{"id":"https://openalex.org/W2328972721","doi":"https://doi.org/10.1097/dbp.0000000000000133","title":"Late Diagnosis of Autism Spectrum Disorder After Initial Negative Assessment by a Multidisciplinary Team","display_name":"Late Diagnosis of Autism Spectrum Disorder After Initial Negative Assessment by a Multidisciplinary Team","publication_year":2015,"publication_date":"2015-02-03","ids":{"openalex":"https://openalex.org/W2328972721","doi":"https://doi.org/10.1097/dbp.0000000000000133","mag":"2328972721","pmid":"https://pubmed.ncbi.nlm.nih.gov/25651066"},"language":"en","primary_location":{"id":"doi:10.1097/dbp.0000000000000133","doi":"https://doi.org/10.1097/dbp.0000000000000133","is_oa":false,"landing_page_url":"https://doi.org/10.1097/dbp.0000000000000133","pdf_url":null,"source":{"id":"https://openalex.org/S116305490","display_name":"Journal of Developmental & Behavioral Pediatrics","issn_l":"0196-206X","issn":["0196-206X","1536-7312"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","erih-plus","jufo-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Developmental & Behavioral Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088497627","display_name":"Michael Davidovitch","orcid":"https://orcid.org/0000-0001-5144-5905","observed_orcids":["https://orcid.org/0000-0001-5144-5905"]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I138898306","display_name":"Reichman University","ror":"https://ror.org/01px5cv07","country_code":"IL","type":"education","lineage":["https://openalex.org/I138898306"]},{"id":"https://openalex.org/I28185974","display_name":"Maccabi Healthcare Services","ror":"https://ror.org/04k1f6611","country_code":"IL","type":"healthcare","lineage":["https://openalex.org/I28185974"]},{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["IL","US"],"is_corresponding":true,"raw_author_name":"Michael Davidovitch","raw_affiliation_strings":["*Child Development, Medical Division, Maccabi Healthcare Services, Tel Aviv, Israel; \u2020Sagol Institute for Applied Neuroscience, School of Psychology, Interdisciplinary Center (IDC), Herzlia, Israel; \u2021Child Development, Hashfela and Jerusalem District, Maccabi Healthcare Services, Jerusalem, Israel; \u00a7The Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH","Child Development, Medical Division, Maccabi Healthcare Services, Tel Aviv, Israel","Sagol Institute for Applied Neuroscience, School of Psychology, Interdisciplinary Center (IDC), Herzlia, Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"*Child Development, Medical Division, Maccabi Healthcare Services, Tel Aviv, Israel; \u2020Sagol Institute for Applied Neuroscience, School of Psychology, Interdisciplinary Center (IDC), Herzlia, Israel; \u2021Child Development, Hashfela and Jerusalem District, Maccabi Healthcare Services, Jerusalem, Israel; \u00a7The Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH","institution_ids":["https://openalex.org/I1285204247","https://openalex.org/I28185974","https://openalex.org/I63135867"]},{"raw_affiliation_string":"Child Development, Medical Division, Maccabi Healthcare Services, Tel Aviv, Israel","institution_ids":["https://openalex.org/I28185974"]},{"raw_affiliation_string":"Sagol Institute for Applied Neuroscience, School of Psychology, Interdisciplinary Center (IDC), Herzlia, Israel","institution_ids":["https://openalex.org/I138898306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011520168","display_name":"Nava Levit\u2010Binnun","orcid":"https://orcid.org/0000-0001-7868-0454","observed_orcids":["https://orcid.org/0000-0001-7868-0454"]},"institutions":[{"id":"https://openalex.org/I138898306","display_name":"Reichman University","ror":"https://ror.org/01px5cv07","country_code":"IL","type":"education","lineage":["https://openalex.org/I138898306"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Nava Levit-Binnun","raw_affiliation_strings":["Sagol Institute for Applied Neuroscience, School of Psychology, Interdisciplinary Center (IDC), Herzlia, Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sagol Institute for Applied Neuroscience, School of Psychology, Interdisciplinary Center (IDC), Herzlia, Israel","institution_ids":["https://openalex.org/I138898306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052355902","display_name":"Dafna Golan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I28185974","display_name":"Maccabi Healthcare Services","ror":"https://ror.org/04k1f6611","country_code":"IL","type":"healthcare","lineage":["https://openalex.org/I28185974"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Dafna Golan","raw_affiliation_strings":["Child Development, Hashfela and Jerusalem District, Maccabi Healthcare Services, Jerusalem, Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Child Development, Hashfela and Jerusalem District, Maccabi Healthcare Services, Jerusalem, Israel","institution_ids":["https://openalex.org/I28185974"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5004101919","display_name":"Patricia Manning\u2010Courtney","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patricia Manning-Courtney","raw_affiliation_strings":["The Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH","institution_ids":["https://openalex.org/I1285204247","https://openalex.org/I63135867"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5088497627"],"corresponding_institution_ids":["https://openalex.org/I1285204247","https://openalex.org/I138898306","https://openalex.org/I28185974","https://openalex.org/I63135867"],"apc_list":null,"apc_paid":null,"fwci":3.94,"has_fulltext":false,"cited_by_count":106,"citation_normalized_percentile":{"value":0.9394539,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":100},"biblio":{"volume":"36","issue":"4","first_page":"227","last_page":"234"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10106","display_name":"Autism Spectrum Disorder Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2805","display_name":"Cognitive Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10106","display_name":"Autism Spectrum Disorder Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2805","display_name":"Cognitive Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T13393","display_name":"Child Nutrition and Feeding Issues","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11632","display_name":"Family and Disability Support Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/autism-spectrum-disorder","display_name":"autism spectrum disorder","score":0.9900000095367432},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.9800000190734863},{"id":"https://openalex.org/keywords/language-deficits","display_name":"language deficits","score":0.6690000295639038},{"id":"https://openalex.org/keywords/motor-difficulties","display_name":"motor difficulties","score":0.9760000109672546},{"id":"https://openalex.org/keywords/attention-deficits","display_name":"attention deficits","score":0.9010000228881836},{"id":"https://openalex.org/keywords/cognitive-difficulties","display_name":"cognitive difficulties","score":0.8840000033378601},{"id":"https://openalex.org/keywords/missed-diagnosis","display_name":"missed diagnosis","score":0.41600000858306885},{"id":"https://openalex.org/keywords/overdiagnosis","display_name":"overdiagnosis","score":0.902999997138977},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.45100000500679016}],"concepts":[{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.7063536643981934},{"id":"https://openalex.org/C2778538070","wikidata":"https://www.wikidata.org/wiki/Q1436063","display_name":"Autism spectrum disorder","level":3,"score":0.6308656930923462},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.621639609336853},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6111204624176025},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.5376855731010437},{"id":"https://openalex.org/C205778803","wikidata":"https://www.wikidata.org/wiki/Q38404","display_name":"Autism","level":2,"score":0.5153893232345581},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.48527786135673523},{"id":"https://openalex.org/C2776831707","wikidata":"https://www.wikidata.org/wiki/Q6691991","display_name":"Pervasive developmental disorder","level":4,"score":0.44936078786849976},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4247533082962036},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.410685658454895},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.32623493671417236},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.10552915930747986},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.07896319031715393},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000067877","descriptor_name":"Autism Spectrum Disorder","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007557","descriptor_name":"Israel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057210","descriptor_name":"Delayed Diagnosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/dbp.0000000000000133","doi":"https://doi.org/10.1097/dbp.0000000000000133","is_oa":false,"landing_page_url":"https://doi.org/10.1097/dbp.0000000000000133","pdf_url":null,"source":{"id":"https://openalex.org/S116305490","display_name":"Journal of Developmental & Behavioral Pediatrics","issn_l":"0196-206X","issn":["0196-206X","1536-7312"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","erih-plus","jufo-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Developmental & Behavioral Pediatrics","raw_type":"journal-article"},{"id":"pmid:25651066","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25651066","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of developmental and behavioral pediatrics : JDBP","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W394951549","https://openalex.org/W1974106317","https://openalex.org/W2006980982","https://openalex.org/W2023030840","https://openalex.org/W2073102203","https://openalex.org/W2074766612","https://openalex.org/W2097406778","https://openalex.org/W2098251401","https://openalex.org/W2099620370","https://openalex.org/W2102249289","https://openalex.org/W2122780702","https://openalex.org/W2129844670","https://openalex.org/W2132099313","https://openalex.org/W2152893589","https://openalex.org/W2162397911"],"related_works":["https://openalex.org/W2890969706","https://openalex.org/W2899054235","https://openalex.org/W2023030840","https://openalex.org/W2943216189","https://openalex.org/W3119960237","https://openalex.org/W2743643029","https://openalex.org/W2790568851","https://openalex.org/W2074766612","https://openalex.org/W4395072653","https://openalex.org/W4311021225"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Describe":[1],"a":[2,8,22,49,158,215],"cohort":[3,66,156,193],"of":[4,10,29,43,53,67,77,96,112,120,127,148,160,167,191,206,234],"children":[5,68],"who":[6,69],"received":[7],"diagnosis":[9,205,226],"autism":[11],"spectrum":[12],"disorder":[13],"(ASD)":[14],"after":[15,19,74,136,208],"age":[16,28,76,137,147,166],"6":[17,78,138,149],"and":[18,100,184,231],"having":[20],"undergone":[21],"comprehensive":[23,142,212],"multidisciplinary":[24],"assessment":[25,213],"before":[26,145,164],"the":[27,65,75,94,101,118,121,146,165,192],"6,":[30,168],"through":[31],"which":[32],"they":[33],"were":[34,70,80,91,107,132,150],"not":[35,81],"diagnosed":[36,71,82,133],"with":[37,72,83,134,169],"ASD.":[38,153,235],"METHODS:":[39],"Extensive":[40],"chart":[41],"review":[42],"patients'":[44],"electronic":[45],"medical":[46],"records":[47],"comprised":[48],"representative":[50],"population-based":[51],"registry":[52],"patients":[54,129],"seen":[55],"during":[56],"2004":[57],"to":[58],"2011.":[59],"The":[60,89,105,154],"study":[61,155],"focused":[62],"only":[63],"on":[64],"ASD":[73,84,135,207],"but":[79],"at":[85],"an":[86,209],"earlier":[87],"age.":[88],"charts":[90,106],"reviewed":[92],"for":[93,110,152,220],"number":[95],"developmental":[97,143,162],"assessments":[98],"completed":[99],"clinician's":[102],"diagnostic":[103,171],"impressions.":[104],"also":[108],"examined":[109],"documentation":[111],"ASD-suggestive":[113],"features":[114,196],"pulled":[115],"directly":[116],"from":[117],"text":[119],"evaluators'":[122],"reports.":[123],"RESULTS:":[124],"A":[125],"total":[126,159],"221":[128],"(189":[130],"males)":[131],"although":[139],"their":[140,199],"initial":[141,170,200,210],"evaluations":[144,163],"negative":[151],"underwent":[157],"1028":[161],"impressions":[172],"that":[173],"included":[174],"language":[175],"deficits":[176],"(70%),":[177],"motor":[178],"difficulties":[179,186],"(67%),":[180],"attention":[181],"problems":[182],"(46%),":[183],"cognitive":[185],"(42%).":[187],"Less":[188],"than":[189],"half":[190],"had":[194],"ASD-suggesting":[195],"documented":[197],"in":[198],"assessment.":[201],"CONCLUSIONS:":[202],"Subsequent":[203],"late":[204],"ASD-negative":[211],"is":[214],"common":[216],"clinical":[217],"experience.":[218],"Reasons":[219],"this":[221],"scenario":[222],"may":[223],"include":[224],"evolving":[225],"as":[227,229],"well":[228],"missed":[230],"overdiagnosed":[232],"cases":[233]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":12},{"year":2023,"cited_by_count":20},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":8},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":8},{"year":2018,"cited_by_count":13},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":3}],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2016-06-24T00:00:00"}