Evidence map›Paper›PMID 36418141›Full record

ArticleBMJ open2022

Examining the pharmacological and psychological treatment of child and adolescent ADHD in Australia: Protocol for a retrospective cohort study using linked national registry data.

Daniel P Sullivan, Leanne Payne, Kelsie A Boulton, Natalie Silove, Mark A Bellgrove, Emma Sciberras, David R Coghill, Adam J Guastella, Christel M Middeldorp

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Daniel P SullivanChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, Australia.ORCID 0000-0002-1782-1935
Leanne PayneChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, Australia.ORCID 0000-0002-7129-0258
Kelsie A BoultonBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-9408-7367
Natalie SiloveChild Development Unit, The Sydney Children's Hospitals Network Randwick and Westmead, Westmead, New South Wales, Australia.
Mark A BellgroveTurner Institute for Brain and Mental Health, School of Psychological Science, Monash University, Clayton, Victoria, Australia.ORCID 0000-0003-0186-8349
Emma SciberrasSchool of Psychology, Deakin University, Burwood, Victoria, Australia.ORCID 0000-0003-2812-303X
David R CoghillDepartments of Paediatrics and Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-3017-9737
Adam J GuastellaClinic for Autism and Neurodevelopmental (CAN) Research, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-8178-4625
Christel M MiddeldorpChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, Australia c.middeldorp@uq.edu.au.ORCID 0000-0002-6218-0428

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAttention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder which affects 5% of children globally. In Australia, it is estimated that 4.1% of children and adolescents have ADHD. While research has examined the treatment and outcomes of children with ADHD attending public mental health services during their time in the public system in Australia, it is not known what treatment they received before and after these treatment episodes, which will provide a more complete understanding of these children's treatment journey. METHODS AND ANALYSIS: We will link clinical data from cohorts of children and adolescents treated in the public child and youth mental health and/or child development services in Brisbane, Melbourne and Sydney to the Medicare Benefits Schedule (MBS), Pharmaceutical Benefits Scheme (PBS) and National Death Index. MBS data will demonstrate the treatment journey with respect to clinicians seen, and treatment episodes from the public health service data sets will be examined to assess if the type and intensity of treatment are related to treatment outcomes. PBS data will reveal all psychotropic medications prescribed, allowing an examination of not just ADHD medications, but also other psychotropics which may indicate co-occurring conditions (eg, anxiety and mood disorders). Statistical analyses will include descriptive statistics to describe the rates of specific medications and clinician specialties seen. Linear and logistic regression will be used to model how treatment and sociodemographic variables relate to routinely collected outcome measures in the public health system while controlling for covarying factors. ETHICS AND DISSEMINATION: This study has been approved by the following institutional ethics committees: (1) Children's Health Queensland Hospital and Health Service (HREC/21/QCHQ/76260), (2) The University of Queensland (2021/HE002143) and (3) The Australian Institute of Health and Welfare (EO2021/4/1300). Findings will be disseminated through peer-reviewed journals, conferences, professional associations and to public mental health services that treat ADHD.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentAgedAustraliaChildHumansMedicarePsychotropic DrugsRegistriesRetrospective StudiesPsychotropic DrugsChild & adolescent psychiatryImpulse control disordersPAEDIATRICS

Identifiers

PMID36418141
PMCPMC9685201

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Registered trials

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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.