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Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities
Autism spectrum disorder (ASD) is a neurodevelopmental disorder requiring significant health and educational resources for affected individuals. A reference standard for ASD was generated from an existing population‐based cohort of 10,000 children and youth aged 1–24 years who were randomly selected...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894325/ https://www.ncbi.nlm.nih.gov/pubmed/33098262 http://dx.doi.org/10.1002/aur.2419 |
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author | Brooks, Jennifer D. Bronskill, Susan E. Fu, Longdi Saxena, Farah E. Arneja, Jasleen Pinzaru, Virgiliu Bogdan Anagnostou, Evdokia Nylen, Kirk McLaughlin, John Tu, Karen |
author_facet | Brooks, Jennifer D. Bronskill, Susan E. Fu, Longdi Saxena, Farah E. Arneja, Jasleen Pinzaru, Virgiliu Bogdan Anagnostou, Evdokia Nylen, Kirk McLaughlin, John Tu, Karen |
author_sort | Brooks, Jennifer D. |
collection | PubMed |
description | Autism spectrum disorder (ASD) is a neurodevelopmental disorder requiring significant health and educational resources for affected individuals. A reference standard for ASD was generated from an existing population‐based cohort of 10,000 children and youth aged 1–24 years who were randomly selected for chart abstraction from 29,256 patients from 119 family physicians. We developed and validated an algorithm to identify children and youth with ASD within an electronic medical record system (N = 80,237, aged 1–24 years) in order to examine the prevalence of comorbidities and quantify health system utilization within the cohort. We identified 1,062 children and youth with ASD representing a prevalence of 1.32%. Compared to individuals without ASD, those with ASD had a higher prevalence of asthma, were more likely to visit a specialist, undergo surgery, and be hospitalized for psychiatric reasons. Children and youth with ASD in Ontario have complex health system needs, illustrated through a significant burden of comorbidities and increased health system utilization. LAY SUMMARY: Our paper generates population‐based estimates of health system use by children and youth with ASD, who have a higher burden of comorbidities than the general population. We developed a case‐finding algorithm and applied it in electronic medical records to create a cohort of children and youth with ASD, thereby generating an important resource to further study the health care needs of individuals with ASD. |
format | Online Article Text |
id | pubmed-7894325 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78943252021-03-02 Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities Brooks, Jennifer D. Bronskill, Susan E. Fu, Longdi Saxena, Farah E. Arneja, Jasleen Pinzaru, Virgiliu Bogdan Anagnostou, Evdokia Nylen, Kirk McLaughlin, John Tu, Karen Autism Res EPIDEMIOLOGY Autism spectrum disorder (ASD) is a neurodevelopmental disorder requiring significant health and educational resources for affected individuals. A reference standard for ASD was generated from an existing population‐based cohort of 10,000 children and youth aged 1–24 years who were randomly selected for chart abstraction from 29,256 patients from 119 family physicians. We developed and validated an algorithm to identify children and youth with ASD within an electronic medical record system (N = 80,237, aged 1–24 years) in order to examine the prevalence of comorbidities and quantify health system utilization within the cohort. We identified 1,062 children and youth with ASD representing a prevalence of 1.32%. Compared to individuals without ASD, those with ASD had a higher prevalence of asthma, were more likely to visit a specialist, undergo surgery, and be hospitalized for psychiatric reasons. Children and youth with ASD in Ontario have complex health system needs, illustrated through a significant burden of comorbidities and increased health system utilization. LAY SUMMARY: Our paper generates population‐based estimates of health system use by children and youth with ASD, who have a higher burden of comorbidities than the general population. We developed a case‐finding algorithm and applied it in electronic medical records to create a cohort of children and youth with ASD, thereby generating an important resource to further study the health care needs of individuals with ASD. John Wiley & Sons, Inc. 2020-10-24 2021-02 /pmc/articles/PMC7894325/ /pubmed/33098262 http://dx.doi.org/10.1002/aur.2419 Text en © 2020 The Authors. Autism Research published by International Society for Autism Research published by Wiley Periodicals LLC. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | EPIDEMIOLOGY Brooks, Jennifer D. Bronskill, Susan E. Fu, Longdi Saxena, Farah E. Arneja, Jasleen Pinzaru, Virgiliu Bogdan Anagnostou, Evdokia Nylen, Kirk McLaughlin, John Tu, Karen Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities |
title | Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities |
title_full | Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities |
title_fullStr | Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities |
title_full_unstemmed | Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities |
title_short | Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities |
title_sort | identifying children and youth with autism spectrum disorder in electronic medical records: examining health system utilization and comorbidities |
topic | EPIDEMIOLOGY |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894325/ https://www.ncbi.nlm.nih.gov/pubmed/33098262 http://dx.doi.org/10.1002/aur.2419 |
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