Evidence map›Paper›PMID 32680774›Full record

ArticleDisability and health journal2020

Cause of death in adults with Down syndrome in the United States.

Scott D Landes, J Dalton Stevens, Margaret A Turk

Open access · greenAbstract readComparative Study
In one paragraph

Article in Disability and health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% of its field
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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Blood-based biomarkers for Alzheimer's disease in Down syndrome: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
  2. Respiratory support in patients with Down syndrome: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Immediate and Underlying Causes of Death and Survival Rates in Aging Adults With Down Syndrome.Journal of applied research in intellectual disabilities : JARID · 2026
    Article
  8. Article
  9. Article
  10. Factors impacting survival in individuals with Down syndrome-associated Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  11. Article
  12. Observational
  13. CTAD taskforce: genetic therapies in Alzheimer's disease.The journal of prevention of Alzheimer's disease · 2025
    Review
  14. Vertebrate and Invertebrate Animal Models for the Study of Down Syndrome.International journal of molecular sciences · 2025
    Review
  15. Article
  16. Age and sex are associated with Alzheimer's disease neuropathology in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. 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 at 3 institutions in 1 country.

Scott D LandesDepartment of Sociology and Aging Studies Institute, Maxwell School of Citizenship and Public Affairs, Syracuse University, USA. Electronic address: sdlandes@maxwell.syr.edu.
J Dalton StevensDepartment of Sociology and Aging Studies Institute, Maxwell School of Citizenship and Public Affairs, Syracuse University, USA.
Margaret A TurkDepartment of Physical Medicine and Rehabilitation, SUNY Upstate Medical Center, USA.
Maxwell Technologies (United States) · USSUNY Upstate Medical University · USSyracuse University · US

Funding

Erroneous Coding of Developmental Disabilities as Underlying Cause of DeathR03AG065638 · NIA · SYRACUSE UNIVERSITY · PI LANDES, SCOTT D · 2020 to 2021
$141k
NIA NIH HHS R03 AG065638
6 · The paper itself

Abstract

backgroundPrior studies report anomalous cause of death patterns for adults with Down syndrome, but do not provide comparison of age trends for specific causes of death between adults with and without Down syndrome, or explore biological sex and racial-ethnic differences in causes of death among adults with Down syndrome.

objectiveTo better understand cause of death trends for adults, age 18 and over, with Down syndrome.

methodsCross-sectional data were from the 2013-2017 US Multiple Cause of Death Mortality files. Adjusted odds ratios were utilized to compare cause of death trends overall, and by age, between adults with (N = 9870) and without (N = 13,323,001) Down syndrome. We also analyzed biological sex and race-ethnic differences in cause of death solely among adults with Down syndrome.

resultsAlthough heart disease, dementia and Alzheimer's disease, and cancer were common among adults all adults, death from these diseases was more prominent at younger ages for adults with Down syndrome. Adults with Down syndrome were also more likely to die from influenza and pneumonia, pneumonitis, respiratory failure, and choking at all ages. Distinct biological sex and racial-ethnic differences were present in causes of death among adults with Down syndrome.

conclusionsWhile efforts to reduce premature mortality for adults with Down syndrome should attend to common risk factors such as heart disease, dementia and Alzheimer's disease, and cancer, it is imperative to afford increased attention to earlier onset of these diseases, as well as increased risk of death from respiratory and swallowing/choking related disorders at all ages.

Indexed as

Cause of DeathAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesDown SyndromeFemaleHealthy VolunteersHumansMaleMiddle AgedMortalityPersons with DisabilitiesUnited StatesYoung AdultAgeBiological sexCause of deathDown syndromeMortality

Identifiers

PMID32680774
PMCPMC7655667
OpenAlexW3034502920

What OpenQuestion holds

Textmetadata
LicenceTDM
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.