Evidence map›Paper›PMID 33853890›Full record

ArticlePediatrics2021

Presymptomatic Detection and Intervention for Autism Spectrum Disorder.

Katherine E MacDuffie, Annette M Estes, Lucas T Harrington, Holly L Peay, Joseph Piven, John R Pruett, Jason J Wolff, Benjamin S Wilfond

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

8 authors at 6 institutions in 1 country.

Katherine E MacDuffieDepartments of Speech and Hearing Sciences and kmacd@uw.edu.
Annette M EstesDepartments of Speech and Hearing Sciences and.
Lucas T HarringtonDepartments of Speech and Hearing Sciences and.
Holly L PeayResearch Triangle Institute International, Research Triangle Park, North Carolina.
Joseph PivenCarolina Institute for Developmental Disabilities, University of North Carolina Chapel Hill, Chapel Hill, North Carolina.
John R PruettSchool of Medicine, Washington University, St Louis, Missouri; and.
Jason J WolffDepartment of Educational Psychology, University of Minnesota, Minneapolis, Minnesota.
Benjamin S WilfondTreuman Katz Center for Pediatric Bioethics, Seattle Children's Research Institute, Seattle, Washington.
RTI International · USSeattle Children's Hospital · USUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · USWashington University in St. Louis · US

Funding

MRI-Based Presymptomatic Prediction of ASD, and Early Infant to School-Age Brain-Behavior Trajectories, Mechanisms, and Related OutcomesR01MH118362 · NIMH · WASHINGTON UNIVERSITY · PI John R Pruett · 2019 to 2026
$16.3M
Neuroethics of Predictive MRI Testing: Parental Attitudes Towards Pre-Symptomatic Identification of Autism Spectrum DisorderF32MH118689 · NIMH · UNIVERSITY OF WASHINGTON · PI MACDUFFIE, KATE E. · 2018 to 2019
$130k
NIMH NIH HHS F32 MH118689NIMH NIH HHS R01 MH118362
6 · The paper itself

Abstract

Universal screening for autism spectrum disorder (ASD) is recommended during pediatric primary care visits in the first 2 years of life. However, many children are missed by initial screening and not diagnosed with ASD until years later. Research efforts are underway to develop and evaluate new objective measures of risk for ASD that can be used in infancy, before symptoms emerge. Initial studies with these tests, particularly MRI-based screening for infants at high familial risk, have shown promise but have not yet been evaluated in clinical trials. We present the study design for a hypothetical clinical trial that would combine presymptomatic detection and intervention for ASD and consider, through commentaries from diverse perspectives, the ethical issues that should be anticipated in advance of beginning such trials. Commentators Drs Pruett and Piven address the social value of the proposed research and importance of researcher-bioethicist collaborations. Drs Estes and Wolff discuss the clinical potential and challenges of developing presymptomatic interventions for infants at risk for ASD. Dr Harrington takes a neurodiversity view of presymptomatic prediction and intervention and their implications for autistic identity and quality of life. Finally, Drs MacDuffie, Peay and Wilfond consider the potential risks and benefits that must be evaluated and weighed in the next phases of research on presymptomatic detection and intervention for ASD.

Indexed as

Autism Spectrum DisorderEarly DiagnosisEarly Medical InterventionHumansInfantResearch Design

Identifiers

PMID33853890
PMCPMC8085996
OpenAlexW3156635340

What OpenQuestion holds

Textmetadata
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.