{"data":{"id":"10.25384/sage.c.4074479","type":"dois","attributes":{"doi":"10.25384/sage.c.4074479","prefix":"10.25384","suffix":"sage.c.4074479","identifiers":[],"alternateIdentifiers":[],"creators":[{"name":"Bachmann, Christian J","nameType":"Personal","givenName":"Christian J","familyName":"Bachmann","affiliation":[],"nameIdentifiers":[]},{"name":"Gerste, Bettina","nameType":"Personal","givenName":"Bettina","familyName":"Gerste","affiliation":[],"nameIdentifiers":[]},{"name":"Hoffmann, Falk","nameType":"Personal","givenName":"Falk","familyName":"Hoffmann","affiliation":[],"nameIdentifiers":[]}],"titles":[{"title":"Diagnoses of autism spectrum disorders in Germany: Time trends in\n          administrative prevalence and diagnostic stability"}],"publisher":"Figshare","container":{},"publicationYear":2016,"subjects":[{"subject":"Education"},{"subject":"110319 Psychiatry (incl. Psychotherapy)","subjectScheme":"FOR"},{"subject":"FOS: Clinical medicine","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"111799 Public Health and Health Services not elsewhere classified","subjectScheme":"FOR"},{"subject":"FOS: Health sciences","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"170199 Psychology not elsewhere classified","subjectScheme":"FOR"},{"subject":"FOS: Psychology","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"130312 Special Education and Disability","subjectScheme":"FOR"},{"subject":"FOS: Educational sciences","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"}],"contributors":[],"dates":[{"date":"2018-04-19","dateType":"Created"},{"date":"2018-04-19","dateType":"Updated"},{"date":"2016","dateType":"Issued"}],"language":null,"types":{"ris":"GEN","bibtex":"misc","citeproc":"article","schemaOrg":"Collection","resourceType":"Collection","resourceTypeGeneral":"Collection"},"relatedIdentifiers":[{"relationType":"IsSupplementTo","relatedIdentifier":"10.1177/1362361316673977","relatedIdentifierType":"DOI"}],"relatedItems":[],"sizes":[],"formats":[],"version":null,"rightsList":[{"rights":"CC BY 4.0","rightsUri":"https://creativecommons.org/licenses/by/4.0"}],"descriptions":[{"description":"For Germany, no data on trends in autism spectrum disorder diagnoses are available. The\n          primary aim of this study was to establish the time trends in the administrative\n          prevalence of autism spectrum disorder diagnoses. The second aim was to assess the\n          stability of autism spectrum disorder diagnoses over time. We analysed administrative\n          outpatient data (2006–2012) from a nationwide health insurance fund and calculated the\n          prevalence of autism spectrum disorder diagnoses for each year, stratified by age and sex.\n          Additionally, we studied a cohort with a first-time diagnosis of autism spectrum disorder\n          in 2007 through 2012, investigating the percentage of retained autism spectrum disorder\n          diagnoses. From 2006 to 2012, the prevalence of autism spectrum disorder diagnoses in 0-\n          to 24-year-olds increased from 0.22% to 0.38%. In insurees with a first-time autism\n          spectrum disorder diagnosis in 2007, this diagnosis was carried on in all years through\n          2012 in 33.0% (The International Classification of Diseases, Tenth Revision diagnoses:\n          F84.0/F84.1/F84.5) and 11.2% (F84.8/F84.9), respectively. In Germany, like in other\n          countries, there has been an increase in the administrative prevalence of autism spectrum\n          disorder diagnoses. Yet, prevalences are still lower than in some other Western countries.\n          The marked percentage of autism spectrum disorder diagnoses which were not retained could\n          indicate a significant portion of autism spectrum disorder misdiagnoses, which might\n          contribute to rising autism spectrum disorder prevalences.","descriptionType":"Abstract"}],"geoLocations":[],"fundingReferences":[],"xml":"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