Evidence map›Paper›PMID 37074176›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

The Prevalence and Characteristics of Children With Profound Autism, 15 Sites, United States, 2000-2016.

Michelle M Hughes, Kelly A Shaw, Monica DiRienzo, Maureen S Durkin, Amy Esler, Jennifer Hall-Lande, Lisa Wiggins, Walter Zahorodny, Alison Singer, Matthew J Maenner

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07059364 (Empowering Caregivers to Promote Child Independence and Persistence With Activities), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
16.2field-weighted citation impact, top 1% 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.

NCT07059364 narecruitingnot on this map

Empowering Caregivers to Promote Child Independence and Persistence With Activities

TypeinterventionalSponsorUniversity of NebraskaRan2025 to 2026Enrolled32ConditionsProfound AutismArmsCAST Treatment
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. [Focusing on profound autism: validity of clinical taxonomy and management of treatment-resistant symptoms].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Trends Over Time in the Prevalence of Autism by Adaptive and Intellectual Functioning Levels.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Clinical Features of Children at Risk of Profound Autism.Journal of autism and developmental disorders · 2025
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Michelle M HughesNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0002-4436-2236
Kelly A ShawNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0003-2964-8946
Monica DiRienzoNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Maureen S DurkinDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Amy EslerDepartment of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Jennifer Hall-LandeCollege of Education and Human Development, University of Minnesota, Minneapolis, MN, USA.
Lisa WigginsNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Walter ZahorodnyPediatrics Department, Rutgers New Jersey Medical School, Newark, NJ, USA.
Alison SingerAutism Science Foundation, Scarsdale, NY, USA.
Matthew J MaennerNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Centers for Disease Control and Prevention · USUniversity of Minnesota · USRutgers, The State University of New Jersey · USUniversity of Wisconsin–Madison · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesAutism spectrum disorder (autism) is a heterogeneous condition that poses challenges in describing the needs of individuals with autism and making prognoses about future outcomes. We applied a newly proposed definition of profound autism to surveillance data to estimate the percentage of children with autism who have profound autism and describe their sociodemographic and clinical characteristics.

methodsWe analyzed population-based surveillance data from the Autism and Developmental Disabilities Monitoring Network for 20 135 children aged 8 years with autism during 2000-2016. Children were classified as having profound autism if they were nonverbal, were minimally verbal, or had an intelligence quotient <50.

resultsThe percentage of 8-year-old children with profound autism among those with autism was 26.7%. Compared with children with non-profound autism, children with profound autism were more likely to be female, from racial and ethnic minority groups, of low socioeconomic status, born preterm or with low birth weight; have self-injurious behaviors; have seizure disorders; and have lower adaptive scores. In 2016, the prevalence of profound autism was 4.6 per 1000 8-year-olds. The prevalence ratio (PR) of profound autism was higher among non-Hispanic Asian/Native Hawaiian/Other Pacific Islander (PR = 1.55; 95 CI, 1.38-1.73), non-Hispanic Black (PR = 1.76; 95% CI, 1.67-1.86), and Hispanic (PR = 1.50; 95% CI, 0.88-1.26) children than among non-Hispanic White children.

conclusionsAs the population of children with autism continues to change, describing and quantifying the population with profound autism is important for planning. Policies and programs could consider the needs of people with profound autism across the life span to ensure their needs are met.

Indexed as

Autism Spectrum DisorderAutistic DisorderChildEthnicityFemaleHawaiiHumansInfant, NewbornMaleMinority GroupsPrevalenceUnited Statesautismpublic healthsurveillance

Identifiers

PMID37074176
PMCPMC10576490
OpenAlexW4366352830

What OpenQuestion holds

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Registered trials

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.