Meghan E. O'Neill, Alexandra Ryan, Soyang Kwon, and Helen J. Binns, Ann & Robert H. Lurie Children's Hospital of Chicago.
Am J Intellect Dev Disabil. 2018 Sep;123(5):387-398. doi: 10.1352/1944-7558-123.5.387.
The American Academy of Pediatrics's guideline on health supervision for children with Down syndrome (DS) offers pediatricians guidance to improve detection of comorbid conditions. Pediatrician adherence has not yet been comprehensively evaluated. Medical records of 31 children with DS who received primary care at two urban academic clinic sites from 2008-2012 were reviewed. Data was extracted on adherence to age-specific individual guideline components for each subject by year-of-life (total 84 years-of-life). Overall adherence across all components was 83% (2001 guideline) and 67% (2011 guideline). Adherence to thyroid, hearing, vision, and developmental components was >85%, and anticipatory guidance regarding atlantoaxial instability and sexuality was <35%. Overall adherence was higher when a subject was younger and when a provider was an attending-level pediatrician.
美国儿科学会（AAP）发布的唐氏综合征儿童健康监督指南为儿科医生提供了指导，以提高对共患病的检测。然而，儿科医生的遵医行为尚未得到全面评估。本研究对 2008-2012 年在两个城市学术诊所接受初级保健的 31 名唐氏综合征患儿的医疗记录进行了回顾。根据每个儿童的生命年龄（总计 84 个生命年），对每个患儿在特定年龄接受个体化指南的情况进行了评估。所有指南部分的总体遵医率为 83%（2001 年指南）和 67%（2011 年指南）。甲状腺、听力、视力和发育等部分的遵医率＞85%，而关于寰枢椎不稳定和性方面的预期指导率＜35%。当患儿年龄较小和当主治儿科医生提供医疗服务时，总体遵医率更高。
