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Estado actual del enfoque del trastorno por déficit de atención/hiperactividad en neuropediatría

Autores: Cardo, E. (Autor de correspondencia); Ros-Cervera, G.; Eirís-Puñal, J.; Escofet-Soteras, C.; Fernández-Jaén, A.; Mulas, F.; Sánchez-Carpintero Abad, Rocío; Sans, A.; Grp Trabajo TDAH Soc Espanola Neur
Título de la revista: REVISTA DE NEUROLOGIA
ISSN: 0210-0010
Volumen: 64
Número: Supl. 1
Páginas: S105 - S109
Fecha de publicación: 2017
Aim. To know the current state of the approach of attention deficit hyperactivity disorder (ADHD) in neuropediatricians. Subjects and methods. A telematic survey was carried out to collect preliminary information on the interest, difficulties in the management and treatment of ADHD to the 437 fellowship of the Neuropediactric Spanish Society (SENEP). Results. Only 32.49% of the sent questionnaires were answered, with important geographic variability. 97.89% stated that 50% of their consultations were children with learning disabilities and ADHD. Regarding who started treatment for ADHD in their area, the majority answered that the neuropediatrician (57.97%), followed by the child psychiatrist (34.78%) and the primary care pediatrician (5.31%). The lack of a psycho-pedagogical study by the school (49.79%), followed by the lack of time in the consultation (29.11%), was cited as the greatest difficulty in the initial assessment of children with suspected ADHD. Concerning the difficulties in the follow-up, the biggest complaint was the lack of coordination between professionals, the school and parents. And, lastly, regarding the type of treatment use, most patients were on prolonged-release methylphenidate, a stable percentage using immediate release methylphenidate as a single or combined treatment, and in a lower range was the use of clonidine and atomoxetine, and an incipient use of lisdexamphetamine were observed. 80% of the patient showed adherence to pharmacological treatment after one year. Conclusions. It is necessary to advance in the training and continuous education of our neuropediatric specialists in ADHD and to homogenize the clinical practice and coordination with education system in the Spanish territory.