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, Browyn Gould, Peter D. Hibbert, Gaston Arnolda, Hsuen P. Ting, Louise K. Wiles, Charlotte Molloy, Kate Churruca, Meagan Warwick, Jeffrey Braithwaite*, CareTrack Kids Investigative Team

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
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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: 77.7–88.5) with pediatricians (90.1%; 95% CI: 73.0–98.1) higher than GPs (68.3%; 95% CI: 46.0–85.8; p = 0.02). Appropriate assessment for children presenting with signs or symptoms of ADHD was undertaken with 95.2% adherence (95% CI: 76.6–99.9), however ongoing reviews for children with ADHD prescribed stimulant medication was markedly lower for both pediatricians (51.1%; 95% CI: 9.6–91.4) and GPs (18.7%; 95% CI: 4.1–45.5).

Conclusion
Adherence to CPGs for ADHD by pediatricians was generally high. Adherence by GPs was lower across most domains; timely recognition of medication side effects is a particular area for improvement.
Original languageEnglish
Article numbere0245916
Pages (from-to)1-16
Number of pages16
JournalPLoS ONE
Volume16
Issue number2
DOIs
Publication statusPublished - 8 Feb 2021

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Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

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