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.
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.
Authors: Jeffery N Epstein; Kelly J Kelleher; Rebecca Baum; William B Brinkman; James Peugh; William Gardner; Phil Lichtenstein; Joshua Langberg Journal: Pediatrics Date: 2014-11-03 Impact factor: 7.124
Authors: Alexander G Fiks; Michelle E Ross; Stephanie L Mayne; Lihai Song; Weiwei Liu; Jennifer Steffes; Banita McCarn; Robert W Grundmeier; A Russell Localio; Richard Wasserman Journal: Pediatrics Date: 2016-11-15 Impact factor: 7.124
Authors: Megan K Gordon; Rebecca A Baum; William Gardner; Kelly J Kelleher; Joshua M Langberg; William B Brinkman; Jeffery N Epstein Journal: J Atten Disord Date: 2016-01-28 Impact factor: 3.256
Authors: Louise A Ellis; Brette Blakely; Philip Hazell; Sue Woolfenden; Harriet Hiscock; Vanessa Sarkozy; Bronwyn Gould; Peter D Hibbert; Gaston Arnolda; Hsuen P Ting; Louise K Wiles; Charlotte J Molloy; Kate Churruca; Meagan Warwick; Jeffrey Braithwaite Journal: PLoS One Date: 2021-02-08 Impact factor: 3.240