Practice Patterns and Guideline Adherence in the Management of Attention Deficit/Hyperactivity Disorder
Practice Patterns and Guideline Adherence in the Management of Attention Deficit/Hyperactivity Disorder
复制标题
DOI：
10.1177/0009922814540985
复制
发表时间：
2014-09-01
影响因子：
1.6
通讯作者：
Roberts, James R.
中科院分区：
文献类型：
--
作者：
McElligott, James T.;Lemay, John R.;Roberts, James R.
背景。目前的数据仅限于遵守注意力缺陷/多动障碍 (ADHD) 治疗指南。方法。一项评估 ADHD 诊断和管理指南遵守情况的调查已分发给实践研究网络中的儿科医生。根据从业者特征进行比较。结果。总共返回了 42/76 份调查 (55%)。受访者基本上遵守美国儿科学会 (AAP) 的指导方针。较低比例的人表示遵守使用标准化工具进行重新筛查（80%）、使用心电图（78% 很少使用）以及使用常规附加测试（80% 很少使用）。学术从业者更有可能重新筛选（100% vs 79%，P < .05）。私人医生更经常使用更新的治疗药物（7% vs 44%，P < .01）。年龄较大的毕业生在年轻时更愿意进行诊断（93% vs 56%，P < .01），并且更愿意使用睡眠药物（60% vs 15%，P < .01）。结论。儿科医生基本上遵守 AAP 指南。这些发现支持了 2011 年对指南的修改。执业模式因执业者经验、地点和执业类型而存在差异。
Background. Current data are limited on compliance with guidelines for the treatment of attention deficit/hyperactivity disorder (ADHD). Methods. A survey assessing compliance with ADHD guidelines for diagnosis and management was distributed to pediatricians in a practice research network. Comparisons were made by practitioner characteristics. Results. In all, 42/76 surveys were returned (55%). Respondents largely adhered to American Academy of Pediatrics (AAP) guidelines. A lower percentage reported compliance for rescreening with a standardized tool (80%), use of electrocardiograms (78% rarely use), and the use of routine additional testing (80% rarely use). Academic practitioners were more likely to rescreen (100% vs 79%, P < .05). Private practitioners more often used newer therapeutic agents (7% vs 44%, P < .01). Older graduates were more comfortable diagnosing at a young age (93% vs 56%, P < .01) and were more comfortable using sleep agents (60% vs 15%, P < .01). Conclusion. Pediatricians largely adhered to AAP guidelines. These findings support changes made to the guidelines in 2011. Differences in practice patterns exist by practitioner experience, location, and practice type.