Evidence map›Paper›PMID 36869280›Full record

ArticleBMC pediatrics2023

Diagnosis and management of ADHD: a pediatric perspective on practice and challenges in Switzerland.

A Zysset, D Robin, K Albermann, J Dratva, S Hotz, F Wieber, M von Rhein

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

7 authors at 6 institutions in 2 countries.

A ZyssetZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
D RobinZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
K AlbermannCentre of Social Pediatrics, Cantonal Hospital Winterthur, Winterthur, Switzerland.
J DratvaZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
S HotzUniversity Neuchatel, Neuchatel, Switzerland.
F Wieber *ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland. wieb@zhaw.ch.ORCID 0000-0002-1285-1457
M von Rhein *University Children's Hospital Zurich, Zurich, Switzerland.
ZHAW Zurich University of Applied Sciences · CHKantonsspital Winterthur · CHUniversity of Basel · CHUniversity of Konstanz · DEUniversity of Neuchâtel · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention deficit/hyperactivity disorder (ADHD) is one of the most prevalent psychiatric disorders in childhood. In Switzerland, the complex diagnosis and treatment are being carried out by adolescent-/child psychiatrists, and pediatricians. Guidelines recommend a multimodal therapy for patients with ADHD. However, it has been questioned whether health professionals follow this approach or favor drug therapy. This study aims to provide insights into the practice of pediatricians in Switzerland regarding diagnosis and treatment of ADHD and their perceptions of these processes.

methodAn online survey (self-report) about current practices of diagnosis and management as well as challenges regarding ADHD was distributed to office-based pediatricians in Switzerland. One hundred fifty-one pediatricians participated. Results show that therapy options were almost always discussed with parents and older children. Exchange with parents (81%) and level of child's suffering (97%) were central when selecting therapy options.

resultsTherapies about which pediatricians informed most often were: pharmacological therapy, psychotherapy, and multimodal therapy. Challenges voiced were the subjectivity of diagnostic criteria and dependence on third parties, low availability of psychotherapy, and a rather negative public attitude towards ADHD. Needs that were expressed were further education for all professionals, support for coordination with specialists and schools as well as improvement of information on ADHD.

conclusionsPediatricians do consider a multimodal approach when treating ADHD and take the families` and children's opinions into account. Improvements of the availability of child and youth psychotherapy, the strengthening of the interprofessional cooperation with therapists and schools, and efforts to increase public knowledge about ADHD are proposed.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentAllied Health PersonnelChildCombined Modality TherapyHumansPsychotherapySwitzerlandADHDADHD diagnosisADHD managementADHD treatmentGuidelinesPediatricians

Identifiers

PMID36869280
PMCPMC9985195
OpenAlexW4323032702

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.