Journal article

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

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



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%..

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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),, with contributions by the Bupa Health Foundation (, Sydney Children's Hospital Network (, New South Wales Kids and Families (, Children's Health Queensland ( and the South Australian Department of Health ( 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.