Evidence map›Paper›PMID 37072747›Full record

ArticleBMC pediatrics2023

The role of well-child visits in detecting developmental delay in preschool children.

M Moser, C Müllner, P Ferro, K Albermann, O G Jenni, 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.1field-weighted citation impact, top 7% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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 at 3 institutions in 1 country.

M MoserChild Development Center, University Children's Hospital Zurich, University of Zurich (UZH), Zürich, Switzerland.
C MüllnerChild Development Center, University Children's Hospital Zurich, University of Zurich (UZH), Zürich, Switzerland.
P FerroChild Development Center, University Children's Hospital Zurich, University of Zurich (UZH), Zürich, Switzerland.
K AlbermannCenter for Social Pediatrics, Cantonal Hospital Winterthur, Winterthur, Switzerland.
O G Jenni *Child Development Center, University Children's Hospital Zurich, University of Zurich (UZH), Zürich, Switzerland.
M von Rhein *Child Development Center, University Children's Hospital Zurich, University of Zurich (UZH), Zürich, Switzerland. michael.vonrhein@kispi.uzh.ch.
University of Zurich · CHKantonsspital Winterthur · CHUniversity Children's Hospital Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of developmental delay (DD) in preschool children is crucial for counselling parents, initiating diagnostic work-up, and starting early intervention (EI).

methodsWe conducted a register study of all preschool children referred for EI in the Canton of Zurich, Switzerland, in 2017 (N = 1,785) and used an online survey among primary care physicians (PCPs, N = 271) to evaluate the care service of DD children.

resultsPCPs accounted for 79.5% of all referrals by physicians and had correctly referred over 90% of the children in need of EI at an average age of 39.3 months (SD 8.9). In the survey, which represents 59.2% of all pediatricians and 11.3% of all general practitioners in the Canton, PCPs reported performing a mean of 13.5 (range 0-50, SD 10.7) well-child visits per week to preschool children and estimated well-child visits to be the most frequent type of consultation (66.7%) for the identification of DD. Parents' hesitancy in accepting further evaluation or support were reported by 88.7%.

conclusionsMost preschool children with DD are identified in well-child visits. These visits represent an ideal opportunity for early detection of developmental impairment and initiation of EI. Carefully addressing parents' reservations could reduce the rate of refusal, thus improving early support for children with DD.

Indexed as

General PractitionersParentsChildChild, PreschoolDevelopmental DisabilitiesHumansPediatriciansPhysical ExaminationSurveys and QuestionnairesDevelopmental delayParents` hesitancy against early interventionsPre-school childrenPrimary care physiciansWell-child visits

Identifiers

PMID37072747
PMCPMC10111735
OpenAlexW4366334872

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.