Evidence map›Paper›PMID 42711261›Full record

ArticleJNCI cancer spectrum2026

Association of cancer characteristics with disability status and timing of onset among working-age cancer survivors.

Hyo Jung Tak, Ya-Chen Tina Shih, Brandon L Grimm, Andrew M Goldsweig, Min Sok Lee, Ronnie D Horner

Abstract read
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Article in JNCI cancer spectrum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hyo Jung TakDepartment of Health Services Research and Administration, University of Nebraska Medical Center, Omaha, NE, United States.ORCID 0000-0003-1925-3190
Ya-Chen Tina ShihDepartment of Radiation Oncology, UCLA, Los Angeles, CA, United States.ORCID 0000-0001-7290-3864
Brandon L GrimmDepartment of Health Services Research and Administration, University of Nebraska Medical Center, Omaha, NE, United States.
Andrew M GoldsweigDepartment of Cardiovascular Medicine, Baystate Medical Center and Division of Cardiovascular Medicine, University of Massachusetts-Baystate, Springfield, MA, United States.
Min Sok LeeDepartment of Economics, University of Chicago, Chicago, IL, United States.
Ronnie D HornerDepartment of Health Services Research and Administration, University of Nebraska Medical Center, Omaha, NE, United States.

Funding

UNMC/EPPLEY CANCER CENTER SUPPORT GRANTP30CA036727 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI James Eudy · 1985 to 2026
$55.0M
National Cancer Institute at the National Institutes of Health 3P30CA036727-37S2NCI NIH HHS P30 CA036727
6 · The paper itself

Abstract

backgroundNumerous studies examine the impact of cancer and disability on health-care use, financial toxicity, and health outcomes but not the relationship between cancer and disability. This study investigates whether and how cancer characteristics are associated with disability status (Social Security Disability Insurance) and timing of onset among prime working-age cancer survivors.

methodsWe used the 1999 to 2022 Surveillance, Epidemiology, and End Results file linked with Medicare data. Outcome was a categorical variable indicating no disability, disability onset ≥2 years and 0-<2 years before cancer diagnosis, and 0-<2 years and ≥2 years after diagnosis. Primary independent variables were 16 categories of cancer sites and stage at diagnosis. We employed a multivariable multinomial probit regression model, adjusting for patient and neighborhood characteristics, overall and by 5-year survival.

resultsOf the total sample (n = 97 642), 62.2%, 22.4%, and 15.4% had no, precancer, and postcancer disability, respectively. Likelihood of disability and timing of disability onset differed by cancer sites. Compared with prostate cancer survivors (lowest prevalence of disability), adjusted predicted probability of having disability ≥2 years before diagnosis was higher by 0.46 (95% CI = 0.43 to 0.49) among liver cancer survivors, whereas having disability <2 years after diagnosis was higher by 0.29 (95% CI = 0.27 to 0.32) among brain cancer survivors. Nearly all <5-year cancer survivors had disability, and the patterns of association varied significantly by 5-year survival.

conclusionsClinically assessed disability is strongly associated with specific cancer sites. These findings may point to strategies to improve efficiency of cancer prevention and care, reducing untoward impacts on survival.

Indexed as

Cancer SurvivorsInsurance, DisabilityNeoplasmsPersons with DisabilitiesAdultAgedAge of OnsetBrain NeoplasmsFemaleHumansLiver NeoplasmsMaleMiddle AgedProstatic NeoplasmsSEER ProgramSocial Security

Identifiers

PMID42711261
PMCPMC13645425

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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.