Table 5

Comparison of agreement with statements about diagnostic criteria for PFAS, ARND and ARBD between paediatricians and other health professionals

Round 1% agreement (IQD)Round 2% agreement (IQD)
Statementnpaediatricianotherp Value*npaediatricianotherp Value*
Diagnostic criteria for partial fetal alcohol syndrome (PFAS)
1. Confirmed prenatal alcohol exposure, and evidence of some components of the pattern of characteristic FAS facial anomalies, and either: growth deficit, or structural or neurological CNS abnormality, or evidence of multiple behavioural or cognitive abnormalities that are inconsistent with developmental level (eg, learning, academic achievement, poor impulse control, social skills, receptive and expressive language, abstract reasoning, attention, memory or judgement)5076.0 (1)64.0 (3)0.355172.7 (1)69.0 (2)0.77
2. Confirmed prenatal alcohol exposure, and two of the three characteristic FAS facial anomalies and CNS abnormality in three of the following areas (hard and soft neurological signs, brain structure, cognition, communication, academic achievement, memory, executive functioning and abstract reasoning, attention deficit or hyperactivity, adaptive behaviour, social skills, social communication)4770.8 (1)78.3 (1)0.565066.7 (2)79.3 (0)0.32
Diagnostic criteria for alcohol-related neurodevelopmental disorder (ARND)
3. Confirmed prenatal alcohol exposure, and evidence of CNS abnormality (decreased cranial size, abnormal brain structure or neurological hard or soft signs, including fine motor skills, neurosensory hearing loss and co-ordination), or evidence of multiple behavioural or cognitive abnormalities that are inconsistent with developmental level (eg, learning, academic achievement, poor impulse control, social skills, receptive and expressive language, abstract reasoning, attention, memory or judgement)4377.3 (0)66.7 (3)0.444257.9 (2)60.9 (2)0.85
4. Confirmed prenatal alcohol exposure, and CNS abnormality in three of the following areas (hard and soft neurologic signs, brain structure, cognition, communication, academic achievement, memory, executive functioning and abstract reasoning, attention deficit or hyperactivity, adaptive behaviour, social skills, social communication)4269.6 (1)63.2 (2)0.664052.6 (2)61.9 (2)0.55
Diagnostic criteria for alcohol-related birth defects (ARBD)
5. Confirmed prenatal alcohol exposure, and identification of alcohol-related birth defects on clinical examination (including cardiac, skeletal, renal, ocular, auditory or other malformations, including facial anomalies)4678.3 (0)60.9 (2)0.204223.8 (2)38.1 (2)0.32
6. Confirmed significant prenatal alcohol exposure, and identification of alcohol-related birth defects on clinical examination (including cardiac, skeletal, renal, ocular, auditory or other malformations, including facial anomalies)†4563.6 (1)65.2 (2)0.91
7. Alcohol-related birth defects is not sufficiently well defined to be a useful diagnostic category4359.1 (1)52.4 (2)0.66
8. Better evidence of the association between alcohol and particular birth defects is required for ARBD to be a clinically useful diagnostic category† – –52100 (1)82.1 (0)0.054
  • *χ test for independence by occupation (paediatrician vs other occupation).

  • †New statements added to the round 2 questionnaire.

  • Statements that reached 70% agreement (‘agree’ or ‘strongly agree') for the total sample are presented in italic.

  • CNS, central nervous system; FAS, fetal alcohol syndrome; IQD, interquartile deviation.