ArticleJournal of general internal medicine2021
Perspectives of Patients with Pre-existing Mobility Disability on the Process of Diagnosing Their Cancer.
Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Diagnostic overshadowing: An evolutionary concept analysis on the misattribution of physical symptoms to pre-existing psychological illnesses.International journal of mental health nursing · 2022Pooled it
- Disability inclusion as a missing pillar of Africa's non-communicable disease response.BMJ global health · 2026Article
- Population-based cancer screening access needs of disabled people: A qualitative evidence synthesis.Journal of intellectual disabilities : JOID · 2026Review
- Inequalities in breast cancer incidence and mortality in women with and without disabilities in South Korea: A population-based cohort study.Preventive medicine reports · 2025Article
- Exclusion of people from oncology clinical trials based on functional status.Clinical trials (London, England) · 2025Article
- The study of ableism in population health: a critical review.Frontiers in public health · 2024Review
- Change Is Slow: Acquisition of Disability-Accessible Medical Diagnostic Equipment in Primary Care Offices over Time.Health equity · 2024Article
- Medical delivery without representation?: Examining disability representation within the healthcare community.Journal of pediatric rehabilitation medicine · 2024Article
- Cancer Disparities Experienced by People with Disabilities.International journal of environmental research and public health · 2022Article
- Cancer Survivors' Disability Experiences and Identities: A Qualitative Exploration to Advance Cancer Equity.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMobility disability is the most common disability among adult Americans, estimated at 13.7% of the US population. Cancer prevalence is higher among people with mobility disability compared with the general population, yet people with disability experience disparities in cancer screening and treatment.
objectiveWe explored experiences of patients with mobility disability with the process of cancer diagnosis.
designOpen-ended individual interviews, which reached data saturation. Interviews were transcribed verbatim for conventional content analysis.
participantsWe interviewed 20 participants with pre-existing mobility disability that required the use of an assistive device or assistance with performance of activities of daily living and who were subsequently diagnosed with cancer (excluding melanoma). KEY
resultsConcerns coalesced around five broad categories: inaccessibility of medical diagnostic equipment affecting the process of cancer diagnosis, attitudes of clinical staff about accommodating disability, dismissal of cancer signs/symptoms as emotional responses to chronic health conditions, misattributing cancer signs/symptoms to underlying disability, and attitudes about pursuing legal action for substandard care. Participants provided examples of how erroneous assumptions and potentially biased attitudes among clinicians interfered with the process of their cancer diagnosis, sometimes contributing to an insufficient workup and diagnostic delays.
conclusionsPhysical and attitudinal barriers affect the process of cancer diagnosis in people with mobility disability. Though people with mobility disability may be clinically complex, clinicians should be aware of the risks of diagnostic overshadowing (i.e., the misattribution of cancer signs/symptoms to underlying disability) and other erroneous assumptions that may affect timeliness of cancer diagnosis and quality of care. Further efforts, including educating clinicians about challenges in caring for persons with disability, should be considered to improve the process of cancer diagnosis for this population.
trial registrationN/A.
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Registered trials
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.