Evidence map›Paper›PMID 42828415›Full record

ArticleNature. Mental health2026

Early attention deficit hyperactivity disorder prediction from longitudinal electronic health records.

Elliot D Hill, De Rong Loh, Naomi O Davis, Benjamin A Goldstein, Geraldine Dawson, Matthew Engelhard

Abstract read
In one paragraph

Article in Nature. Mental health, 2026. 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

6 authors.

Elliot D HillDepartment of Biostatistics & Bioinformatics, Duke University School of Medicine.
De Rong LohDuke NUS Medical School.
Naomi O DavisDepartment of Psychiatry & Behavioral Sciences, Duke University School of Medicine.
Benjamin A GoldsteinDepartment of Biostatistics & Bioinformatics, Duke University School of Medicine.
Geraldine DawsonDepartment of Psychiatry & Behavioral Sciences, Duke University School of Medicine.
Matthew EngelhardDepartment of Biostatistics & Bioinformatics, Duke University School of Medicine.

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
Machine Learning Methods to Develop and Deploy Real-Time Risk Surveillance for Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder from the Electronic Health RecordK01MH127309 · NIMH · DUKE UNIVERSITY · PI Matthew Morrow Engelhard · 2022 to 2026
$842k
NCATS NIH HHS UL1 TR002553NIMH NIH HHS K01 MH127309
6 · The paper itself

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental condition that can negatively impact long-term outcomes for individuals. Early diagnosis is critical, yet demographic and clinical disparities can delay detection. Using electronic health records (EHR) from a cohort of over 720,000 patients, we pretrained an EHR foundation model. We then fine-tuned it to predict the likelihood of ADHD diagnosis and timing from birth until age nine years in a pediatric cohort of over 140,000 patients. By age five years, the model achieved a time-dependent area under the receiver operating characteristic curve of 0.92 at a 4-year time horizon. Overall, the model maintained its performance across patients with differing demographics, including sex, race, ethnicity, and insurance status. Our feature importance analysis found that ADHD was strongly associated with developmental, behavioral, and psychiatric conditions. Our results suggest that EHR-based predictive models could help providers reliably identify children with ADHD in a timely manner.

Identifiers

PMID42828415
PMCPMC13633045

What OpenQuestion holds

Textmetadata
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.