Screening for Speech and Language Delay and Disorders in Children

Author:

,Barry Michael J.1,Nicholson Wanda K.2,Silverstein Michael3,Chelmow David4,Coker Tumaini Rucker5,Davis Esa M.6,Donahue Katrina E.7,Jaén Carlos Roberto8,Li Li9,Mangione Carol M.10,Ogedegbe Gbenga11,Rao Goutham12,Ruiz John M.13,Stevermer James14,Tsevat Joel8,Underwood Sandra Millon15,Wong John B.16

Affiliation:

1. Harvard Medical School, Boston, Massachusetts

2. George Washington University, Washington, DC

3. Brown University, Providence, Rhode Island

4. Virginia Commonwealth University, Richmond

5. University of Washington, Seattle

6. University of Maryland School of Medicine, Baltimore

7. University of North Carolina at Chapel Hill

8. University of Texas Health Science Center, San Antonio

9. University of Virginia, Charlottesville

10. University of California, Los Angeles

11. New York University, New York, New York

12. Case Western Reserve University, Cleveland, Ohio

13. University of Arizona, Tucson

14. University of Missouri, Columbia

15. University of Wisconsin, Milwaukee

16. Tufts University School of Medicine, Boston, Massachusetts

Abstract

ImportanceSpeech and language delays and disorders can pose significant problems for children and their families. Evidence suggests that school-aged children with speech or language delays may be at increased risk of learning and literacy disabilities, including difficulties with reading and writing.ObjectiveThe US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate benefits and harms of screening for speech and language delay and disorders in children 5 years or younger.PopulationAsymptomatic children 5 years or younger whose parents or clinicians do not have specific concerns about their speech, language, hearing, or development.Evidence AssessmentThe USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children who do not present with signs or symptoms or parent/caregiver concerns.RecommendationThe USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children 5 years or younger without signs or symptoms. (I statement)

Publisher

American Medical Association (AMA)

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