Evidence map›Paper›PMID 35686676›Full record

ArticleAmerican journal of medical genetics. Part A2022

Disparities and outcomes of patients living with Down Syndrome undergoing healthcare transitions from pediatric to adult care: A scoping review.

Karan Varshney, Rosemary Iriowen, Kayla Morrell, Preshon Pillay, Alexander Fossi, Mary M Stephens

Open access · hybridAbstract readScoping Review
In one paragraph

Article in American journal of medical genetics. Part A, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  8. Understanding Music Participation for Adults With Down Syndrome.Journal of intellectual disability research : JIDR · 2025
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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 3 institutions in 2 countries.

Karan VarshneyJefferson College of Population Health, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-3605-9824
Rosemary IriowenJefferson College of Population Health, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Kayla MorrellSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Preshon PillaySchool of Medicine, Deakin University, Geelong, Victoria, Australia.
Alexander FossiCenter for Autism and Neurodiversity, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Mary M StephensDepartment of Family & Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Thomas Jefferson University · USChristiana Care Health System · USDeakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Down Syndrome (DS) is one of the most common chromosomal disorders worldwide, and people with DS experience more co-morbidities and have poorer health outcomes compared to the general population. An area that is not well understood is how patients with DS transition from pediatric to adult care, as well as the details, barriers, and difficulties of these transitions for patients. Hence, we aimed to provide a scoping review of the literature in PubMed, Scopus, and CINAHL on the topic of healthcare transitions (HCTs) for patients with DS. Findings suggest patients with DS who continued receiving care as an adult from a pediatric care provider tended to experience co-morbidities and other adverse health issues at higher rates than those who entirely switch to an adult-care team. Patients with DS were unable to undergo transition due to multiple barriers, such as low income, limited/public insurance, gender, and race. We propose potential steps for transition, which focus on ensuring early planning, communicating better, coordinating services, assessing decision-making capacity, and providing ongoing social and financial support. Future research must further identify and address barriers to HCTs for people with DS.

Indexed as

Down SyndromeTransition to Adult CareAdultChildHumansPopulation GroupsdisparitiesDown Syndromeequityhealthcare transitionpediatrics

Identifiers

PMID35686676
PMCPMC9545419
OpenAlexW4281703463

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.