Evidence map›Paper›PMID 31023782›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Comprehensive preventive care assessments for adults with intellectual and developmental disabilities: Part 2: 2003 to 2014.

Glenys Smith, Hélène Ouellette-Kuntz, Michael Green

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Aging that includes an intellectual and developmental disability: A time to flourish?Canadian family physician Medecin de famille canadien · 2019
    Article
  5. Canadian family physician Medecin de famille canadien · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Glenys SmithMaster's student in the Department of Public Health Sciences at Queen's University in Kingston, Ont, at the time of the study and is a methodologist with ICES at the University of Ottawa in Ontario and the Ottawa Hospital Research Institute.
Hélène Ouellette-KuntzEpidemiologist and Professor in the Department of Public Health Sciences and with ICES at Queen's University. helene.kuntz@queensu.ca.
Michael GreenProfessor in the Department of Public Health Sciences and the Department of Family Medicine, Head of the Department of Family Medicine, Senior Adjunct Scientist with ICES, past Director of the Centre for Health Services and Policy Research, and Associate Director of the Centre for Studies in Primary Care, all at Queen's University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if there has been an increase in preventive care among adults with intellectual and developmental disabilities (IDD) as a result of the publication of the Canadian consensus guidelines on the care of adults with IDD in 2006 and 2011.

designEcological study.

settingOntario.

participantsThe study group consisted of community-dwelling adults with IDD between the ages of 40 and 64 living in Ontario identified in 2009-2010 through administrative health and social services data. The comparison group consisted of a propensity-score-matched sample of the remaining Ontario population.

main outcome measuresA combined measure of a health examination or a Primary Care Quality Composite Score (PCQS) of 0.6 or greater, or both. Both measures were identified using administrative health data.

resultsAdults with IDD were 2.04% more likely to have had a health examination or a PCQS of 0.6 or greater before 2011-2012 and 1.70% less likely after 2011-2012. Adults without IDD were 1.03% more likely before 2011-2012 and 13.74% less likely after 2011-2012 to have had a health examination or a PCQS of 0.6 or greater. Male patients with IDD were 15.60% more likely and male patients without IDD were 7.39% less likely to have had a health examination or PCQS of 0.6 or greater compared with female patients.

conclusionDespite the publication of the guidelines there has not been a corresponding increase in the uptake of the annual health examination or in the quality of preventive care among adults with IDD. More is required to reduce this documented inequity in care.

Indexed as

AdultComprehensive Health CareDevelopmental DisabilitiesFemaleHealth Services for Persons with DisabilitiesHumansIntellectual DisabilityMaleMiddle AgedOntarioPatient Acceptance of Health CarePersons with DisabilitiesPractice Guidelines as TopicPreventive Health Services

Identifiers

PMID31023782
PMCPMC6501724

What OpenQuestion holds

Textmetadata
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Registered trials

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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.