ArticleBMC cancer2014
Age and stage at diagnosis: a hospital series of 11 women with intellectual disability and breast carcinoma.
Article in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A literature review of cancer diagnostic tests and treatments in adults with intellectual disability.HRB open research · 2025Pooled it
- Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines.Canadian family physician Medecin de famille canadien · 2018Guideline
- Cancer screening learning for adults with intellectual disability.Canadian journal of public health = Revue canadienne de sante publique · 2026Trial
- Adjuvant Chemotherapy for Gastric Cancer may Worsen Prognosis in Elderly Women: Retrospective Analysis of Individual Patient Data from the CLASSIC Study.Journal of gastrointestinal cancer · 2025Trial
- Preventive breast health care, an embarrassing subject for women with intellectual disability.Journal of intellectual disabilities : JOID · 2026Article
- The importance of cancer prevention policies to inform and guide preventative and screening measures for people with intellectual disabilities: The COST project "Cancer- Understanding Prevention in Intellectual Disabilities".Journal of intellectual disabilities : JOID · 2026Article
- Cervical cancer screening in women with disabilities in Ghana: bridging the gap in access and equity.AJOG global reports · 2026Article
- Navigating cancer treatment in people with intellectual disability: a qualitative study of professionals' and family members' perspectives.BMC cancer · 2026Article
- Exploring Inclusion in Austria's Breast Cancer Screening:A Dual-Perspective Study of Women with Intellectual Disabilities and Their Caregivers.International journal of environmental research and public health · 2026Article
- Inequalities in cancer diagnostic outcomes for patients with a learning disability: a retrospective cohort study in England.BMJ oncology · 2026Article
- Disparities in Breast Cancer Screening Rates Among Adults With and Without Intellectual and Developmental Disabilities.Annals of surgical oncology · 2024Article
- Case report: IORT as an alternative treatment option for breast cancer patients with difficulty staying still.Frontiers in oncology · 2024Article
- [Oncologic Care of Breast Cancer Patients with Preexisting Disabilities: Results of a Qualitative Study on Perceived Barriers, Communication Difficulties, and Needs].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Determining the need for a breast cancer awareness educational intervention for women with mild/moderate levels of intellectual disability: A qualitative descriptive study.European journal of cancer care · 2022Review
- Cancer in deceased adults with intellectual disabilities: English population-based study using linked data from three sources.BMJ open · 2022Article
- Causes of death in patients with Down syndrome in 2014-2016: A population study in Japan.American journal of medical genetics. Part A · 2022Article
- Disparities in cancer-related healthcare among people with intellectual disabilities: A population-based cohort study with health insurance claims data.Cancer medicine · 2020Article
- Are There Disparities in Surgical Treatment for Breast Cancer Patients with Prior Physical Disability A Path Analysis.Breast care (Basel, Switzerland) · 2020Article
- Barriers and facilitators to mammography among women with intellectual disabilities: a qualitative approach.Disability & society · 2020Article
- Racial/Ethnic Disparities in Mammogram Frequency Among Women With Intellectual Disability.Intellectual and developmental disabilities · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreast cancer has been poorly studied in women with intellectual disability (ID), which makes designing a policy for screening the nearly 70 million women with ID in the world difficult. As no data is available in the literature, we evaluated breast cancer at diagnosis in women with ID.
methodsWomen with ID were searched retrospectively among all women treated for invasive breast cancer in a single hospital over 18 years. Age at diagnosis was compared among the whole group of women. Tumor size, lymph node involvement, SBR grade, TNM classification, and AJCC stage were compared to controls matched for age and period of diagnosis using conditional logistic regression.
resultsAmong 484 women with invasive breast cancer, 11 had ID. The mean age at diagnosis was 55.6 years in women with ID and 62.4 years in the other women. The mean tumor size in women with ID was 3.53 cm, compared to 1.80 cm in 44 random controls from among the 473 women without ID. Lymph node involvement was observed in 9 of the 11 women with ID compared to 12 of the controls (OR = 11.53, p = 0.002), and metastases were found in 3 of the 11 women with ID compared to 1 of the 44 controls (OR = 12.00, p = 0.031). The AJCC stage was higher in women with ID compared to controls (OR = 3.19, p = 0.010).
conclusionsWomen with ID presented at an earlier age with tumors of a higher AJCC stage than controls despite no significant differences in tumor grade and histological type. Thus, delayed diagnosis may be responsible for the differences between disabled and non-disabled women.
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