Increased delay from initial concern to diagnosis of autism spectrum disorder and associated health care resource utilization and cost among children aged younger than 6 years in the United States.

Michelle Vu¹, Amy M Duhig², Abhishek Tibrewal³, Chelsey M Campbell², Abhishek Gaur³, Carmela Salomon⁴, Ankita Gupta⁵, Morgan Kruse⁶, Sharief Taraman^4,7,8,9

¹Value-Based Contracting and Health Economics and Outcomes Research, Cognoa, Inc.

²Market Access and Value Evidence, Cognoa, Inc.

³Commercial Analytics, Optum.

⁴Medical Affairs, Cognoa, Inc.

⁵Statistics, Commercial Analytics, Optum.

⁶Value-Based Contracting, Optum.

⁷Dale E and Sarah Ann Fowler School of Engineering, Chapman University, Orange, CA.

⁸Children's Health of Orange County, CA.

⁹Department of Pediatrics, Irvine School of Medicine, University of California.

PubMed PMC DOI PDF

Abstract

BACKGROUND: Prolonged delays between first caregiver concern and autism spectrum disorder (ASD) diagnosis have been reported, but associations between length of time to diagnosis (TTD) and health care resource utilization (HCRU) and costs have not been studied in a large sample of children with ASD. OBJECTIVE: To address these informational gaps in the ASD diagnostic pathway. METHODS: This retrosp…

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