Evidence map›Paper›PMID 33343175›Full record

ArticleAfrican journal of health sciences

Childhood autism spectrum disorder: insights from a tertiary hospital cohort in Kenya.

Pauline Samia, Maureen Kanana, Julie King, Kirsten A Donald, Charles R Newton, Christy Denckla

Abstract read
In one paragraph

Article in African journal of health sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Microbes and Mental Illness: Past, Present, and Future.Healthcare (Basel, Switzerland) · 2023
    Review
  6. Article
  7. Article
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

6 authors.

Pauline SamiaDepartment of Paediatrics and Child Health, Aga Khan University, Nairobi, Kenya.
Maureen KananaDepartment of Paediatrics and Child Health, Aga Khan University, Nairobi, Kenya.
Julie KingSchool of Public Health, Department of Epidemiology and Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Kirsten A DonaldDivision of Developmental Paediatrics, Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa.
Charles R NewtonKEMRI-Wellcome Trust Collaborative Programme, Kilifi, Kenya.
Christy DencklaSchool of Public Health, Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.

Funding

Pathogenic mechanisms in post-bereavement psychopathology: Contributions of gene-environment interplay, psychosocial factors, and cognitive ability in two population-based cohortsK23MH117278 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI DENCKLA, CHRISTY ANN · 2019 to 2023
$942k
NIMH NIH HHS K23 MH117278NIMH NIH HHS L30 MH114370
6 · The paper itself

Abstract

introductionAutism spectrum disorder (ASD) is characterized by impairments in behavior, social communication, and interaction. There is little data on ASD from sub-Saharan Africa (SSA) describing clinical characteristics in large cohorts of patients. Preliminary studies report a high male sex ratio, excess of nonverbal cases, possible infectious etiologies, and comorbidities e.g. epilepsy.

objectiveTo describe the clinical characteristics of children diagnosed with ASD in an African context.

methodsA retrospective medical chart review identified 116 children diagnosed with ASD according to DSM-5 criteria at a pediatric neurology clinic in Nairobi, Kenya.

resultsThe male to female ratio was 4.3:1. The median age at presentation was 3 years with speech delay as the most common reason for presentation. Expressive language delay was observed in 90% of the population. Sixty percent who obtained imaging had normal MRI brain findings. Only 44% and 34% of children had access to speech therapy and occupational therapy respectively. Epilepsy and ADHD were the most prevalent comorbidities.

conclusionAn early median age at presentation and preponderance of male gender is observed. Access to speech therapy and other interventions was low. A prospective study would help determine outcomes for similar children following appropriate interventions.

Indexed as

Autismbirth historycomorbiditiesintellectual disabilitylanguage delaysub-Saharan Africa

Identifiers

PMID33343175
PMCPMC7746135

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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.