ArticleBMJ open2022
Health checks for adults with intellectual disability and association with survival rates: a linked electronic records matched cohort study in Wales, UK.
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 12 papers.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed.
- Acceptability and Implementation of a Primary Care Health Check for Autistic People: Findings From Evaluation Questionnaires and Interviews.Autism : the international journal of research and practice · 2026Trial
- Antecedents and outcomes of a later attention-deficit hyperactivity disorder (ADHD) diagnosis in females.The British journal of psychiatry : the journal of mental science · 2026Article
- The overlooked burden: anti-seizure medications, laxatives, and antipsychotics prescribed in primary care for people with intellectual disability.Frontiers in psychiatry · 2026Article
- A patient self-report disability identifier within health service electronic medical records: evaluation of patient, carer and clinician acceptability.BMC health services research · 2025Article
- Access to preventive health assessments for people with intellectual disability: a systematic scoping review informed by the Levesque Access Framework.BMC health services research · 2025Article
- Anesthesiologists could be the most suitable clinicians to screen for latent diseases in autistic patients requiring dental general anesthesia.Journal of dental anesthesia and pain medicine · 2025Article
- Functional Limitations and Use of General Health Examination and Cancer Screening Among People with Disabilities Who Need Support from Others: Secondary Data Analysis of the 2022 Comprehensive Survey of Living Conditions in Japan.International journal of environmental research and public health · 2025Article
- Health checks for autistic adults: study protocol for a cluster randomised controlled trial.Trials · 2024Article
- Use of General Health Examination and Cancer Screening among People with Disability Who Need Support from Others: Analysis of the 2016 Comprehensive Survey of Living Conditions in Japan.International journal of environmental research and public health · 2024Article
- Increased rates of chronic physical health conditions across all organ systems in autistic adolescents and adults.Molecular autism · 2023Article
- Mortality risk in adults with intellectual disabilities and epilepsy: an England and Wales case-control study.Journal of neurology · 2023Article
- A Consultation Model for Intellectual and Developmental Disability Care.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo examine if mortality rates are lower in people with intellectual disability who have had a health check compared with those who have not had health checks.
settingGeneral practice records of 26 954 people with an intellectual disability in Wales between 2005-2017, of which 7650 (28.4%) with a health check were matched 1:2 with those without a health check. PRIMARY OUTCOME MEASURE: Office of National Statistics mortality data; a Cox regression was utilised to examine time to death adjusted for comorbidities and gender.
resultsPatients who had a health check were stratified by those who (1) had a confirmed health check, that is, Read Code for a health check (n=7650 (28.4 %)) and (2) had no evidence of receiving a health check in their medical record. Patients with a health check were matched for age at time of health check with two people who did not have a health check. The health check was associated with improved survival for those with autism or Down's Syndrome (HR 0.58 (95% CI 0.37 to 0.91) and HR 0.76 (95% CI 0.64 to 0.91), respectively). There was no evidence of improved survival for those diagnosed with diabetes or cancer. The people who had a health check were more likely to be older, have epilepsy and less likely to have autism or Down's syndrome.
conclusionsHealth checks are likely to influence survival if started before a person is diagnosed with a chronic condition, especially for people with autism or Down's syndrome.
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