Adults with intellectual disabilities need thoughtful, well-coordinated primary care from family physicians. However, evidence-based screening recommendations are lacking. We examined screening recommendations for common preventable conditions using the US Preventative Service Task Force guidelines. We also reviewed the literature about the prevalence of these conditions in adults with intellectual disabilities. Obesity, osteoporosis, and smoking are more prevalent in adults with intellectual disabilities, and enhanced screening for these conditions is recommended. Abnormal Papanicolaou smears and cervical cancer are less common in adults with intellectual disabilities and screening recommendations should be individualized. We also discussed strategies to make screening procedures less stressful for these patients.

译文

:智力障碍的成人需要家庭医生提供周到且协调良好的初级保健。但是,缺乏基于证据的筛查建议。我们使用美国预防服务工作队指南检查了针对常见可预防疾病的筛查建议。我们还回顾了有关智力障碍成年人中这些疾病患病率的文献。肥胖,骨质疏松和吸烟在智力残疾的成年人中更为普遍,因此建议对这些疾病进行更严格的筛查。在智力障碍的成年人中,巴氏涂片和子宫颈癌的涂片异常少见,因此筛查建议应个体化。我们还讨论了降低这些患者筛查压力的策略。

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