title: Healthcare and guidelines: a population-based survey of recorded medical problems and health surveillance for people with Down syndrome.
abstract: BACKGROUND
  Medical problems are described in a population of persons with Down syndrome. Health surveillance is compared to the recommendations of national guidelines.
  
  
  METHODS
  Case records from the specialised and primary healthcare and disability services were analysed.
  
  
  RESULTS
  A wide spectrum of age-specific medical and surgical problems was described. Congenital heart defects and middle ear infections were mostly experienced by younger people, while thyroid disease, epilepsy, and Alzheimer's disease were frequent among older people. Psychiatric disorders and behavioural problems were frequent in all age groups.
  
  
  CONCLUSIONS
  Health surveillance remained insufficient, despite the guidelines available. A joint effort by healthcare and disability service providers is required to ensure that the medical needs of people with Down syndrome are adequately met across their entire lifespan. An active provision of healthcare and monitoring for this vulnerable group is needed.
authors.affiliation: Service Centre of Kuusanmäki, 87250 Kajaani, Finland. tuomo.maatta@kainuu.fi
authors.forename: Tuomo
authors.initials: T
authors.lastname: Määttä
authors.forename: Joonas
authors.initials: J
authors.lastname: Määttä
authors.forename: Tuula
authors.initials: T
authors.lastname: Tervo-Määttä
authors.forename: Anja
authors.initials: A
authors.lastname: Taanila
authors.forename: Markus
authors.initials: M
authors.lastname: Kaski
authors.forename: Matti
authors.initials: M
authors.lastname: Iivanainen
mesh_terms: D000293:Adolescent; D000328:Adult; D000544:Alzheimer Disease / Q000453:epidemiology; D002446:Celiac Disease / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003695:Delivery of Health Care / Q000592:standards; D004314:Down Syndrome / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D004427:Ear Diseases / Q000453:epidemiology; D005260:Female; D006301:Health Services Needs and Demand; D034381:Hearing Loss / Q000453:epidemiology; D006330:Heart Defects, Congenital / Q000453:epidemiology; D006801:Humans; D007037:Hypothyroidism / Q000175:diagnosis / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D007239:Infections / Q000453:epidemiology; D008297:Male; D008403:Mass Screening; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D009909:Oral Health; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D012640:Seizures / Q000453:epidemiology; D013575:Syncope / Q000453:epidemiology; D014786:Vision Disorders / Q000453:epidemiology; D055815:Young Adult