Evidence map›Paper›PMID 33728496›Full record

ArticleJournal of autism and developmental disorders2022

Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics.

Juliana Höfer, Falk Hoffmann, Michael Dörks, Inge Kamp-Becker, Charlotte Küpper, Luise Poustka, Stefan Roepke, Veit Roessner, Sanna Stroth, Nicole Wolff and 1 more

Abstract read
In one paragraph

Article in Journal of autism and developmental disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Prenatal exposure to extreme heat and autism in children.The Science of the total environment · 2026
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  4. Article
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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

11 authors.

Juliana HöferDepartment of Health Services Research, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Falk HoffmannDepartment of Health Services Research, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Michael DörksDepartment of Health Services Research, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Inge Kamp-BeckerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Philipps University Marburg, Marburg, Germany.
Charlotte KüpperDepartment of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Luise PoustkaDepartment of Child and Adolescent Psychiatry, University Medical Center Göttingen, Göttingen, Germany.
Stefan RoepkeDepartment of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Veit RoessnerDepartment of Child and Adolescent Psychiatry, Medical Faculty of the Technical University Dresden, Dresden, Germany.
Sanna StrothDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Philipps University Marburg, Marburg, Germany.
Nicole WolffDepartment of Child and Adolescent Psychiatry, Medical Faculty of the Technical University Dresden, Dresden, Germany.
Christian J BachmannDepartment of Child and Adolescent Psychiatry, University of Ulm, Ulm, Germany. christian.bachmann@uniklinik-ulm.de.

Funding

Bundesministerium für Bildung und Forschung 01EE1409F
6 · The paper itself

Abstract

Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ < 85) from German outpatient clinics were assessed. Average annual costs per person were 3287 EUR, with psychiatric inpatient care (19.8%), pharmacotherapy (11.1%), and occupational therapy (11.1%) being the largest cost components. Females incurred higher costs than males (4864 EUR vs. 2936 EUR). In a regression model, female sex (Cost Ratio: 1.65), lower IQ (1.90), and Asperger syndrome (1.54) were associated with higher costs. In conclusion, ASD-related health costs are comparable to those of schizophrenia, thus underlining its public health relevance. Higher costs in females demand further research.

Indexed as

Autism Spectrum DisorderMental Health ServicesAmbulatory Care FacilitiesFemaleGermanyHealth Care CostsHumansMaleAdolescentsAdultsChildrenCostsGermanyHealth services

Identifiers

PMID33728496
PMCPMC8813793

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.