Evidence map›Paper›PMID 42235981›Full record

ArticleBMJ paediatrics open2026

Pre-pandemic and pandemic healthcare utilisation among children with intellectual disabilities compared to the general population: a register study (IDcare).

Anna Axmon, Magnus Sandberg

Abstract readComparative Study
In one paragraph

Article in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

2 authors.

Anna AxmonDepartment of Laboratory Medicine, Lund University, Lund, Sweden anna.axmon@med.lu.se.ORCID http://orcid.org/0000-0002-4539-8337
Magnus SandbergDepartment of Health Sciences, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-8915-8730

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate utilisation patterns of different types of healthcare in a pre-pandemic and pandemic period, respectively, among children with intellectual disabilities in comparison to their age peers in the general population. STUDY

designBased on 8 years of register data, we identified 1947 children with intellectual disabilities (ID cohort) and 145 998 children from the general population (gPop cohort). All visits with physicians in outpatient care and all inpatient episodes during a pre-pandemic (2014-2019) and a pandemic (2020-2021) were identified.

resultsDuring both periods, children in the ID cohort were more likely than those in the gPop cohort to have at least one healthcare visit (relative risk 1.06, 95% CI 1.01 to 1.11 during the pre-pandemic period and 1.31, 1.25 to 1.38 during the pandemic period). The largest effects were found for somatic inpatient care, particularly during the pandemic period. The opposite was found for psychiatric specialist care and primary care, where the effect was larger during the pre-pandemic period. Overall, there was a consistent pattern of increased relative rates of utilisation for unplanned care that was less evident for planned care.

conclusionsAlthough the results do not indicate any discrimination against children with intellectual disabilities during the COVID-19 pandemic, the results regarding unplanned care highlight the unmet healthcare needs in this group.

Indexed as

COVID-19Intellectual DisabilityPatient Acceptance of Health CareAdolescentChildChild, PreschoolFemaleHospitalizationHumansInfantMalePandemicsRegistriesSARS-CoV-2COVID-19

Identifiers

PMID42235981
PMCPMC13239560

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.