightHull York Medical School and Dept Health Sciences, University of York, York, UK.ORCID 0000-0002-8692-6001
Mark Mon-WilliamsInstitute of Psychological Sciences, University of Leeds, Leeds, UK.
Brian KellyBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Stefan WilliamsLeeds Institute for Health Sciences, University of Leeds, Leeds, UK.
David SimsChild and Adolescent Mental Health Service, Bradford District Care NHS Foundation Trust, Saltaire, UK.
Faisal MushtaqInstitute of Psychological Sciences, University of Leeds, Leeds, UK.
Kuldeep SohalBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Jane Elizabeth BlackwellChild Oriented Mental Health Intervention Centre, Leeds and York Partnership NHS Foundation Trust, York, UK.
John WrightBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Bradford Teaching Hospitals NHS Foundation Trust · GBUniversity of Leeds · GBBradford District Care NHS Foundation Trust · GBLeeds and York Partnership NHS Foundation Trust · GBUniversity of York · GB

Funding

Medical Research Council MC_PC_17210Medical Research Council MR/N024397/1Medical Research Council MR/S037527/1Wellcome Trust
6 · The paper itself

Abstract

objectiveWe set out to test whether the early years foundation stage profile (EYFSP) score derived from 17 items assessed by teachers at the end of reception school year had any association with autism spectrum disorder (ASD) diagnosis in subsequent years. This study tested the feasibility of successfully linking education and health data.

designA retrospective data linkage study. SETTING AND

participantsThe Born in Bradford longitudinal cohort of 13, 857 children. OUTCOME MEASURES: We linked the EYFSP score at the end of reception year with subsequent diagnosis of an ASD, using all ASD general practitioner Read codes. We used the total EYFSP score and a subscore consisting of five key items in the EYFSP, prospectively identified using a panel of early years autism experts.

resultsThis study demonstrated the feasibility of linking education and health data using ASDs as an exemplar. A total of 8,935 children had linked primary care and education data with 20.7% scoring <25 on the total EYFSP and 15.2% scoring <10 on a EYFSP subscore proposed by an expert panel prospectively. The rate of diagnosis of ASDs at follow-up was just under 1% (84 children), children scoring <25 on the total EYFSP had a 4.1% chance of ASD compared with 0.15% of the remaining children. Using the prospectively designed subscore, this difference was greater (6.4% and 0.12%, respectively).

conclusionsWe demonstrate the feasibility of linking education and health data. Performance on teacher ratings taken universally in school reception class can flag children at risk of ASDs. Further research is warranted to explore the utility of EYFSP as an initial screening tool for ASD in early school years.

Indexed as

autismdata collectionhealth servicescreening

Identifiers

PMID31799449
PMCPMC6863697
OpenAlexW2986199578

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.