Journal article

Guideline adherence in the management of attention deficit hyperactivity disorder in children: An audit of selected medical records in three Australian states

LA Ellis, B Blakely, P Hazell, S Woolfenden, H Hiscock, V Sarkozy, B Gould, PD Hibbert, G Arnolda, HP Ting, LK Wiles, CJ Molloy, K Churruca, M Warwick, J Braithwaite

Plos One | PUBLIC LIBRARY SCIENCE | Published : 2021

Abstract

Objective To assess General Practitioner (GP) and pediatrician adherence to clinical practice guidelines (CPGs) for diagnosis, treatment and management of attention deficit hyperactivity disorder (ADHD). Method Medical records for 306 children aged ≤15 years from 46 GP clinics and 20 pediatric practices in Australia were reviewed against 34 indicators derived from CPG recommendations. At indicator level, adherence was estimated as the percentage of indicators with 'Yes' or 'No' responses for adherence, which were scored 'Yes'. This was done separately for GPs, pediatricians and overall; and weighted to adjust for sampling processes. Results Adherence with guidelines was high at 83.6% (95% CI..

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University of Melbourne Researchers

Grants

Awarded by Australian National Health and Medical Research partnership grant


Funding Acknowledgements

The research was funded as an Australian National Health and Medical Research partnership grant (APP1065898) (JB), https://www.nhmrc.gov.au), with contributions by the Bupa Health Foundation (https://www.bupa.com.au), Sydney Children's Hospital Network (https://www.schn.health.nsw.gov.au), New South Wales Kids and Families (https://www.health.nsw.gov.au/kidsfamilies), Children's Health Queensland (https://www.childrens.health.qld.gov.au) and the South Australian Department of Health (https://www.sahealth.sa.gov.au).These funding bodies provided support in the form of salaries for authors [PH, HPT, LKW, CJM], but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Dr Bronwyn Gould's general practice in Paddington provided no funding to the study.