ArticleCancer control : journal of the Moffitt Cancer Center
Disparities in the Diagnosis, Treatment, and Survival Rate of Cervical Cancer among Women with and without Disabilities.
Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Hysterectomy in women with disabilities: a systematic review.Epidemiologic reviews · 2026Pooled it
- College Attendance, Physical Disability, and Cervical Cancer Screening.JAMA network open · 2026Article
- '…but look how many lives would have been saved if this was available then' Exploring the acceptability of future Human Papillomavirus self-sampling, and the barriers and facilitators of cervical cancer screening for those with intellectual disabilities in Scotland.British journal of health psychology · 2026Article
- A Systematic Review of Unmet Supportive Care Needs, Barriers, and Facilitators for People with Physical Disabilities and Cancer.Journal of cancer survivorship : research and practice · 2025Review
- [The needs and prioritization of nutrition and dietary support for individuals with disabilities: an exploratory study].Korean journal of community nutrition · 2024Article
- Article
- Cervical screening participation and access facilitators and barriers for people with intellectual disability: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Review
- Principles for Service Delivery: Best Practices for Cervical Screening for Women with Disabilities.International journal of women's health · 2024Review
- Overall and Cervical Cancer Survival in Patients With and Without Mental Disorders.JAMA network open · 2023Article
- Impact of Disability Status on Mortality in Patients with Gastric Cancer: A Nationwide Study Focusing on Regional Disparities.Healthcare (Basel, Switzerland) · 2023Article
- An overview of the past decade of bufalin in the treatment of refractory and drug-resistant cancers: current status, challenges, and future perspectives.Frontiers in pharmacology · 2023Review
- Disparities in All-Cause Mortality in Older Patients with Colorectal Cancer According to Disability Status: A Nationwide Analysis.Current oncology (Toronto, Ont.) · 2022Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNot much is known regarding the disparities in cancer care between women with and without disabilities.
objectivesThe aim of this study was to investigate the potential disparities in the diagnosis, treatment, and survival of women with cervical cancer with and without disabilities.
methodsWe performed a retrospective cohort study and linked the National Disability Database, Korean Central Cancer Registry, and Korean National Health Insurance claims database. Charlson comorbidity index was used for adjusting the comorbidity. The study population comprised 3 185 women with disabilities (physical/brain, communication, mental, cardiopulmonary, and other impairment) who were diagnosed with cervical cancer and 13 582 age- and sex-matched women without disability who were diagnosed with cervical cancer for comparison.
resultsDistant metastatic stage (7.7% vs 3.7%) and unknown stage (16.1% vs 7.0%) were more common in cervical cancer women with grade 1 disabilities, compared with women without disabilities. Women with cervical cancer with disabilities were less likely to undergo surgery (adjusted odds ratio (aOR) 0.81, 95% confidence interval (CI) 0.73-0.90) or chemotherapy (aOR 0.86, 95% CI 0.77-0.97). Lower rate of surgery was more evident in patients with physical/brain impairment (aOR 0.46, 95% CI 0.37-0.58) and severe mental impairment (aOR 0.57, 95% CI 0.41-0.81). The overall mortality risk was also higher in patients with disabilities (adjusted hazard ratio (aHR) 1.36, 95% CI 1.25-1.48).
conclusionWomen with cervical cancer with disabilities, especially with severe disabilities, were diagnosed at later stages, received less treatment, and had higher mortality rates, compared with patients who lacked disabilities. Social support and policies, along with education for women with disabilities, their families, and healthcare professionals, are needed to improve these disparities.
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