Konanki, RameshMishra, DevendraGulati, SheffaliAneja, SatinderDeshmukh, VaishaliSilberberg, DonaldPinto, Jennifer MDurkin, MaureenPandey, Ravindra MNair, M K CArora, Narendra KINCLEN Study Group2016-01-202016-01-202014-07Konanki Ramesh, Mishra Devendra, Gulati Sheffali, Aneja Satinder, Deshmukh Vaishali, Silberberg Donald, Pinto Jennifer M, Durkin Maureen, Pandey Ravindra M, Nair M K C, Arora Narendra K. INCLEN Diagnostic Tool for Epilepsy (INDT-EPI) for Primary Care Physicians: Development and Validation. Indian Pediatrics. 2014 July; 51(7): 539-543.http://imsear.searo.who.int/handle/123456789/170678Objective: To evaluate the diagnostic accuracy of a new diagnostic instrument for epilepsy – INCLEN Diagnostic Tool for Epilepsy (INDT-EPI) – with evaluation by expert pediatric neurologists. Study design: Evaluation of diagnostic test. Setting: Tertiary care pediatric referral centers in India. Methods: Children aged 2-9 years, enrolled by systematic random sampling at pediatric neurology out-patient clinics of three tertiary care centers were independently evaluated in a blinded manner by primary care physicians trained to administer the test, and by teams of two pediatric neurologists. Outcomes: A 13-item questionnaire administered by trained primary care physicians (candidate test) and comprehensive subject evaluation by pediatric neurologists (gold standard). Results: There were 240 children with epilepsy and 274 without epilepsy. The candidate test for epilepsy had sensitivity and specificity of 85.8% and 95.3%; positive and negative predictive values of 94.0% and 88.5%; and positive and negative likelihood ratios of 18.25 and 0.15, respectively. Conclusion: The INDT-EPI has high validity to identify children with epilepsy when used by primary care physicians.enChildhood neuro-developmental disordersResource-limited settingsPsychometric evaluationsArticle