![]() Sensitivity and specificity of the pediatrician assessments compared with MDT were 0.75 (95% CI, 0.67-0.83) and 0.79 (95% CI, 0.62-0.91), respectively. Seventy-two participants (68%) received a diagnosis of ASD by the MDT. Sixty participants (57%) were from minoritized racial and ethnic groups (eg, Black, Asian, Hispanic, Middle Eastern, and multiracial). Results Seventeen pediatricians (12 women ) participated in the study and referred 106 children (79 boys mean age, 41.9 months). A logistic regression was performed to identify factors associated with accurate pediatrician assessment for children with or without an ASD diagnosis. Main Outcomes and Measures Main outcomes included sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Data analysis was performed from October 2021 to February 2022.Įxposures The pediatrician and MDT each conducted blinded assessments and recorded a decision as to whether the child had ASD. Children were younger than 5.5 years, referred with a developmental concern, and without an existing ASD diagnosis. Objective To determine the accuracy of ASD diagnostic assessments conducted by general pediatricians compared with a multidisciplinary team (MDT).ĭesign, Setting, and Participants This prospective diagnostic study was conducted in and a specialist assessment center in Toronto, Ontario, Canada, and Ontario general pediatrician practices from June 2016 to March 2020. General pediatricians may be able to diagnose some cases of ASD, thereby reducing wait times. Importance Wait times for autism spectrum disorder (ASD) diagnosis are lengthy because of inadequate supply of specialist teams. ![]() Shared Decision Making and Communication. ![]()
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