Validity of childhood autism in the Danish Psychiatric Central Register: findings from a cohort sample born 1990-1999.
Danish registry autism diagnoses are 94% correct, so large studies using that data can be trusted.
01Research in Context
What this study did
Researchers checked if the Danish Psychiatric Central Register gets autism right.
They pulled 499 kids born 1990-1999 who had a registry code for childhood autism.
A doctor then read each child’s full medical chart to see if the code matched true autism.
What they found
The register was right 94% of the time.
Only six out of every hundred cases were labeled wrong.
This means the Danish file is safe for big autism studies.
How this fits with other research
Mouridsen et al. (2008) used the same Danish file to show that autistic adults die nearly twice as often as other adults.
Bailey et al. (2010) gives us trust in that scary number, because the file is 94% accurate.
Hwang et al. (2019) found the same doubled death rate in Australia, so the risk is not just a Danish quirk.
Lecavalier et al. (2009) also tested DSM-IV labels in autistic kids and found the labels held up, matching the positive verdict here.
Why it matters
You can lean on Danish register studies when you talk to families about long-term health risks.
If you work with adults who have autism, push for full medical follow-ups; the doubled mortality risk is real, not a data glitch.
When you read new epidemiology, check if it used this register—if it did, the findings are likely solid.
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02At a glance
03Original abstract
The purpose of this study was to assess the validity of the diagnosis of childhood autism in the Danish Psychiatric Central Register (DPCR) by reviewing medical records from 499 of 504 total children with childhood autism born 1990-1999. Based on review of abstracted behaviors recorded in case records from child psychiatric hospitals, case status determination was performed using a standardized coding scheme. In 499 children diagnosed with childhood autism in the DPCR, the diagnosis could be confirmed in 469 children (94%). Of the 30 non-confirmed cases, five were classified by the reviewers as non-autistic cases and the remaining 25 cases were either classified with another ASD diagnosis or the specific diagnosis was not possible to determine.
Journal of autism and developmental disorders, 2010 · doi:10.1007/s10803-009-0818-0