Research by Topic: USPSTF

ASF co-hosts the 2nd environmental epigenetic of autism research webinar

Published March 7, 2016

On Thursday, ASF, the Escher Fund for Autism and Autism Speaks co-organized the second in a series of webinars on environmental epigenetics. ┬áThese webinars are open to the public and provide discussions on the role of gene/environment interactions in autism led by leading researchers in the field. ┬áThis month, the presentations were given by Dr. […]

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ASF responds to the USPSTF final recommendations on universal screening

Published February 16, 2016

Universal early screening for autism is highly effective in identifying children who have autism, and early intervention is critical to ensure optimal outcomes for children with autism. Earlier today, we were disappointed to hear that the USPSTF released a final recommendation of “insufficient evidence” with regards to the benefits of universal screening in producing better […]

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Deadline for comments on US Preventative Services Task Force screening of autism in young children

Published August 9, 2015

The US Preventative Services Task Force announces comment period for their draft recommendation. Submit your comments by August 31, 2015 at http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryDraft/autism-spectrum-disorder-in-young-children-screening

Deadline for comments on US Preventative Services Task Force screening of autism in young children

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ASF, Autism Speaks and the American Academy of Pediatrics respond to U.S. Preventive Services Task Force draft recommendations on screening for ASD.

Published August 3, 2015

At a time when 1 in 68 children is diagnosed with autism, early identification, diagnosis and treatment is crucial to give children the best opportunity to reach their full potential. The ambiguity of the statement offered by the US Preventative Services Task Force (USPSTF) on autism screening is troubling and unfortunately, may be easily misinterpreted. While the task force does not explicitly recommend against screening for autism, they state there is insufficient evidence to support autism-specific screening in clinical settings. Instead, they have called for more research in this area.As a result, the task force has failed to fully endorse screening despite an abundance of research that demonstrates it is effective in a variety of settings1-3, leads to earlier identification of autism4, and that this earlier identification provides opportunities for early intervention which improves the lives of children with autism5. Research has demonstrated that formal screening is more effective than relying on clinician judgement alone1,6. This is especially important in reducing racial and ethnic disparities in access to care7,8 Moreover, screening is quick, affordable and has no substantial risk. We intend to review the USPSTF report and its methodology to understand why it differs from other evidence-based recommendations from the American Academy of Pediatrics and from experts in the field of autism spectrum disorders. Every child deserves an early, accurate diagnosis and we are hopeful that after the review period the USPSTF reconsider their conclusions. You can read more about the recommendations and response here.There are a number of world renowned autism researchers who agree with this position. They include:Bryan King, Seattle Childrens HospitalAmi Klin, Emory UniversityDiana Robins, Drexel UniversityCeline Saulnier, Emory UniversityRobins DL. Screening for autism spectrum disorders in primary care settings. Autism : the international journal of research and practice. 2008;12(5):537-556.Miller JS, Gabrielsen T, Villalobos M, et al. The each child study: systematic screening for autism spectrum disorders in a pediatric setting. Pediatrics. 2011;127(5):866-871.Robins DL, Casagrande K, Barton M, Chen CM, Dumont-Mathieu T, Fein D. Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics. 2014;133(1):37-45.Herlihy LE, Brooks B, Dumont-Mathieu T, et al. Standardized screening facilitates timely diagnosis of autism spectrum disorders in a diverse sample of low-risk toddlers. Journal of developmental and behavioral pediatrics : JDBP. 2014;35(2):85-92.Pierce K, Carter C, Weinfeld M, et al. Detecting, studying, and treating autism early: the one-year well-baby check-up approach. The Journal of pediatrics. 2011;159(3):458-465 e451-456.Wetherby AM, Brosnan-Maddox S, Peace V, Newton L. Validation of the Infant-Toddler Checklist as a broadband screener for autism spectrum disorders from 9 to 24 months of age. Autism : the international journal of research and practice. 2008;12(5):487-511.Khowaja MK, Hazzard AP, Robins DL. Sociodemographic Barriers to Early Detection of Autism: Screening and Evaluation Using the M-CHAT, M-CHAT-R, and Follow-Up. Journal of autism and developmental disorders. 2015;45(6):1797-1808.Daniels AM, Halladay AK, Shih A, Elder LM, Dawson G. Approaches to enhancing the early detection of autism spectrum disorders: a systematic review of the literature. Journal of the American Academy of Child and Adolescent Psychiatry. 2014;53(2):141-152.

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