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    Assessment and management of tic disorders and Tourette syndrome by Australian paediatricians

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    Author
    Efron, D; Payne, J; Gulenc, A; Chan, E
    Date
    2020-01-01
    Source Title
    Journal of Paediatrics and Child Health
    Publisher
    WILEY
    University of Melbourne Author/s
    Efron, Daryl; Payne, Jonathan; CHAN, EUNICE
    Affiliation
    Paediatrics (RCH)
    Metadata
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    Document Type
    Journal Article
    Citations
    Efron, D., Payne, J., Gulenc, A. & Chan, E. (2020). Assessment and management of tic disorders and Tourette syndrome by Australian paediatricians. JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 56 (1), pp.136-141. https://doi.org/10.1111/jpc.14541.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253867
    DOI
    10.1111/jpc.14541
    Open Access URL
    https://rss.onlinelibrary.wiley.com/doi/am-pdf/10.1111/jpc.14541
    Abstract
    AIM: The diagnosis and management of tic disorders and Tourette syndrome (TS) can be challenging. A better understanding of current approaches by paediatricians is important to inform research and education to improve patient outcomes. We aimed to investigate current assessment and management practices for tics/TS by Australian paediatricians. METHODS: An online survey was sent to members of the Australian Paediatric Research Network. Primary outcomes of interest included assessment processes, referrals, behavioural interventions and pharmacological management. Four scenarios were presented to elicit information regarding treatment of different types of cases. RESULTS: Of 340 eligible paediatricians, 139 (41%) responded, with 116 (84%) reporting that they diagnose and manage tics/TS as part of their practice. Questionnaires were used more to identify comorbidities (43%) than to quantify tics (12%). Referrals were most likely to be made to psychologists. Medication was considered important in the management of TS by 45% of respondents, with clonidine identified as the first-choice medication by 69%. There was wide variation in both the pharmacological and behavioural management strategies reported. CONCLUSIONS: There is substantial practice variation among Australian paediatricians in the assessment and management of patients referred with tics/TS. This may reflect insufficient evidence regarding best practice, as well as limited training in this area. There is a need for improved education of Australian paediatricians in the assessment and management of tics/TS, as well as further research to identify optimal treatments.

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