Document Detail


Investigation of shifts in autism reporting in the California Department of Developmental Services.
MedLine Citation:
PMID:  19479197     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated if shifts in the coding of qualifying conditions in the California Department of Developmental Services (DDS) have contributed to the increase in California children with autism observed in recent years. Qualifying condition codes for mental retardation (MR) and autism in DDS electronic files were compared to hard-copy records for samples of children born 1987, 1990, 1994, and 1997. Contrary to expectations, we did not find evidence of a coding shift from "MR only" to "both MR and autism" or an increase in the proportion of children with coded autism who lacked supportive diagnostic documentation in records (possible "misclassifications"). These results indicate that changes in DDS coding practices are unlikely to explain the increase in DDS clients with autism.
Authors:
Judith K Grether; Nila J Rosen; Karen S Smith; Lisa A Croen
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.     Date:  2009-05-29
Journal Detail:
Title:  Journal of autism and developmental disorders     Volume:  39     ISSN:  1573-3432     ISO Abbreviation:  J Autism Dev Disord     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-17     Completed Date:  2009-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7904301     Medline TA:  J Autism Dev Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1412-9     Citation Subset:  IM    
Affiliation:
California Department of Public Health, Richmond, CA 94804, USA. Judith.grether@cdph.ca.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Autistic Disorder / diagnosis,  epidemiology*
California / epidemiology
Child
Child Health Services
Forms and Records Control
Government Agencies / statistics & numerical data
Humans
Young Adult
Grant Support
ID/Acronym/Agency:
U10/CCU920392//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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