Evidence map›Paper›PMID 40920171›Full record

ArticleJournal of developmental and behavioral pediatrics : JDBP

Effectiveness of Enhanced Developmental Screening at 18 Months to Identify Developmental Delays.

Emily Hamovitch, Tharani Raveendran, Eyal Cohen, Astrid Guttmann, Azmina Altaf, Christina Diong, Andrea Evans, Therese A Stukel, Magdalena Janus, Natasha R Saunders

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of developmental and behavioral pediatrics : JDBP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Emily HamovitchInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Tharani RaveendranChild Health Evaluative Sciences, SickKids Research Institute, Toronto, ON, Canada.
Eyal CohenInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Astrid GuttmannInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Azmina AltafICES, Toronto, ON, Canada.
Christina DiongICES, Toronto, ON, Canada.
Andrea EvansSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
Therese A StukelInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Magdalena JanusDepartment of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada .
Natasha R SaundersInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-4369-6904

Funding

CIHR UIP-178845
6 · The paper itself

Abstract

objectiveWe sought to measure whether receipt of an enhanced 18-month well-baby visit with use of a developmental screening tool versus a routine 18-month well-baby visit (which typically involves developmental surveillance without screening) is associated with time to identification of developmental delays.

methodWe conducted a cohort study of children (17-22 months) in Ontario who received an 18-month well-baby visit (March 2020‒March 2022), followed to September 2022 using linked health administrative datasets. Visits were categorized as enhanced (n = 83,554) or routine (n = 15,723). The outcome was the identification of a developmental delay within 6 months (early) and more than 6 months after (late) the 18-month visit. Piecewise Cox proportional hazards models estimated hazard ratios (aHR) adjusted for child, maternal, and physician factors, comparing developmental delay diagnosis by visit type.

resultsChildren who received an enhanced visit were slightly older, had a lower representation in the most deprived group, and a higher percentage of patients with pediatricians as their usual provider of care. After adjustment, children with enhanced compared with routine visits were more likely to have developmental delays detected in the early period (aHR 1.19 95% CI 1.11‒1.28) but not in the late period following the well-baby visit.

conclusionEnhanced visits are associated with earlier identification of developmental delays compared with routine visits in the 6 months following the 18-month well-baby visit. Enhanced developmental monitoring using screening tools may facilitate earlier recognition of developmental concerns.

Indexed as

Developmental DisabilitiesMass ScreeningCohort StudiesFemaleHumansInfantMaleOntariodevelopmental delaydevelopmental screeningpediatricsWell-baby visit

Identifiers

PMID40920171
PMCPMC12904248

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.