Jeph Herrin, Huihui Yu, Arjun K Venkatesh, Sunita M Desai, Cassandra L Thiel, Zhenqiu Lin, Susannah M Bernheim, Leora I Horwitz
Identifying high-value care for Medicare beneficiaries: a cross-sectional study of acute care hospitals in the USA
BMJ open
parentcaregivercompleted developmental testing pcdt integral developmental care children however limited information accuracy systematic review compared diagnostic accuracy pcdt concurrently administered bayley scales infant development detection developmental delay dd children 4 years age searched databases pubmed embase cinahl psycinfo google scholar november 2023 bivariate multiple thresholds summary receiver operating characteristics used obtain summary sensitivity specificity 95 cis quality assessment diagnostic accuracy studies2 tool used risk bias assessment total 38 studies 31 metaanalysis included ages stages questionnaire asq parent report childrens abilitiesrevised parcar commonly evaluated pcdts asq score 2 sd mean overall sensitivity 072 06 082 063 050 075 median specificity 089 082 094 081 076 086 diagnosing moderate severe dd severe dd respectively parca r overall sensitivity 069 051 083 median specificity 075 064 083 predicting severe dd participant selection bias partial verification bias found 50 studies certainty evidence low studied outcomes commonly studied parental tools asq parcar moderate low sensitivity moderate specificity detecting dd young children high risk bias heterogeneity available data potentially impact interpretation results crd42021268629