Evidence map›Paper›PMID 37692637›Full record

ReviewCureus2023

Early Diagnosis of Autism Spectrum Disorder: A Review and Analysis of the Risks and Benefits.

Chiugo Okoye, Chidi M Obialo-Ibeawuchi, Omobolanle A Obajeun, Sarosh Sarwar, Christine Tawfik, Madeeha Subhan Waleed, Asad Ullah Wasim, Iman Mohamoud, Adebola Y Afolayan, Rheiner N Mbaezue

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 5 pooled it
27.3field-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.

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

93 citing papers in PubMed, 5 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
  2. Artificial Intelligence Methods in Early Detection of Autism Spectrum Disorder: A DSM-5 Criterion-Based Systematic Review.Autism research : official journal of the International Society for Autism Research · 2026
    Pooled it
  3. Pooled it
  4. Who, when, where, and why: A systematic review of "late diagnosis" in autism.Autism research : official journal of the International Society for Autism Research · 2025
    Pooled it
  5. Pooled it
  6. Article
  7. Battling the Bottleneck: Evaluating Autism Diagnostic Training in Primary Care.Journal of autism and developmental disorders · 2026
    Article
  8. Article
  9. Article
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  11. Article
  12. Article
  13. Article
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  15. Article
  16. Review
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  18. Article
  19. The relationship between age of autism diagnosis and life satisfaction in adulthood.Autism : the international journal of research and practice · 2026
    Article
  20. Article

33 more citing papers are in PubMed but not listed here.

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

10 authors at 3 institutions in 3 countries.

Chiugo OkoyeInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Chidi M Obialo-IbeawuchiHealth Education and Promotion, Walden University, Minnesota, USA.
Omobolanle A ObajeunPaediatrics, Al Zahra Private Hospital Dubai, Dubai, ARE.
Sarosh SarwarMedicine and Surgery, Fazaia Medical College, Islamabad, PAK.
Christine TawfikPediatrics and Neonatology, October 6 University, Giza Governorate, EGY.
Madeeha Subhan WaleedInternal Medicine, Lower Bucks Hospital, Bristol, USA.
Asad Ullah WasimInternal Medicine, Air University, Islamabad, PAK.
Iman MohamoudInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Adebola Y AfolayanInternal Medicine, University College of Medical Sciences, New York City, USA.
Rheiner N MbaezueHealth, Department of Health, Cape Town, ZAF.
California Institute of Behavioral Neurosciences and Psychology (United States) · USAllama Iqbal Medical College · PKWestern Cape Department of Health · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental condition made up of enduring challenges in social communication and interaction and the presence of repetitive and restricted behavior patterns. Early diagnosis of autism is crucial for timely intervention and improved long-term outcomes. This review aims to explore some of its signs and symptoms, look into some diagnostic tools, and analyze the benefits and risks associated with an early diagnosis of autism. The symptoms of ASD vary from child to child, some of which are: avoidance of eye contact, lack of response to names, excessive fear, and lack of interactive and pretend play. Early identification of these symptoms by caregivers and healthcare providers facilitates the need for diagnosis and appropriate interventions. Some screening and diagnostic tools that have been found to help make the diagnosis are the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F), the Social Communication Questionnaire (SCQ), the Parents' Evaluation of Developmental Status (PEDS), and the Childhood Autism Rating Scale (CARS), amongst others. The benefits of early diagnosis include the opportunity for early intervention, which has been shown to enhance developmental outcomes and improve adaptive skills. Early identification allows for the implementation of specialized interventions tailored to the specific needs of individuals with autism, targeting social communication, language development, and behavioral challenges. Furthermore, early diagnosis enables families to access appropriate support services, educational resources, and community programs, facilitating better coping mechanisms, reducing parental stress, and increasing adult independence. However, early diagnosis of autism also entails certain risks. One significant concern is the potential for labeling and stigmatization, which can impact the child's self-esteem and social interactions. There is a risk of overdiagnosis or misdiagnosis, leading to unnecessary interventions and treatments. Additionally, the diagnostic process can be lengthy, complex, and emotionally challenging for families, requiring comprehensive assessments by multidisciplinary teams. This review highlights the importance of a balanced approach when considering the benefits and risks of early diagnosis. Early identification allows for timely interventions that significantly improve developmental outcomes and quality of life for individuals with autism. To mitigate the risks, it is crucial to ensure accurate and reliable diagnostic procedures, support families throughout the process, and promote societal awareness and acceptance. We also highlighted some future directions in the management of autism, including the use of biomarkers and the use of artificial intelligence and learning for diagnosing ASD.

Indexed as

asdbenefitsdiagnosisethical considerationsrisksscreening toolstreatment

Identifiers

PMID37692637
PMCPMC10491411
OpenAlexW4385690366

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.