title: Adults with Down's syndrome: the prevalence of complications and health care in the community.
abstract: BACKGROUND
  Individuals with Down's syndrome are predisposed to a variety of medical conditions which can impose an additional, but preventable, burden of secondary disability. Although there are guidelines for health checks and medical management of children with Down's syndrome, the needs of adults are relatively neglected.
  
  
  OBJECTIVE
  To determine the prevalence of common medical problems in adults with Down's syndrome, and to assess current practice regarding medical surveillance of these patients.
  
  
  METHODS
  Detailed notes analysis.
  
  
  METHODS
  Data were obtained from the primary care records of adults with Down's syndrome living in the Newcastle upon Tyne and Gateshead areas.
  
  
  METHODS
  Case notes were reviewed to obtain details regarding complications and to determine the frequency of medical surveillance of individuals with Down's syndrome.
  
  
  RESULTS
  Complications such as hypothyroidism, celiac disease, and obesity occur more frequently in adults with Down's syndrome than previous paediatric prevalence studies suggest. Surveillance of common complications that occur in individuals with Down's syndrome is infrequent. In this study, 48% of adults with Down's syndrome had not seen a doctor in the previous 12 months and 33% had not had a medical assessment in the previous 3 years.
  
  
  CONCLUSIONS
  Many individuals with Down's syndrome do not have access to regular healthcare checks, despite the high frequency of common medical complications in adult life. Debate regarding the practicality and relevance of introducing regular health checks is warranted.
authors.affiliation: Northern Genetics Service, Institute of Human Genetics, Newcastle upon Tyne. alex.henderson@newcastle.ac.uk
authors.forename: Alex
authors.initials: A
authors.lastname: Henderson
authors.forename: Sally A
authors.initials: SA
authors.lastname: Lynch
authors.forename: Steve
authors.initials: S
authors.lastname: Wilkinson
authors.forename: Morag
authors.initials: M
authors.lastname: Hunter
mesh_terms: D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000592:standards*; D004314:Down Syndrome / Q000150:complications* / Q000453:epidemiology / Q000235:genetics; D004739:England / Q000453:epidemiology; D005260:Female; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing / Q000592:standards; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence