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[Use of neurodevelopmental disorder screening tool in primary care : A multicenter observational study]
J Chastang1, M Bruneau2, L Mallick3
1Sorbonne Université, Département de médecine générale, Faculté de médecine, Site Saint Antoine, 27 rue Chaligny, 75012 Paris, France; Sorbonne Université, Inserm, Institut Pierre Louis d'épidémiologie et de santé publique, Faculté de médecine, Site Saint Antoine, 27 rue Chaligny, 75012 Paris, France.
Insights
Early detection of neurodevelopmental disorders (NDD) in primary care is crucial. This study found a 3.9% prevalence of NDD identification, with low maternal socio-economic status and male gender being significant factors.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Neurodevelopmental disorders (NDD) impact 5-15% of children, necessitating early detection in primary care.
- A consensus-based screening tool recommended since 2019 lacks prior evaluation.
- This study addresses the need to evaluate the NDD screening tool's real-world application.
Purpose of the Study:
- To investigate the prevalence of neurodevelopmental disorder identification in primary care.
- To identify factors associated with NDD identification in children aged 6 months to 5 years.
- To evaluate a newly recommended screening tool in a primary care setting.
Main Methods:
- A multicentric observational study was conducted in French general practices.
- 564 children aged 6 months to 4 years were included in the analysis.
- Multivariate analysis identified factors associated with abnormal screening results.
Main Results:
- The prevalence of identified neurodevelopmental disorders was 3.9%.
- Factors associated with NDD identification included low maternal socio-economic status, male gender, and parental concern.
- Male gender and low maternal socio-economic status were significantly associated with identifying a developmental trajectory gap.
Conclusions:
- This study provides the first primary care evaluation of an NDD identification tool.
- The findings highlight key demographic and parental factors associated with NDD identification.
- Further cohort studies are required to determine the tool's sensitivity and specificity.
Introduction:
Neurodevelopmental disorders (NDD) affect 5 to 15% of the population. Improved management largely depends on early detection in primary care. A screening tool was developed by an expert consensus and its use has been recommended since 2019. This tool has never been evaluated to date. The aim of this study was to investigate the prevalence and factors associated with the identification of neurodevelopmental disorders in primary care in children aged 6 months to 5 years.
Method:
This work is a multicentric observational study carried out in general practice in two regions of France: Île-de-France and Auvergne-Rhône-Alpes. A multivariate analysis was performed to identify the factors associated with the presence of abnormal signs on the grid.
Results:
Five hundred and sixty-four (564) children aged 6 months to 4 years were included. The prevalence of children identified on the grid was 3.9%. The factors associated with the neurodevelopmental disorders identified in multivariate analysis were: low socio-professional status of the mother, male gender and parental concern about the child's neurodevelopment. Factors associated with identifying a developmental trajectory gap were male gender (OR = 2.10 (1.22-3.62)) and low socio-professional status of the mother (OR = 2.23 [1.05-4.70]).
Conclusion:
This original work allowed us to carry out first-line testing of a tool for the identification of NDD in primary care and to evaluate the prevalence of identification of these disorders. A complementary cohort study will be necessary to evaluate the sensitivity and specificity of this identification tool.
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