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Does a claims diagnosis of autism mean a true case?
Journal article   Peer reviewed

Does a claims diagnosis of autism mean a true case?

James P. Burke, Anjali Jain, Wenya Yang, Jonathan P. Kelly, Marygrace Kaiser, Laura Becker, Lindsay Lawer and Craig J. Newschaffer
Autism : the international journal of research and practice, v 18(3), pp 321-330
01 Apr 2014
PMID: 23739541
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Psychology Psychology, Developmental Social Sciences
The purpose of this study was to validate autism spectrum disorder cases identified through claims-based case identification algorithms against a clinical review of medical charts. Charts were reviewed for 432 children who fell into one of the three following groups: (a) more than or equal to two claims with an autism spectrum disorder diagnosis code (n = 182), (b) one claim with an autism spectrum disorder diagnosis code (n = 190), and (c) those who had no claims for autism spectrum disorder but had claims for other developmental or neurological conditions (n = 60). The algorithm-based diagnoses were compared with documented autism spectrum disorders in the medical charts. The algorithm requiring more than or equal to two claims for autism spectrum disorder generated a positive predictive value of 87.4%, which suggests that such an algorithm is a valid means to identify true autism spectrum disorder cases in claims data.

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113 citations in Scopus

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Web of Science research areas
Psychology, Developmental
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