Systematic Review and Meta-analysis : Real-World Accuracy of Children's Developmental Screening Tests
Copyright © 2022 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved..
OBJECTIVE: This review presents a list of developmental screening tests used in clinical settings worldwide and provides a broad estimate of their accuracy (PROSPERO: CRD42021236474).
METHOD: Following the PRISMA Diagnostic Test Accuracy (DTA) guidelines, this review involved searching PubMed, PsycINFO, Cochrane, EMBASE, CINAHL, and Google Scholar (for manual searching). Inclusion criteria included studies published in English through 2020 that compared the accuracy of developmental screening tests against developmental diagnostic tests among children under 13 years of age. Six researchers, in pairs, independently selected the studies and extracted the data. A hierarchical model was applied to meta-analyze the diagnostic accuracy of the tests, and meta-regression was used to identify the moderators using R 4.1.3 software.
RESULTS: The meta-analysis included 56 studies (17 screening tests and 61 outcomes). The most frequently used screening tests were the Ages and Stages Questionnaire (ASQ), Denver Developmental Screening Test (DDST), and Parent's Evaluation of Developmental Status (PEDS). The pooled sensitivity and specificity were 0.75 (95% CI = 0.69-0.80) and 0.76 (95% CI = 0.71-0.80), and the overall diagnostic accuracy of the total outcomes (area under the curve) was 0.80. High heterogeneity was observed between the included studies with various thresholds of the tests. Participants' developmental concerns at the baseline significantly moderated the accuracy of the screening tests, resulting in double the positive predictive value and prevalence compared to those without the concerns.
CONCLUSION: We recommend a standardized process of validation studies for diagnostic accuracy, to ensure the effectiveness of developmental screening tests in clinical settings.
STUDY PREREGISTRATION INFORMATION: Accuracy of Developmental Screening Tools among Children in Real World: a Systematic Review and Meta Analysis; https://www.crd.york.ac.uk/; CRD42021236474.
| Errataetall: |
CommentIn: J Am Acad Child Adolesc Psychiatry. 2023 Oct;62(10):1086-1088. - PMID 36958406 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:62 |
|---|---|
| Enthalten in: |
Journal of the American Academy of Child and Adolescent Psychiatry - 62(2023), 10 vom: 01. Okt., Seite 1095-1109 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Rah, Sung Sil [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Developmental disorders |
|---|
| Anmerkungen: |
Date Completed 02.10.2023 Date Revised 30.10.2023 published: Print-Electronic CommentIn: J Am Acad Child Adolesc Psychiatry. 2023 Oct;62(10):1086-1088. - PMID 36958406 Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jaac.2022.12.014 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM351040226 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM351040226 | ||
| 003 | DE-627 | ||
| 005 | 20231226050355.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jaac.2022.12.014 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1170.xml |
| 035 | |a (DE-627)NLM351040226 | ||
| 035 | |a (NLM)36592715 | ||
| 035 | |a (PII)S0890-8567(22)02033-0 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Rah, Sung Sil |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Systematic Review and Meta-analysis |b Real-World Accuracy of Children's Developmental Screening Tests |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 02.10.2023 | ||
| 500 | |a Date Revised 30.10.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Am Acad Child Adolesc Psychiatry. 2023 Oct;62(10):1086-1088. - PMID 36958406 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: This review presents a list of developmental screening tests used in clinical settings worldwide and provides a broad estimate of their accuracy (PROSPERO: CRD42021236474) | ||
| 520 | |a METHOD: Following the PRISMA Diagnostic Test Accuracy (DTA) guidelines, this review involved searching PubMed, PsycINFO, Cochrane, EMBASE, CINAHL, and Google Scholar (for manual searching). Inclusion criteria included studies published in English through 2020 that compared the accuracy of developmental screening tests against developmental diagnostic tests among children under 13 years of age. Six researchers, in pairs, independently selected the studies and extracted the data. A hierarchical model was applied to meta-analyze the diagnostic accuracy of the tests, and meta-regression was used to identify the moderators using R 4.1.3 software | ||
| 520 | |a RESULTS: The meta-analysis included 56 studies (17 screening tests and 61 outcomes). The most frequently used screening tests were the Ages and Stages Questionnaire (ASQ), Denver Developmental Screening Test (DDST), and Parent's Evaluation of Developmental Status (PEDS). The pooled sensitivity and specificity were 0.75 (95% CI = 0.69-0.80) and 0.76 (95% CI = 0.71-0.80), and the overall diagnostic accuracy of the total outcomes (area under the curve) was 0.80. High heterogeneity was observed between the included studies with various thresholds of the tests. Participants' developmental concerns at the baseline significantly moderated the accuracy of the screening tests, resulting in double the positive predictive value and prevalence compared to those without the concerns | ||
| 520 | |a CONCLUSION: We recommend a standardized process of validation studies for diagnostic accuracy, to ensure the effectiveness of developmental screening tests in clinical settings | ||
| 520 | |a STUDY PREREGISTRATION INFORMATION: Accuracy of Developmental Screening Tools among Children in Real World: a Systematic Review and Meta Analysis; https://www.crd.york.ac.uk/; CRD42021236474 | ||
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a developmental disorders | |
| 650 | 4 | |a diagnostic screening programs | |
| 650 | 4 | |a diagnostic tests accuracy | |
| 650 | 4 | |a meta-analysis | |
| 700 | 1 | |a Jung, Minho |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Kyungmin |e verfasserin |4 aut | |
| 700 | 1 | |a Kang, Hannah |e verfasserin |4 aut | |
| 700 | 1 | |a Jang, Soyoung |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Junghyun |e verfasserin |4 aut | |
| 700 | 1 | |a Yoon, Ju Young |e verfasserin |4 aut | |
| 700 | 1 | |a Hong, Soon-Beom |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of the American Academy of Child and Adolescent Psychiatry |d 1992 |g 62(2023), 10 vom: 01. Okt., Seite 1095-1109 |w (DE-627)NLM012953202 |x 1527-5418 |7 nnns |
| 773 | 1 | 8 | |g volume:62 |g year:2023 |g number:10 |g day:01 |g month:10 |g pages:1095-1109 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jaac.2022.12.014 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 62 |j 2023 |e 10 |b 01 |c 10 |h 1095-1109 | ||