. Author manuscript; available in PMC: 2020 Oct 1.

Published in final edited form as: Pediatrics. 2019 Oct;144(4):e20192528. doi: 10.1542/peds.2019-2528

TABLE 5.

KAS 4: ADHD is a chronic condition; therefore, the PCC should manage children and adolescents with ADHD in the same manner that they would children and youth with special health care needs, following the principles of the chronic care model and the medical home. (Grade B: strong recommendation.)

Aggregate evidence quality	Grade B
Benefits	The recommendation describes the coordinated services that are most appropriate to manage the condition.
Risks, harm, cost	Providing these services may be more costly.
Benefit-harm assessment	There is a preponderance of benefits over harm.
Intentional vagueness	None.
Role of patient preferences	Family preference in how these services are provided is an important consideration, because it can increase adherence.
Exclusions	None
Strength	Strong recommendation.
Key references	Brito et al⁶⁹; Biederman et al⁷²; Scheffler et al⁷⁴; Barbaresi et al⁷⁵; Chang et al⁷¹; Chang et al⁷⁸; Lichtenstein et al⁷⁷; Harstad and Levy⁸⁰