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TABLE 1

Use of Developmental Screening Tools by Pediatricians: 2002–2016

200220092016P
%n%n%n
Clinical assessment (ie, history and physical examination) without the use of a formal (standardized) screening instrument or checklista 70.9 508 60.1 464 52.4 443 <.001 
Clinical assessment guided by a formal (standardized) screening instrumenta 34.1 501 42.6 462 62.9 450 <.001 
Informal milestone checklist filled out by parentsa 17.6 483 26.8 444 34.3 423 <.001 
Informal milestone checklist review by provider or staffa 35.4 489 37.6 449 55.3 432 <.001 
Formal screening by using a standardized instrument        
 ASQa 8.7 446 21.1 384 47.5 427 <.001 
 Denver II 13.7 481 17.4 380 13.6 354 .24 
 PEDSa 2.9 441 16.1 373 18.1 371 <.001 
 Othera 46.7 45 71.7 113 9.3 204 <.001 
Any formal screening toola 20.6 562 42.7 532 62.5 469 <.001 
200220092016P
%n%n%n
Clinical assessment (ie, history and physical examination) without the use of a formal (standardized) screening instrument or checklista 70.9 508 60.1 464 52.4 443 <.001 
Clinical assessment guided by a formal (standardized) screening instrumenta 34.1 501 42.6 462 62.9 450 <.001 
Informal milestone checklist filled out by parentsa 17.6 483 26.8 444 34.3 423 <.001 
Informal milestone checklist review by provider or staffa 35.4 489 37.6 449 55.3 432 <.001 
Formal screening by using a standardized instrument        
 ASQa 8.7 446 21.1 384 47.5 427 <.001 
 Denver II 13.7 481 17.4 380 13.6 354 .24 
 PEDSa 2.9 441 16.1 373 18.1 371 <.001 
 Othera 46.7 45 71.7 113 9.3 204 <.001 
Any formal screening toola 20.6 562 42.7 532 62.5 469 <.001 

Question wording: “How often do you or your staff use the following methods or tools to identify children birth to 35 mo of age at risk for developmental delay or problems?” Percentage of pediatricians responding always or almost always is reported.

a

Result from the χ2 test indicates statistically significant difference in the distribution of the variable across years (P < .05).

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