This is a topic that comes to mind for me as well.
Here is a research paper on the proper way to diagnose autism.Autism Spectrum Disorder (ASD) is a behaviorally diagnosed condition.It is defined by impairments in social communication or the presence of restricted or repetitive behaviors, or both.
It is defined by the presence of impaired social communication or restricted or repetitive behavior, or both.The diagnosis is made according to an existing classification system.In recent years, especially after the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; APA 2013)rather than subclassifications on the spectrum of autistic disorders, Asperger syndrome, etc.children have been given the diagnosis of ASD.
The purpose of the study!
To determine which diagnostic tools, including the most recent version, are the most effective in making.compared to clinical judgment by an interdisciplinary team.
Which diagnostic tool, including the latest version, most accurately diagnoses ASD in preschool children when compared to clinical judgment by an interdisciplinary team? This is the question.
Identify the best interview tool and how it compares to CARS, then how it compares to CARS and ADOS.
1) Which ASD diagnostic tool has the best diagnostic test accuracy among ADOS, ADI-R, CARS, DISCO, GARS, and 3di?
2) Is the diagnostic test accuracy of a given test sufficient for that test to be appropriate as the sole assessment tool for young children?
3) If provided in sequence, does it provide adequate diagnostic test accuracy and
Is there a combination of tests that would increase test efficiency?
4) Given the data, is there a combination of interview tools and structured observation tests that is more diagnostic than either test?
(If the diagnostic system is improved, we can avoid being undetected for ASD or being told we are positive for something we are not.
What kind of research did you do?
From 13 publications, 21 analyses reporting on tools and cohorts for children were included.Many of them had a high risk of bias, potential conflicts of interest, and in some cases a combination of both.Overall, the prevalence of ASD in children in the included analyses was 74%.
For the ADOS versions and modules, we used
There were 12 analyses with 1625 children.
The sensitivity of the ADOS ranges from 0.76 to 0.98, and the specificity ranges from 0.20 to 1.00.Summary sensitivity was 0.94 (95% confidence interval (CI) 0.89 to 0.97), andThe summary specificity was 0.80 (95% CI 0.68 to 0.88).For CARS, there were four analyses involving 641 children.The sensitivity for CARS ranged from 0.66 to 0.89.Specificity ranged from 0.21 to 1.The summary sensitivity for CARS was 0.80, and the summary specificity was 0.88.The summary sensitivity for CARS was 0.80 and the summary specificity was 0.88.
For the ADI-R, five analyses were performed on 634 children.
The sensitivity of the ADI-R ranged from 0.19 to 0.75, and the specificity ranged from 0.63 to 1.00.The summary sensitivity of the ADI-R was 0.52 (95% CI 0.32 to 0.71)The summary specificity of the ADI-R is 0.84 (95% CI 0.61 to 0.95).There were few studies comparing the tests, and no clear conclusion could be drawn.
In the two studies that included analysis of both the ADI-R and the ADOS, the test scores were the same for sensitivity, but the ADOS scores were higher for specificity.
In the two studies that included analysis of the ADI-R, ADOS, and CARS, theADOS showed the highest sensitivity and CARS showed the highest specificity.In one study that examined the individual and additive sensitivity and specificity of ADOS and ADI-R.Combining the two tests did not increase either the sensitivity or specificity of the ADOS when used alone.
When studies with a high risk of bias were excluded, the performance of all tests was poor.
Randall M, Egberts KJ, Samtani A, Scholten RJPM, Hooft L, Livingstone N, Sterling-Levis K, Woolfenden S, WilliamsK. Diagnostic tests for autism spectrum disorder (ASD) in preschool children. Cochrane Database of Systematic Reviews 2018, Issue 7. Number: CD009044. doi: 10.1002 / 14651858.CD009044.pub2.
So, what do you think?
I've heard that ADOS is the most sensitive test out there! One comment from a reviewer that caught my attention..."All tools performed equally well with respect to specificity. In low prevalence populations, there is an increased risk of incorrectly identifying children who do not have ASD.
Oh... I can be wrong!The method currently being used is considered to be effective in minimizing the risk of bias in testing, but The current method is considered to be effective with little risk of bias as a test, but it seems that it can be wrong if the group changes.
Let's try a test called ADOS! I was about to say.
I was going to say, "Let's try the ADOS test," but I heard that it's originally a paid test, so I won't introduce it.
Sometimes it is hard to tell if a preschooler has a developmental disability, and sometimes you find out as an adult that they do.It would be nice if we could identify it and take appropriate measures to change the child's life.
But what does it really mean?
It's my problem, but when I'm in a group, I need the understanding of those around me.It's hard to say whether I should make this diagnosis or not.If you have any doubts about the test methods to be used for diagnosis, please refer to the results of this paper.
