Evidence map›Paper›PMID 38084067›Full record

ArticleJournal of attention disorders2024

Treatment Utilization Pattern of Preschool Children With Attention-Deficit/Hyperactivity Disorder.

Raman Baweja, Ritika Baweja, Hunter Weidlich, Jennifer E Nyland, Daniel A Waschbusch, James G Waxmonsky

Abstract read
In one paragraph

Article in Journal of attention disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Raman BawejaPennsylvania State College of Medicine, Hershey, PA, USA.ORCID 0000-0002-0492-0643
Ritika BawejaPennsylvania State College of Medicine, Hershey, PA, USA.
Hunter WeidlichPennsylvania State College of Medicine, Hershey, PA, USA.
Jennifer E NylandPennsylvania State College of Medicine, Hershey, PA, USA.ORCID 0000-0002-4549-3617
Daniel A WaschbuschPennsylvania State College of Medicine, Hershey, PA, USA.ORCID 0000-0002-8115-1286
James G WaxmonskyPennsylvania State College of Medicine, Hershey, PA, USA.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Immune and neuroendocrine mediators of sex-differences in pain following traumatic burn injuryR35GM146774 · NIGMS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI Jennifer E. Nyland · 2022 to 2026
$2.2M
NCATS NIH HHS UL1 TR002014NIGMS NIH HHS R35 GM146774
6 · The paper itself

Abstract

objectiveThe aim of this study was to identify patterns of ADHD care, including factors that guide selection and sequencing of treatments in a large nationwide sample of preschool-aged youth over the past 6 years.

methodA retrospective cohort study utilizing a large electronic health record (TriNetX) of nearly 24,000 children ages 3 to 6 diagnosed with ADHD.

resultsOne in three preschoolers with ADHD were prescribed psychotropic medication, most commonly methylphenidate and guanfacine. One in 10 had at least one psychotherapy billing code during the entire assessment with most youth starting medication before psychotherapy. Rates of most treatments, including polypharmacy, increased with comorbid psychiatric disorders or sleep problems and over the course of the coronavirus pandemic.

conclusionRates of treatment have increased over time but are still largely inconsistent with published care guidelines that advise therapy before medication. Clinicians appear to prioritize psychiatric comorbidity and sleep problems when selecting treatments.

Indexed as

Attention Deficit Disorder with HyperactivityCentral Nervous System StimulantsMethylphenidateSleep Wake DisordersAdolescentChild, PreschoolHumansRetrospective StudiesCentral Nervous System StimulantsMethylphenidateADHDalpha-2 agonistsCNS stimulantspreschoolerstherapy

Identifiers

PMID38084067
PMCPMC10928959

What OpenQuestion holds

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LicenceCC BY
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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.