Evidence map›Paper›PMID 40897508›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2026

Health problems of people with intellectual disabilities in general practice: dynamic cohort study between 2012 and 2021 with Dutch routine care data.

Marloes Heutmekers, Bianca Schalk, Annemarie Uijen, Jenneken Naaldenberg, Geraline Leusink, Maarten Cuypers

Abstract read
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Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Marloes HeutmekersRadboud University Medical Center, Department of Primary and Community Care, Nijmegen, the Netherlands.ORCID 0000-0003-0880-409X
Bianca SchalkRadboud University Medical Center, Department of Primary and Community Care, Nijmegen, the Netherlands.ORCID 0000-0002-4359-1715
Annemarie UijenRadboud University Medical Center, Department of Primary and Community Care, Nijmegen, the Netherlands.ORCID 0000-0002-7703-6250
Jenneken NaaldenbergRadboud University Medical Center, Department of Primary and Community Care, Nijmegen, the Netherlands.ORCID 0000-0003-2675-4516
Geraline LeusinkAcademic Collaborative Intellectual Disability and Health, Sterker op Eigen Benen, Nijmegen, the Netherlands.
Maarten CuypersRadboud University Medical Center, Department of Primary and Community Care, Nijmegen, the Netherlands maarten.cuypers@radboudumc.nl.ORCID 0000-0003-1715-4375

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advancements in health care, patients with intellectual disabilities (ID) in many countries continue to face barriers in accessing and utilising primary care. Implementation of improvements in accessibility and quality of care requires up-to-date and accurate insights into their health problems.

aimTo investigate health problems in patients with ID in GP care compared with matched patients without ID. DESIGN AND

settingA retrospective dynamic cohort study undertaken using data from >80 Dutch general practices.

methodAll adult patients with indicators of ID, registered at any participating general practice for a minimum of 1 year between 2012 and 2021, were included, and individually matched (1:5) with persons without ID. Patients' characteristics, encounters, symptoms, diagnoses, and prescribed medication were retrieved.

resultsPatients with ID had 2.2 times more contacts with their GP than patients without ID, presented with a broader range of symptoms and diagnoses across various body systems, and were more frequently prescribed medication. The largest relative difference was seen for depression, which was nearly twice as common in patients with ID compared with those without.

conclusionThe health problems and prescription patterns of people with ID in general practice remain distinct from those without ID but largely mirror findings from two decades ago. These patterns still fit well within the scope of general practice, yet underscore the continuing need for GPs to recognise these differences and adapt their care to address the specific needs of their patients with ID.

Indexed as

General PracticeHealth Services AccessibilityIntellectual DisabilityAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedNetherlandsPrimary Health CareRetrospective Studiescohort studiesdepressiongeneral practiceintellectual disabilityprescriptionsprimary health care

Identifiers

PMID40897508
PMCPMC13044219

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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.