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McMahon M, Lynch L, Wormald A, Eustace-Cook J, McCarron M, McCallion P, Smith V. Prevalence and incidence of cancer amongst adults with intellectual disability - a systematic review and meta-analysis protocol. HRB Open Res 2024; 6:51. [PMID: 38332848 PMCID: PMC10850849 DOI: 10.12688/hrbopenres.13740.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2024] [Indexed: 02/10/2024] Open
Abstract
Background People with intellectual disabilities have poorer health and die earlier than their peers without identified disabilities. This difference represents a significant inequality. Until recently, it was considered that cancer was less common in this population, mainly because they did not live long enough to develop age-related cancers. However, recent evidence has identified that people with intellectual disabilities may be at an increased risk of developing cancer but more likely to present for medical treatment at a later stage when cancer has spread. Nonetheless, the evidence is lacking and there is a need to understand the prevalence and incidence of cancer and subtypes of cancer in adults with intellectual disabilities. Methods A systematic review and meta-analysis will be undertaken to investigate the prevalence and incidence of cancer and subtypes of cancer in adults with an intellectual disability. The JBI Systematic reviews of prevalence and incidence and the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to develop this protocol. Electronic databases will be searched using predefined search terms to identify relevant studies using the Condition Context Population (CoCoPop) framework. Eligible studies should be observational and have published baseline data that have estimated or presented data on the prevalence or incidence of cancer in adults with intellectual disabilities. To assess the methodological quality of studies included in this review a modified version of the JBI Critical Appraisal Checklist for Studies Reporting Prevalence Data will be used. Prevalence and incidence proportions will be analysed separately with individual study data being pooled using the DerSimonian-Laird proportion method and a random effects meta-analysis will be undertaken. Discussion This review will advance the epidemiological evidence to identify where targeted cancer care interventions are needed to help reduce the inequalities that this population experiences. Systematic review registration PROSPERO registration number: CRD42023423584.
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Affiliation(s)
- Martin McMahon
- School of Nursing & Midwifery, The University of Dublin Trinity College, Dublin, D02 PN40, Ireland
- Trinity Centre for Ageing with Intellectual Disability (TCAID), The University of Dublin Trinity College, School of Nursing & Midwifery, Dublin, Ireland
| | - Louise Lynch
- School of Nursing & Midwifery, The University of Dublin Trinity College, Dublin, D02 PN40, Ireland
- Trinity Centre for Ageing with Intellectual Disability (TCAID), The University of Dublin Trinity College, School of Nursing & Midwifery, Dublin, Ireland
| | - Andrew Wormald
- Trinity Centre for Ageing with Intellectual Disability (TCAID), The University of Dublin Trinity College, School of Nursing & Midwifery, Dublin, Ireland
| | - Jessica Eustace-Cook
- School of Nursing & Midwifery, The University of Dublin Trinity College, Dublin, D02 PN40, Ireland
| | - Mary McCarron
- School of Nursing & Midwifery, The University of Dublin Trinity College, Dublin, D02 PN40, Ireland
- Trinity Centre for Ageing with Intellectual Disability (TCAID), The University of Dublin Trinity College, School of Nursing & Midwifery, Dublin, Ireland
| | - Philip McCallion
- Trinity Centre for Ageing with Intellectual Disability (TCAID), The University of Dublin Trinity College, School of Nursing & Midwifery, Dublin, Ireland
- School of Social Work (College of Public Health), Temple University, Philadelphia, Pennsylvania, USA
| | - Valerie Smith
- School of Nursing & Midwifery, The University of Dublin Trinity College, Dublin, D02 PN40, Ireland
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Vukovic V, Banda A, Carneiro L, Dogan S, Knapp P, McMahon M, Milutinovic D, Soylar P, Sykes K, Tosun B, Yava A, Trajkovski V, Wells J, Cuypers M. The importance of cancer prevention policies to inform and guide preventative and screening measures for people with intellectual disabilities: The COST project "Cancer- Understanding Prevention in Intellectual Disabilities". JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023:17446295231213752. [PMID: 37943033 DOI: 10.1177/17446295231213752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
Cancer is a global public health problem, but its exact prevalence in people with intellectual disabilities is still uncertain. This population, with limited health skills and complex health needs, faces many challenges in cancer prevention, screening, timely diagnosis and treatment. Furthermore, they are often underrepresented in general cancer prevention and screening policies across Europe, leading to widened disparities in health outcomes and premature mortality. Thus, unified national and local policies are needed to reduce inequalities and promoting a pan-European inclusion of people with intellectual disabilities. Our goal is to raise public awareness of this issue, including the involvement of people with intellectual disabilities, and promote engagement from relevant stakeholders. The COST Action 'Cancer- Understanding Prevention in Intellectual Disabilities' (CUPID) project will address health inequalities faced by people with intellectual disabilities in relation to cancer, and support the development of policy recommendations specifically tailored to their unique cognitive and healthcare needs, having a positive long-term impact on quality of life.
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Affiliation(s)
- Vladimir Vukovic
- Department of Epidemiology, Faculty of Medicine, University of Novi Sad, Serbia
- Centre for Disease Control and Prevention, Institute of Public Health of Vojvodina, Serbia
| | - Amina Banda
- Radboud University Medical Center, The Netherlands
| | - Lara Carneiro
- Physical Education Department, College of Education, United Arab Emirates University, United Arab Emirates
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University of Maia, ISMAI, Portugal
| | - Soner Dogan
- Department of Medical Biology, School of Medicine, Yeditepe University, Türkiye
| | - Peter Knapp
- Department of Health Sciences & the Hull York Medical School, University of York, United Kingdom
| | - Martin McMahon
- School of Nursing & Midwifery, The University of Dublin Trinity College, Ireland; Trinity Centre for Ageing and Intellectual Disability (TCAID), The University of Dublin Trinity College, School of Nursing & Midwifery, Ireland
| | | | - Pinar Soylar
- Health science faculty, Fırat University, Türkiye
| | - Kate Sykes
- Department of Social Work, Education and Community Wellbeing, Faculty of Health and Life Sciences, Northumbria University, United Kingdom
| | - Betul Tosun
- Department of Nursing, Faculty of Health Sciences, Hasan Kalyoncu University, Türkiye
| | - Ayla Yava
- Department of Nursing, Faculty of Health Sciences, Hasan Kalyoncu University, Türkiye
| | | | - John Wells
- School of Health Sciences, South East Technological University, Ireland
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