Evidence map›Paper›PMID 35332044›Full record

ArticleBMJ open2022

Cancer in deceased adults with intellectual disabilities: English population-based study using linked data from three sources.

Pauline Heslop, Adam Cook, Brian Sullivan, Rachel Calkin, Johanna Pollard, Victoria Byrne

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  5. Cancer screening learning for adults with intellectual disability.Canadian journal of public health = Revue canadienne de sante publique · 2026
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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

6 authors at 2 institutions in 1 country.

Pauline HeslopNorah Fry Centre for Disability Studies, Faculty of Social Sciences and Law, University of Bristol, Bristol, Bristol, UK Pauline.Heslop@bristol.ac.uk.ORCID 0000-0002-8628-6868
Adam CookPatient Safety Measurement Unit, NHS South Central and West Commissioning Support Unit South Regional Office, Eastleigh, Hampshire, UK.
Brian SullivanFaculty of Health Sciences, University of Bristol, Bristol, UK.
Rachel CalkinFaculty of Social Sciences and Law, University of Bristol, Bristol, UK.
Johanna PollardFaculty of Social Sciences and Law, University of Bristol, Bristol, UK.
Victoria ByrneFaculty of Social Sciences and Law, University of Bristol, Bristol, UK.
University of Bristol · GBNIHR Central Commissioning Facility · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo improve our understanding of cancer in adults with intellectual disabilities.

designPopulation-based study using linked data about deceased adults from the Learning (Intellectual) Disabilities Mortality Review (LeDeR) programme, the national cancer registry and NHS Digital.

settingEngland.

participants1096 adults with intellectual disabilities identified by the LeDeR programme who died between 1 January 2017 and 31 December 2019. OUTCOME MEASURE: Any form of cancer listed as a long-term health condition by a LeDeR reviewer or 10th edition of the International Classification of Diseases codes C00-D49 included on Parts I or II of the Medical Certificate of Cause of Death.

resultsIn decedents with intellectual disabilities and cancer, more than a third (35%; n=162) had cancer diagnosed via emergency presentations. Almost half (45%; n=228) of cancers were at stage IV when diagnosed. More than a third (36%; n=309) of underlying causes of deaths were of cancers of the digestive system; almost half of these (48%; n=147) were cancer of the colon, rectum or anus. Of those who died with colorectal cancer, 43% were below the age threshold for colorectal screening.

conclusionsIn decedents with intellectual disabilities, symptoms suggestive of cancer had tended to be identified most frequently as an emergency and at a late stage. There is a need for greater awareness of symptoms of cancer in this population, a lower threshold for referral by General Practitioners (GPs), accelerated access to diagnosis and treatment and consideration paid to lowering the age for colorectal screening.

Indexed as

Colorectal NeoplasmsIntellectual DisabilityAdultCause of DeathHumansRegistriesSemantic Webadult oncologyhealth policyprimary care

Identifiers

PMID35332044
PMCPMC8948391
OpenAlexW4220843489

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.