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    Developmental-Behavioral Pediatricians' Diagnosis and Coding of Overweight and Obesity in Children with Autism Spectrum Disorder

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    Authors
    Walls, Morgan
    Curtin, Carol
    Phillips, Sarah
    Eliasziw, Misha
    Jackel, Carissa
    Must, Aviva
    Bandini, Linda G.
    Broder-Fingert, Sarabeth
    UMass Chan Affiliations
    Department of Psychiatry
    Department of Family Medicine and Community Health
    Eunice Kennedy Shriver Center
    Document Type
    Journal Article
    Publication Date
    2020-05-01
    Keywords
    autism spectrum disorder
    overweight
    obesity
    weight management
    developmental-behavioral pediatricians
    Disability Studies
    Health Services Administration
    Mental and Social Health
    Mental Disorders
    Nutritional and Metabolic Diseases
    Pediatrics
    Psychiatry and Psychology
    Psychology
    Public Health
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    Link to Full Text
    https://doi.org/10.1097/dbp.0000000000000783
    Abstract
    OBJECTIVE: The prevalence of obesity in autism spectrum disorder (ASD) is high, and managing obesity in children with ASD can be challenging. The study's objective was to examine developmental-behavioral pediatricians' (DBPs) coding practices for overweight/obesity in children with ASD and patient characteristics associated with coding. METHODS: We analyzed the clinical data on children with ASD with at least 1 visit at one of 3 developmental-behavioral pediatrics network sites between January 2010 and December 2011. Weight status was calculated using body mass index z-scores. For children meeting the criteria for overweight/obesity, we assessed the frequency of weight-related ICD-9 diagnosis codes at DBP visits, used multivariable logistic regression to determine characteristics associated with the presence of these codes, and examined the prevalence of weight-related codes relative to other diagnosis codes. RESULTS: The sample included 4542 children, ages 2 to 19 years. 15.5% of children met the criteria for overweight, 14.7% for obesity, and 6.3% for severe obesity. Of children meeting the criteria for overweight/obesity/severe obesity, 7.5% had a weight-related code documented at their visits. Children with obesity or severe obesity and older children had higher odds of having a weight-related code. Compared with not being on medications, atypical antipsychotics use was significantly associated with increased odds of having a weight-related code. Of 3802 unique ICD-9 diagnosis codes documented at any visit during the study period, only 4% were related to weight. CONCLUSION: Few children meeting the criteria for overweight/obesity had documented weight-related codes. Weight-related coding was more likely for children with obesity, who were older, and those taking atypical antipsychotics.
    Source

    Walls M, Curtin C, Phillips S, Eliasziw M, Jackel C, Must A, Bandini L, Broder-Fingert S. Developmental-Behavioral Pediatricians' Diagnosis and Coding of Overweight and Obesity in Children with Autism Spectrum Disorder. J Dev Behav Pediatr. 2020 May;41(4):258-264. doi: 10.1097/DBP.0000000000000783. PMID: 32040046. Link to article on publisher's site

    DOI
    10.1097/DBP.0000000000000783
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/49012
    PubMed ID
    32040046
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1097/DBP.0000000000000783
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