Till startsida
University of Gothenburg
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Does individual clinician's first clinical judgment agree with final clinical diagnosis?

Participants: Gunilla Westman Andersson, Carmela Miniscalco & Christopher Gillberg.

Background: Comprehensive clinical assessment based on all available information is the gold standard in the diagnosis of autism spectrum disorder (ASD). In addition, clinical judgment by experienced clinicians is seen as very important in the diagnostic process.

Method: This is a substudy of the AUDIE project (AUtism Detection and Intervention in Early life). We examined agreement between blind (independent) assessments (clinical judgment) of 34 young children (age 24-46 months) with suspected ASD, examined by different - clinically experienced - members of a multidisciplinary team, and final comprehensive clinical diagnosis.

Results: Agreement across settings and clinicians and between each independent assessment and final diagnosis was moderate. The poorest fit with final diagnosis was found at assessment in connection with neuropsychological testing, and the best with pre-school observation. Some individual clinicians had good and others poorer fit with final diagnosis. Disagreement across assessments was most pronounced for girls. The findings suggest that multidisciplinary assessments remain important, and that comprehensive clinical diagnosis should still be regarded as the gold standard in ASD.

Articles:

2013
Westman Andersson, G., Miniscalco, C., & Gillberg, C. (2013). Autism in preschoolers: Does individual clinician’s first visit diagnosis agree with final comprehensive diagnosis? Scientific World Journal, 2013, 716267.

 

Page Manager: Anna Spyrou|Last update: 3/20/2014
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