Frequency of Missing TNM Stage Data for Adults With Intellectual or Developmental Disabilities in a Provincial Cancer Registry-A Brief Report

Overview

Journal Cancer Med

Date 2025 Jan 8

PMID 39778071

Authors

Kelly Biggs

Helene Ouellette-Kuntz

Rebecca Griffiths

Rebecca Hansford

Julie Hallet

Christine Kelly

Kathleen Decker

David E Dawe

Shahin Shooshtari

Marni Brownell

Donna Turner

Virginie Cobigo

Alyson Mahar

Affiliations

Soon will be listed here.

Abstract

Background: Adults with intellectual or developmental disability (IDD) are at higher risk for incomplete cancer staging.

Aim: To compare unknown stage data between those with and without IDD.

Materials And Methods: We used the Ontario Cancer Registry linked to administrative health data between 2007 and 2019.

Results: Adults with IDD diagnosed with breast, colorectal, and lung cancer were 1.94 (95% CI 1.52-2.47), 1.90 (95% CI 1.63-2.21), and 2.17 (95% CI 1.86-2.54) times more likely to have unknown cancer stage at diagnosis, relative to those without IDD.

Discussion: The absence of stage data has person-level and population-level implications. At the individual level, if stage data are not simply missing from the registry but reflect incomplete or absent diagnostic or staging procedures, this may represent barriers for adults with IDD in receiving curative treatment. At the population level, research using inaccurate or incomplete stage data may lead to unrepresentative health and social system policy decisions.

Conclusion: A better understanding of the cancer diagnostic interval for adults with IDD is needed to develop interventions.

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