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Patient characteristics, comorbidities, and medication use for children with ADHD with and without a co-occurring reading disorder: A retrospective cohort study

Background:
Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) often have a co-occurring reading disorder (RD). The purpose of this research was to assess differences between children with ADHD without RD (ADHD-only) and those with ADHD and co-occurring RD (ADHD+RD).
Methods:
Using data from the U.S. Thomson Reuters Marketscan Databases for the years 2005 through 2007, this analysis compared the medical records, including patient demographics, comorbidities, and medication use, of children (age<18) with ADHD-only to those with ADHD+RD.
Results:
Patients with ADHD+RD were significantly younger, more likely to have received a procedure code associated with formal psychological or non-psychological testing, and more likely to have been diagnosed with comorbid bipolar disorder, conduct disorder, or depression. They were no more likely to have received an antidepressant, anti-manic (bipolar), or antipsychotic, and were significantly less likely to have received a prescription for a stimulant medication.
Conclusions:
Relying on a claims database, there appear to be differences in the patient characteristics, comorbidities, and medication use when comparing children with ADHD-only to those with ADHD+RD.

Posted in: Open Access Journal Articles on 12/30/2011 | Link to this post on IFP |
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