Evaluation of Pediatrician Adherence to the American Academy of Pediatrics Health Supervision Guidelines for Down Syndrome

被引：12

作者：

O'Neill, Meghan E. ^{[1
]}

Ryan, Alexandra ^{[1
]}

Kwon, Soyang ^{[1
]}

Binns, Helen J. ^{[1
]}

机构：

[1] Ann & Robert H Lurie Childrens Hosp Chicago, Chicago, IL 60611 USA

来源：

AJIDD-AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES | 2018年 / 123卷 / 05期

基金：

美国国家卫生研究院;

关键词：

Down syndrome; guidelines; adherence; UNITED-STATES; CHILDREN; CARE; ADOLESCENTS; SURVEILLANCE; SURVIVAL; DISEASE; PEOPLE; BIRTHS;

D O I：

10.1352/1944-7558-123.5.387

中图分类号：

G76 [特殊教育];

学科分类号：

040109 ;

摘要：

The American Academy of Pediatrics's guideline on health supervision for children with Down syndrome (DS) offers pediatricians guidance to improve detection of comorbid conditions. Pediatrician adherence has not yet been comprehensively evaluated. Medical records of 31 children with DS who received primary care at two urban academic clinic sites from 2008-2012 were reviewed. Data was extracted on adherence to age-specific individual guideline components for each subject by year-of-life (total 84 years-of-life). Overall adherence across all components was 83% (2001 guideline) and 67% (2011 guideline). Adherence to thyroid, hearing, vision, and developmental components was >85%, and anticipatory guidance regarding atlantoaxial instability and sexuality was <35%. Overall adherence was higher when a subject was younger and when a provider was an attendinglevel pediatrician.

引用

页码：387 / 398

页数：12

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