Evidence map›Paper›PMID 17279198›Full record

ArticleCanadian family physician Medecin de famille canadien2006

Consensus guidelines for primary health care of adults with developmental disabilities.

William F Sullivan, John Heng, Donna Cameron, Yona Lunsky, Tom Cheetham, Brian Hennen, Elspeth A Bradley, Joseph M Berg, Marika Korossy, Cynthia Forster-Gibson and 4 more

Erratum issuedAbstract readConsensus Statement
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Primary care of adults with developmental disabilities: Canadian consensus guidelines.Canadian family physician Medecin de famille canadien · 2011
    Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Palliative care for patients with communication and cognitive difficulties.Canadian family physician Medecin de famille canadien · 2019
    Review
  8. Article
  9. Canadian family physician Medecin de famille canadien · 2018
    Article
  10. Article
  11. A greater understanding.Canadian family physician Medecin de famille canadien · 2018
    Article
  12. Article
  13. Canadian family physician Medecin de famille canadien · 2018
    Article
  14. Are we making a difference in primary care for adults with intellectual and developmental disabilities?Revista panamericana de salud publica = Pan American journal of public health · 2018
    Article
  15. Article
  16. Article
  17. Article
  18. Low-trauma fractures and bone mineral density testing in adults with and without intellectual and developmental disabilities: a population study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

William F SullivanSt Michael's Hospital and Surrey Place Centre, Toronto, Ontario, Canada. bill.sullivan@utoronto.ca
John Heng
Donna Cameron
Yona Lunsky
Tom Cheetham
Brian Hennen
Elspeth A Bradley
Joseph M Berg
Marika Korossy
Cynthia Forster-Gibson
Maria Gitta
Chrissoula Stavrakaki
Bruce McCreary
Irene Swift
St. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop practical Canadian guidelines for primary health care providers based on the best available evidence for addressing health issues in adults with developmental disabilities (DD). QUALITY OF EVIDENCE: Authors of background papers synthesized information from their own clinical experience, from consultations with other experts, and from relevant professional publications. Based on discussions of these papers at a colloquium of knowledgeable health care providers, a consensus statement was developed. Standard criteria were used to select guidelines for consideration and to rank evidence supporting them. Most evidence was level III. MAIN MESSAGE: People with DD have complex health issues, some differing from those of the general population. Adequate primary health care is necessary to identify these issues and to prevent morbidity and premature death. Physical, behavioural, and mental health difficulties should be addressed, and primary health care providers should be particularly attentive to the interactions of biological, psychological, and social factors contributing to health, since these interactions can easily be overlooked in adults with DD. Attention must also be paid to such ethical issues as informed consent and avoidance of harm. Developmental disabilities are not grounds for care providers to withhold or to withdraw medically indicated interventions, and decisions concerning such interventions should be based on patients' best interests.

conclusionImplementing the guidelines proposed here would improve the health of adults with DD and minimize disparities in health and health care.

Indexed as

Health Services Needs and DemandHealth Services AccessibilityHealth StatusHumansIntellectual DisabilityPrimary Health Care

Identifiers

PMID17279198
PMCPMC1783706
OpenAlexW2150860593

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.