ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016
Health characteristics and consultation patterns of people with intellectual disability: a cross-sectional database study in English general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 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
46 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Prevalence and Incidence of Cardiovascular Disease in Adults With Intellectual Disabilities: A Systematic Review.Journal of intellectual disability research : JIDR · 2025Pooled it
- Investigating pain-related medication use and contribution to polypharmacy in adults with intellectual disabilities: a systematic review.BMC medicine · 2024Pooled it
- Prevalence and incidence of physical health conditions in people with intellectual disability - a systematic review.PloS one · 2021Pooled it
- Cardiovascular risk associated with intellectual disability among adults with type 2 diabetes: a nationwide cohort study in South Korea.EClinicalMedicine · 2026Article
- Healthcare Utilisation in Ageing Adults With Intellectual Disability: Longitudinal Evidence From Five Waves of IDS-TILDA.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Age-Specific Diagnostic Panorama Among People With Intellectual Disabilities in Comparison With the General Population: A Longitudinal Register Study (IDcare).Journal of intellectual disability research : JIDR · 2026Article
- Overlooked and undertreated: Hearing loss among individuals with intellectual disabilities - A German cohort study.PLOS global public health · 2026Article
- The overlooked burden: anti-seizure medications, laxatives, and antipsychotics prescribed in primary care for people with intellectual disability.Frontiers in psychiatry · 2026Article
- The impact of learning disabilities on control, management, and outcomes of type 2 diabetes mellitus in the UK: an observational cohort study using the Clinical Practice Research Datalink.BMJ open diabetes research & care · 2025Observational
- Managing consultation duration in primary care: A systematic review with health equity insights.Journal of family medicine and primary care · 2025Review
- Equitable hospital length of stay prediction for patients with learning disabilities and multiple long-term conditions using machine learning.Frontiers in digital health · 2025Article
- The risk of type 2-diabetes among persons with intellectual disability: a Danish population-based matched cohort study.Journal of intellectual disability research : JIDR · 2025Article
- Temporal patterns of multiple long-term conditions in individuals with intellectual disability living in Wales: an unsupervised clustering approach to disease trajectories.Frontiers in digital health · 2025Article
- Comparing the number and length of primary care consultations in people with and without intellectual disabilities and health needs: observational cohort study using electronic health records.Family practice · 2024Observational
- Asthma and COPD management of patients with intellectual disabilities in general practice.NPJ primary care respiratory medicine · 2024Article
- Identifying barriers and facilitators to primary care practitioners implementing health assessments for people with intellectual disability: a Theoretical Domains Framework-informed scoping review.Implementation science communications · 2024Review
- Chronic disease management in patients with intellectual disabilities: a matched study in Dutch general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Observational
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- Association of intellectual disability with overall and type-specific cardiovascular diseases: a population-based cohort study in Denmark.BMC medicine · 2023Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundPeople with intellectual disability (ID) are a group with high levels of healthcare needs; however, comprehensive information on these needs and service use is very limited.
aimTo describe chronic disease, comorbidity, disability, and general practice use among people with ID compared with the general population. DESIGN AND
settingThis study is a cross-sectional analysis of a primary care database including 408 English general practices in 2012.
methodA total of 14 751 adults with ID, aged 18-84 years, were compared with 86 221 age-, sex- and practice-matched controls. Depending on the outcome, prevalence (PR), risk (RR), or odds (OR) ratios comparing patients with ID with matched controls are shown.
resultsPatients with ID had a markedly higher prevalence of recorded epilepsy (18.5%, PR 25.33, 95% confidence interval [CI] = 23.29 to 27.57), severe mental illness (8.6%, PR 9.10, 95% CI = 8.34 to 9.92), and dementia (1.1%, PR 7.52, 95% CI = 5.95 to 9.49), as well as moderately increased rates of hypothyroidism and heart failure (PR>2.0). However, recorded prevalence of ischaemic heart disease and cancer was approximately 30% lower than the general population. The average annual number of primary care consultations was 6.29 for patients with ID, compared with 3.89 for matched controls. Patients with ID were less likely to have longer doctor consultations (OR 0.73, 95% CI = 0.69 to 0.77), and had lower continuity of care with the same doctor (OR 0.77, 95% CI = 0.73 to 0.82).
conclusionCompared with the general population, people with ID have generally higher overall levels of chronic disease and greater primary care use. Ensuring access to high-quality chronic disease management, especially for epilepsy and mental illness, will help address these greater healthcare needs. Continuity of care and longer appointment times are important potential improvements in primary care.
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