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Introduction Early identification of alterations in child development is essential to the well-being of children and their families because it allows providing an accurate diagnosis and implementing an early intervention for those having some type of alterations. 1 For the children who receive them, such interventions are associated with better adulthood functionality at multiple spheres 2 in addition to having a very high cost-benefit ratio. 3 The comparison of clinical characteristics of each test is important to assist in the selection of the most appropriate tool for development evaluation. Moreover, it is essential to compare their quality of report and risk of bias because biased reports of diagnostic or screening tests results may end in the widespread adoption of tools that produce an inaccurate risk classification, thereby leading medical personnel to make an incorrect referral, diagnosis or treatment decision.

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4 A systematic review and comparative analysis of the literature done in 2012 by Romo-Pardo et al. Found 13 screening tests that were created and validated in America for the timely identification of problems related to child development, but none of them with data published for the Mexican population in scientific journals (except Denver-II). 4 In recent years a significant number of screening tests have been created, some of which are already being applied to children. The sample sizes used for the validations varied. The largest one was reported for the PTNI. The sample selection also varied as two tests were validated in populations selected from health institutions (VANEDELA and INDIPCDR), two obtained their samples in specific populations (PTNI in rural and CVDL in urban) and only one presented a sample selection procedure intentionally balanced in terms of demographic characteristics and biological risk factors (CDE). The gold standard used in the validation was also different for the different tests; three used a neurodiagnostic test such as the Gesell Developmental Schedules (GDS) 26 or Battelle-2 Developmental Inventory (BDI-2) 27 (VANEDELA, CDE, CVDL).

One test used the diagnostic test from which (PCD-R) itself derives. 28,29 Another test used as a proxy indicator a series of measures of the nutritional status, anemia and growth, alone and as composite scores (PTNI). All tests reported sensitivity and specificity values as well as positive predictive values (PPV) and negative predictive values (NPV) that were adequate with what is recommended in the literature, 24 although there were tests that had a wide variation depending on the age group evaluated (VANEDELA) or the gold standard used (PTNI).

In some age ranges they were too low to be used. Three tests did not describe the confidence intervals of their reported data. Nakka mukka male version mp3 download.

(VANEDELA, PTNI, CVDL). Results of the evaluation of the quality of the report Table 3 shows the checklist of the STARD tool. None of the tests evaluated complied with the entirety of the items to be reported. The most complete in their description were VANEDELA and CDE.