ArticleWorld journal of gastrointestinal oncology2024
Disparities in the diagnosis and treatment of colorectal cancer among patients with disabilities.
Article in World journal of gastrointestinal oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Disparities in the Diagnosis and Treatment of Breast Cancer Among People With Disabilities.JAMA network open · 2025Article
- Impact of Disability on Postoperative Outcomes After Gastrointestinal Cancer Surgery.Annals of surgical oncology · 2025Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundLittle is known about disparities in diagnosis and treatment among colorectal cancer (CRC) patients with and without disabilities.
aimTo investigate the patterns of diagnosis, treatment, and survival for people with and without disabilities who had CRC.
methodsWe performed a retrospective analysis using the Korean National Health Insurance Service database, disability registration data, and Korean Central Cancer Registry data. The analysis included 21449 patients with disabilities who were diagnosed with CRC and 86492 control patients diagnosed with CRC.
resultsThe overall distribution of CRC stage was not affected by disability status. Subjects with disabilities were less likely than those without disabilities to undergo surgery [adjusted odds ratio (aOR): 0.85; 95% confidence interval (95%CI): 0.82-0.88], chemotherapy (aOR: 0.84; 95%CI: 0.81-0.87), or radiotherapy (aOR: 0.90; 95%CI: 0.84-0.95). The rate of no treatment was higher in patients with disabilities than in those without disabilities (aOR: 1.48; 95%CI: 1.41-1.55). The overall mortality rate was higher in patients with disabilities [adjusted hazard ratio (aHR): 1.24; 95%CI: 1.22-1.28], particularly severe disabilities (aHR: 1.57; 95%CI: 1.51-1.63), than in those without disabilities.
conclusionPatients with severe disabilities tended to have a late or unknown diagnosis. Patients with CRC and disabilities had lower rates of treatment with almost all modalities compared with those without disabilities. During the follow-up period, the mortality rate was higher in patients with disabilities than in those without disabilities. The diagnosis and treatment of CRC need improvement in patients with disabilities.
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