AI Article Synopsis
- The American Academy of Pediatrics provides guidelines for health supervision in children with Down syndrome to help pediatricians identify additional health issues.
- A review of medical records for 31 children with Down syndrome showed overall adherence to these guidelines was 83% for the 2001 version and 67% for the 2011 version.
- Adherence was high for thyroid, hearing, vision, and developmental checks, but low (under 35%) for topics like atlantoaxial instability and sexuality, with better compliance noted in younger patients and those seen by attending-level pediatricians.
Article Abstract
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 attending-level pediatrician.
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| http://dx.doi.org/10.1352/1944-7558-123.5.387 | DOI Listing |
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