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Intellectual and Developmental Disabilities and Cancer Symptom Severity: A Matched Retrospective Cohort Study.

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Title: Intellectual and Developmental Disabilities and Cancer Symptom Severity: A Matched Retrospective Cohort Study.
Authors: Giblon, Rachel (AUTHOR), Sutradhar, Rinku (AUTHOR), Hallet, Julie (AUTHOR), Hansford, Rebecca (AUTHOR), Kelly, Christine (AUTHOR), Coburn, Natalie (AUTHOR), Shooshtari, Shahin (AUTHOR), Mahar, Alyson (AUTHOR)
Source: Psycho-Oncology. Jun2025, Vol. 34 Issue 6, p1-10. 10p.
Subjects: Intellectual disabilities, Developmental disabilities, Symptom burden, Therapeutics, Retrospective studies, Health equity, Patient reported outcome measures
Abstract: Background: Individuals with intellectual or developmental disabilities (IDD) face increased cancer risks and disparities in cancer care accessibility and quality. Despite these concerns, there is limited research on cancer symptomology among individuals with IDD. Aims: This study explored differences in cancer symptoms between individuals with and without IDD. Methods: We conducted a matched retrospective study of adults in Ontario, Canada, with and without IDD who underwent cancer symptom screening using the Edmonton Symptom Assessment Scale‐revised (ESAS‐r), a patient‐reported outcome measure, within 5 years of a new primary cancer diagnosis. Using administrative health data, we performed 1:1 hard matching of individuals with cancer and IDD to those without IDD on age at diagnosis, sex, diagnosis year, cancer type, and registration at a regional cancer center. Conditional logistic regression models compared odds of moderate to severe and severe cancer symptoms. Results: Among 873 matched pairs, individuals with IDD had higher odds of experiencing severe (vs. moderate, mild, or no) cancer‐related symptoms compared to those without IDD. Symptoms included anxiety, depression, drowsiness, pain, shortness of breath, tiredness, and poor well‐being. Largest magnitudes of effect were for anxiety (odds ratio; OR: 2.20; 95% confidence intervals, CI: 1.68, 2.89) and depression (OR: 2.16; 95% CI: 1.54, 3.02). Similar trends were observed for moderate to severe cancer symptoms compared to mild or no symptoms. Conclusions: Patients with both cancer and IDD report higher symptom severity than those without IDD, emphasizing the importance of tailored interventions and support services to address their unique needs and alleviate symptom burden. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Intellectual and Developmental Disabilities and Cancer Symptom Severity: A Matched Retrospective Cohort Study.
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  Data: <searchLink fieldCode="AR" term="%22Giblon%2C+Rachel%22">Giblon, Rachel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sutradhar%2C+Rinku%22">Sutradhar, Rinku</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hallet%2C+Julie%22">Hallet, Julie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hansford%2C+Rebecca%22">Hansford, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kelly%2C+Christine%22">Kelly, Christine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Coburn%2C+Natalie%22">Coburn, Natalie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shooshtari%2C+Shahin%22">Shooshtari, Shahin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mahar%2C+Alyson%22">Mahar, Alyson</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jun2025, Vol. 34 Issue 6, p1-10. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Intellectual+disabilities%22">Intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Developmental+disabilities%22">Developmental disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Symptom+burden%22">Symptom burden</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+reported+outcome+measures%22">Patient reported outcome measures</searchLink>
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  Data: Background: Individuals with intellectual or developmental disabilities (IDD) face increased cancer risks and disparities in cancer care accessibility and quality. Despite these concerns, there is limited research on cancer symptomology among individuals with IDD. Aims: This study explored differences in cancer symptoms between individuals with and without IDD. Methods: We conducted a matched retrospective study of adults in Ontario, Canada, with and without IDD who underwent cancer symptom screening using the Edmonton Symptom Assessment Scale‐revised (ESAS‐r), a patient‐reported outcome measure, within 5 years of a new primary cancer diagnosis. Using administrative health data, we performed 1:1 hard matching of individuals with cancer and IDD to those without IDD on age at diagnosis, sex, diagnosis year, cancer type, and registration at a regional cancer center. Conditional logistic regression models compared odds of moderate to severe and severe cancer symptoms. Results: Among 873 matched pairs, individuals with IDD had higher odds of experiencing severe (vs. moderate, mild, or no) cancer‐related symptoms compared to those without IDD. Symptoms included anxiety, depression, drowsiness, pain, shortness of breath, tiredness, and poor well‐being. Largest magnitudes of effect were for anxiety (odds ratio; OR: 2.20; 95% confidence intervals, CI: 1.68, 2.89) and depression (OR: 2.16; 95% CI: 1.54, 3.02). Similar trends were observed for moderate to severe cancer symptoms compared to mild or no symptoms. Conclusions: Patients with both cancer and IDD report higher symptom severity than those without IDD, emphasizing the importance of tailored interventions and support services to address their unique needs and alleviate symptom burden. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.70199
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      – SubjectFull: Developmental disabilities
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      – SubjectFull: Symptom burden
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      – SubjectFull: Therapeutics
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      – SubjectFull: Retrospective studies
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      – SubjectFull: Health equity
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      – SubjectFull: Patient reported outcome measures
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      – TitleFull: Intellectual and Developmental Disabilities and Cancer Symptom Severity: A Matched Retrospective Cohort Study.
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              Text: Jun2025
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