Evidence map›Paper›PMID 37470323›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Autism with co-occurring epilepsy care pathway in Europe.

Maria A Mendez, Roberto Canitano, Bethany Oakley, Antonia San José-Cáceres, Michela Tinelli, Martin Knapp, James Cusack, Mara Parellada, Pierre Violland, Jan R Derk Plas and 3 more

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Phenotypic subtypes of Xia-Gibbs syndrome: a latent class analysis.European journal of human genetics : EJHG · 2025
    Review
  2. Article
  3. Electroencephalography in Autism Spectrum Disorder.Journal of clinical medicine · 2025
    Review
  4. The European Brain Council Value of Treatment studies in depression and autism.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  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

13 authors.

Maria A MendezInstituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Roberto CanitanoDepartment of Psychiatry, Azienda ospedaliero-universitaria Senese, Siena, Italy.ORCID 0000-0002-6584-658X
Bethany OakleyDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.
Antonia San José-CáceresInstituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0002-1451-4948
Michela TinelliDepartment of Health Policy, London School of Economics and Political Science, London, UK.ORCID 0000-0002-8816-4389
Martin KnappDepartment of Health Policy, London School of Economics and Political Science, London, UK.ORCID 0000-0003-1427-0215
James CusackAutistica, London, UK.
Mara ParelladaInstituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Pierre ViollandAIMS-2-TRIALS Consortium.ORCID 0000-0003-2346-8039
Jan R Derk PlasAIMS-2-TRIALS Consortium.ORCID 0009-0003-4268-2230
Declan G M MurphyDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.ORCID 0000-0002-6664-7451
Vinciane QuoidbachEuropean Brain Council, Brussels, Belgium.
Celso ArangoInstituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0003-3382-4754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutism and epilepsy often occur together. Epilepsy and other associated conditions have a substantial impact on the well-being of autistic people and their families, reduce quality of life, and increase premature mortality. Despite this, there is a lack of studies investigating the care pathway of autistic children with co-occurring epilepsy in Europe.

methodsWe analyzed the care pathway for autistic children with associated epilepsy in Italy, Spain, and the United Kingdom from the perspective of caregivers (using a survey aimed at caregivers of autistic children 0-18 years old), the autistic community, and professionals, in order to identify major barriers preventing caregivers and autistic children from receiving timely screening and treatment of possible co-occurring epilepsy.

resultsAcross all three countries, an analysis of the current care pathway showed a lack of systematic screening of epilepsy in all autistic children, lack of treatment of co-occurring epilepsy, and inappropriate use of antiepileptic drugs. A major challenge is the lack of evidence-based harmonized guidelines for autism with co-occurring epilepsy in these countries.

conclusionsOur findings show both heterogeneity and major gaps in the care pathway for autism with associated epilepsy and the great efforts that caregivers must make for timely screening, diagnosis, and adequate management of epilepsy in autistic children. We call for policy harmonization in Europe in order to improve the experiences and quality of life of autistic people and their families.

Indexed as

Autistic DisorderCritical PathwaysEpilepsyAdolescentAnticonvulsantsCaregiversChildChild, PreschoolElectroencephalographyEvidence-Based MedicineFemaleHumansInfantInfant, NewbornIntellectual DisabilityItalyAnticonvulsantsautismco-occurring epilepsyharmonized guidancepolicy recommendationsscreening/diagnosistreatment

Identifiers

PMID37470323
PMCPMC10486251

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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.