Evidence map›Paper›PMID 21519947›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2012

Disparities in short-term and long-term all-cause mortality among Korean cancer patients with and without preexisting disabilities: a nationwide retrospective cohort study.

Sang Min Park, Ki Young Son, Jae-Hyun Park, Belong Cho

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 87% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 3 countries.

Sang Min ParkDepartment of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 28 Yeougeon-Dong, Jongno-Gu, Seoul, 110-774, South Korea.
Ki Young Son
Jae-Hyun Park
Belong Cho
National University College · PRNew Generation University College · ETSeoul National University Hospital · KRSungkyunkwan University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was conducted in order to determine whether a gap exists between cancer patients with disabilities and those without disabilities with regard to short-term and long-term all-cause mortality in Korea.

methodThe National Health Insurance claims database and the National Disability Database were used for performance of analyses. We identified 93,758 cancer patients (age, >20 years) who were diagnosed as cancer according to ICD-10 and who underwent treatment between January 1, 2000 and December 31, 2000. To distinguish between short-term and long-term survivorship outcomes, we performed survival analysis of short-term (<5 years) all-cause mortality for cancer patients and then confined our analysis to 5-year cancer survivors in order to assess the impacts of disability on long-term all-cause mortality. All analyses were performed according to gender, type of cancer, and type of disability, respectively, when cell sizes were large enough.

resultsCompared with the nondisability group, neither male nor female cancer patients with disabilities showed higher short-term (<5 years) all-cause mortality. When we confined our analysis to 5-year cancer survivors, both male (hazards ratio (HR), 1.48; 95% confidence interval (CI), 1.33-1.66) and female (HR, 1.53; 95% CI, 1.28-1.83) patients with prediagnosis disability had higher long-term all-cause mortality than those in the nondisability group. Male patients with impaired communication (HR, 1.24; 95% CI, 1.07-1.44) and female patients with internal disability (HR, 2.20; 95% CI, 1.42-3.42) had higher short-term (<5 years) all-cause mortality than those without these disabilities. Among both male (HR, 1.56; 95% CI, 1.38-1.75) and female (HR, 1.54; 95% CI, 1.28-1.86) 5-year cancer survivors, impaired mobility showed a significant association with a higher long-term mortality.

conclusionsThis study raises concerns with regard to disability-related disparities in cancer outcome among long-term cancer survivors. Further attention and effective collaborative efforts are required for improvement of survival and quality of care for long-term cancer survivors.

Indexed as

Health Status DisparitiesAdultAgedCohort StudiesDatabases, FactualFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasmsPersons with DisabilitiesProportional Hazards ModelsRepublic of KoreaRetrospective StudiesRisk Factors

Identifiers

PMID21519947
OpenAlexW2070051982

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.