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Systematic Literature Review on Public Health Impacts of Persistent Tic Disorders: Health Care Needs and Health Care
Rebecca H Bitsko1, Helena J Hutchins1, Patricia L Whalen2
1Applied Research and Evaluation Team, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention (CDC), 4770 Buford Hwy S106-4, Atlanta, GA 30341, USA.
Abstract:
This study describes our systematic literature review documenting outcomes associated with persistent tic disorders (PTDs) and summarizes 15 articles comparing health care use between individuals with PTDs and a comparison group without PTDs. Only 2 studies included adults and only one study stratified findings by sociodemographic characteristics, precluding conclusions on health care disparities. Most children with PTDs had access to routine care, similar to children without PTDs, but needed and used more specialty health care, including mental health services, compared to children without PTDs. Improving identification and management of PTDs in primary care settings may improve health care access for individuals with PTDs.
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