Evidence map›Paper›PMID 37694810›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Autism care pathway in Europe.

Maria A Mendez, Bethany Oakley, Roberto Canitano, Antonia San José-Cáceres, Michela Tinelli, Martin Knapp, James Cusack, Mara Parellada, Pierre Violland, Jan R Derk Plas and 5 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. The European Brain Council Value of Treatment studies in depression and autism.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    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

15 authors.

Maria A MendezInstituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Bethany OakleyDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Roberto CanitanoAzienda ospedaliero-universitaria Senese, Siena, Italy.ORCID 0000-0002-6584-658X
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
Ricardo Canal-BediaUniversidad de Salamanca, Salamanca, Spain.ORCID 0000-0003-0247-0295
Alvaro Bejarano-MartinUniversidad de Salamanca, Salamanca, Spain.ORCID 0000-0002-8804-9735
Declan G M MurphyDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-6664-7451
Vinciane QuoidbachEuropean Brain Council, Brussels, Belgium.ORCID 0000-0002-4554-6432
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 is a lifelong complex neurodevelopmental condition that affects brain development and behaviour with significant consequences for everyday life. Despite its personal, familial, and societal impact, Europe-wide harmonised guidelines are still lacking for early detection, diagnosis, and intervention, leading to an overall unsatisfactory autistic person and carer journey.

methodsThe care pathway for autistic children and adolescents was analysed in Italy, Spain and the UK from the perspective of carers (using a survey aimed at caregivers of autistic children 0-18 years old), the autistic community, and professionals in order to identify major barriers (treatment gaps) preventing carers from receiving information, support, and timely screening/diagnosis and intervention.

resultsAcross all three countries, analysis of the current care pathway showed: long waits from the time carers raised their first concerns about a child's development and/or behaviour until screening and confirmed diagnosis; delayed or no access to intervention once a diagnosis was confirmed; limited information about autism and how to access early detection services; and deficient support for families throughout the journey.

conclusionsThese findings call for policy harmonisation in Europe to shorten long wait times for diagnosis and intervention and therefore, improve autistic people and their families' journey experience and quality of life.

Indexed as

Autistic DisorderAdolescentCaregiversChildChild, PreschoolCritical PathwaysEuropeHumansInfantInfant, NewbornQuality of Lifeautismdiagnosisearly interventionearly screeningpolicy recommendations

Identifiers

PMID37694810
PMCPMC10594203

What OpenQuestion holds

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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.