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Article: Evaluating a child with Partial Developmental Delay (ParDD), Global Developmental Delay (GDD)/mental retardation (MR): Clinical expertise based or evidence-based?

TitleEvaluating a child with Partial Developmental Delay (ParDD), Global Developmental Delay (GDD)/mental retardation (MR): Clinical expertise based or evidence-based?
Authors
KeywordsChildren
Developmental Delay (Dd)
Evidence Based
Global Developmental Delay (Gdd)
Intellectual Disability (Id)
Mental Retardation (Mr)
Partial Developmental Delay (Pardd)
Issue Date2006
PublisherBentham Science Publishers Ltd. The Journal's web site is located at http://www.bentham.org/cpr/index.htm
Citation
Current Pediatric Reviews, 2006, v. 2 n. 2, p. 143-153 How to Cite?
AbstractDevelopmental delay (DD) is a commonly encountered clinical problem. Nearly most children with neurodevelopmental disorders present with developmental delay. The ultimate diagnosis may take months or even years to be confirmed. The final verdict may be purely developmental with a benign outcome, or there might be slow deterioration ending up in a more sinister cause like neurodegenerative diseases. At times, the developmental course might plateau off with the final developmental outcome underachieved. With standardized assessment at a later age, these children could then be labeled as suffering from "mental retardation' (MR) or "intellectual disability" (ID). Thus, the crucial issue during the process of making the final diagnosis for any child presenting with developmental delay is when can one decide that an etiological diagnosis can confidently be made during the phase of development. When can one be really sure that there is no underlying organic cause to account for the developmental delay. Often than not, the clinician is faced with the dilemma of how exhaustive one should persue in investigating a case of DD, and when to stop investigating further. It is very important for us to develop a logical and practical approach in managing these DD children at the "first" presentation and to establish one's clinical judgment to find the "Best timing" for referral or diagnostic workup. The first step to the approach is the awareness and the differentiation of Partial Developmental Delay (ParDD) from Global Developmental Delay (GDD). We aim to provide the readers an understanding of a practical and evidence based approach for the diagnostic evaluation of a child with DD/MR. We hope this approach can help to improve the diagnostic yield of DD/MR. © 2006 Bentham Science Publishers Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/170366
ISSN
2015 SCImago Journal Rankings: 0.270
References

 

DC FieldValueLanguage
dc.contributor.authorWong, VCNen_US
dc.contributor.authorChung, BHYen_US
dc.date.accessioned2012-10-30T06:07:49Z-
dc.date.available2012-10-30T06:07:49Z-
dc.date.issued2006en_US
dc.identifier.citationCurrent Pediatric Reviews, 2006, v. 2 n. 2, p. 143-153en_US
dc.identifier.issn1573-3963en_US
dc.identifier.urihttp://hdl.handle.net/10722/170366-
dc.description.abstractDevelopmental delay (DD) is a commonly encountered clinical problem. Nearly most children with neurodevelopmental disorders present with developmental delay. The ultimate diagnosis may take months or even years to be confirmed. The final verdict may be purely developmental with a benign outcome, or there might be slow deterioration ending up in a more sinister cause like neurodegenerative diseases. At times, the developmental course might plateau off with the final developmental outcome underachieved. With standardized assessment at a later age, these children could then be labeled as suffering from "mental retardation' (MR) or "intellectual disability" (ID). Thus, the crucial issue during the process of making the final diagnosis for any child presenting with developmental delay is when can one decide that an etiological diagnosis can confidently be made during the phase of development. When can one be really sure that there is no underlying organic cause to account for the developmental delay. Often than not, the clinician is faced with the dilemma of how exhaustive one should persue in investigating a case of DD, and when to stop investigating further. It is very important for us to develop a logical and practical approach in managing these DD children at the "first" presentation and to establish one's clinical judgment to find the "Best timing" for referral or diagnostic workup. The first step to the approach is the awareness and the differentiation of Partial Developmental Delay (ParDD) from Global Developmental Delay (GDD). We aim to provide the readers an understanding of a practical and evidence based approach for the diagnostic evaluation of a child with DD/MR. We hope this approach can help to improve the diagnostic yield of DD/MR. © 2006 Bentham Science Publishers Ltd.en_US
dc.languageengen_US
dc.publisherBentham Science Publishers Ltd. The Journal's web site is located at http://www.bentham.org/cpr/index.htmen_US
dc.relation.ispartofCurrent Pediatric Reviewsen_US
dc.subjectChildrenen_US
dc.subjectDevelopmental Delay (Dd)en_US
dc.subjectEvidence Baseden_US
dc.subjectGlobal Developmental Delay (Gdd)en_US
dc.subjectIntellectual Disability (Id)en_US
dc.subjectMental Retardation (Mr)en_US
dc.subjectPartial Developmental Delay (Pardd)en_US
dc.titleEvaluating a child with Partial Developmental Delay (ParDD), Global Developmental Delay (GDD)/mental retardation (MR): Clinical expertise based or evidence-based?en_US
dc.typeArticleen_US
dc.identifier.emailWong, VCN:vcnwong@hku.hken_US
dc.identifier.emailChung, BHY:bhychung@hku.hken_US
dc.identifier.authorityWong, VCN=rp00334en_US
dc.identifier.authorityChung, BHY=rp00473en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.2174/157339606776894621en_US
dc.identifier.scopuseid_2-s2.0-33745825563en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33745825563&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume2en_US
dc.identifier.issue2en_US
dc.identifier.spage143en_US
dc.identifier.epage153en_US
dc.publisher.placeNetherlandsen_US
dc.identifier.scopusauthoridWong, VCN=7202525632en_US
dc.identifier.scopusauthoridChung, BHY=7203043997en_US
dc.identifier.citeulike606953-

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