Health AI Central
Peer-Reviewed Publication
JAMIA Open2026;9(3):ooag090.June 1, 2026Journal Article

Using clinical notes to identify children with speech-language delay and understand differences in diagnostic timing.

Jiang Shu1, Danai Kasambira Fannin2,3, Geraldine Dawson4, Gary Maslow4,5, Matthew M Engelhard1, Lauren Franz4, Benjamin A Goldstein1,5
1Department of Biostatistics and Bioinformatics, Duke University, Durham, NC 27705, United States.
2Department of Communication Sciences and Disorders, North Carolina Central University, Durham, NC 27705, United States.
3Department of Head and Neck Surgery and Communication Sciences, Duke University School of Medicine, Durham, NC 27705, United States.
4Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC 27705, United States.
5Department of Pediatrics, Duke University School of Medicine, Durham, NC 27705, United States.
PubMed PMC DOI PDF

Abstract

OBJECTIVE: Speech-language delay (SLD) is a developmental condition often identified by pediatricians. While early intervention is recommended, it is common for pediatricians to take a "watch and wait" approach. We sought to assess whether there is discordance between documented concerns and diagnostic coding of SLD and whether discordances differ based on sociodemographic, clinical, and service u…

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