Assessment & Research

Are Researchers Addressing Cancer Treatment and Survivorship Among People With Intellectual and Developmental Disabilities in the U.S.? A Scoping Review.

Samtani et al. (2021) · Intellectual and developmental disabilities 2021
★ The Verdict

U.S. research on cancer treatment for people with IDD is almost blank—screening data exist, but care plans don’t.

✓ Read this if BCBAs serving adults with IDD in medical or day-program settings.
✗ Skip if Clinicians only treating typically developing cancer patients.

01Research in Context

01

What this study did

Samtani et al. (2021) searched every U.S. study on cancer treatment or survival for people with intellectual or developmental disabilities.

They found only a handful of papers. Most were small case stories, not real data.

The team mapped what was missing: caregiver guidance, doctor teamwork, and rules for telling patients about cancer.

02

What they found

Almost no research exists. We have no clear care plans for people with IDD who get cancer.

Caregivers and clinicians are flying blind. No one knows the best way to share a cancer diagnosis or manage side effects.

03

How this fits with other research

Perry et al. (2024) extends this gap. They show cancer warning-sign knowledge is also low among adults with ID, carers, and doctors. Together the two reviews paint a full picture: we lack both early detection and treatment guidance.

Arana et al. (2019) seems to contradict the “no data” story. Their survey found Black and Hispanic women with ID actually get mammograms more often than White peers. The difference is screening uptake versus treatment research. Grace shows we study treatment too little; Evelyn shows we can still track who gets screened.

Dai et al. (2023) add another piece. Most outpatient doctors talk only to caregivers, not to the adult with ID. This habit may feed the research gap Grace found: if doctors don’t see patients as partners, they won’t study their cancer needs.

04

Why it matters

If you support adults with IDD, cancer care is an open field. Start small: build a simple picture book to explain procedures, track sedation use, or teach medical staff how to speak directly to the patient. Your pilot data could become the evidence Grace says we need.

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Ask your client’s oncologist for a written step-by-step of today’s procedure and turn it into a social story before the visit.

02At a glance

Intervention
not applicable
Design
scoping review
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

People with intellectual and developmental disabilities (PWIDD) often encounter barriers in the health care system when seeking general and specialized medical care. Literature has shown that PWIDD experience a lack of proper screening for and prevention of cancer compared to the general population. However, less is known regarding the cancer care and survivorship of PWIDD, especially in the United States. In this review, we examine what is currently known about the primary, psychosocial, and palliative care of PWIDD diagnosed with cancer. Our analyses reveal an immediate need for improvement in caregiver support, collaboration among health care providers, and ethical approaches to information disclosure for this population, as well as the establishment of more reliable standards of care through additional research with PWIDD.

Intellectual and developmental disabilities, 2021 · doi:10.3122/jabfm.2008.03.070197