Disparities in the Diagnosis and Treatment of Lung Cancer among People with Disabilities
DC Field | Value | Language |
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dc.contributor.author | Shin, Dong Wook | - |
dc.contributor.author | Cho, Jong Ho | - |
dc.contributor.author | Noh, Jae Myoung | - |
dc.contributor.author | Han, Hyesook | - |
dc.contributor.author | Han, Kyungdo | - |
dc.contributor.author | Park, Sang Hyun | - |
dc.contributor.author | Kim, So Young | - |
dc.contributor.author | Park, Jong Heon | - |
dc.contributor.author | Park, Jong Hyock | - |
dc.contributor.author | Kawachi, Ichiro | - |
dc.date.available | 2020-09-14T08:12:30Z | - |
dc.date.created | 2020-06-18 | - |
dc.date.issued | 2019-02 | - |
dc.identifier.issn | 1556-0864 | - |
dc.identifier.uri | http://scholarworks.bwise.kr/ssu/handle/2018.sw.ssu/39085 | - |
dc.description.abstract | Introduction: Potential disparities in the diagnosis, treatment, and survival of patients with lung cancer with and without disabilities have rarely been investigated. Methods: We conducted a retrospective cohort study with a data set linking the Korean National Health Service database, disability registration data, and Korean Central Cancer Registry data. A total of 13,591 people with disabilities in whom lung cancer had been diagnosed and 43,809 age- and sex-matched control subjects in whom lung cancer had been diagnosed were included. Results: Unknown stage was more common in people with severe disabilities (13.1% versus 10.3%), especially those with a communication (14.2%) or mental/cognitive disability (15.7%). People with disabilities were less likely to undergo a surgical procedure (adjusted OR [aOR] = 0.82, 95% confidence interval [CI]: 0.77-0.86), chemotherapy (aOR = 0.80, 95% CI: 0.77-0.84), or radiotherapy (aOR = 0.92, 95% CI: 0.88-0.96). This higher likelihood wasmore evident for people with severe communication impairment (aORs of 0.46 for surgery and 0.64 for chemotherapy) and severe brain/mental impairment (aORs 0.39 for surgery, 0.47 for chemotherapy, and 0.49 for radiotherapy). Patients with disabilities had a slightly higher overall mortality than did people with no disability (adjusted hazard ratio = 1.08, 95% CI: 1.06-1.11), especially in the group with a severe disability (a hazard ratio = 1.20, 95% CI: 1.16-1.24). Conclusions: Patients with lung cancer and disabilities, especially severe ones, underwent less staging work-up and treatment even though their treatment outcomes were only slightly worse than those of people without a disability. Although some degree of disparity might be attributed to reasonable clinical judgement, unequal clinical care for people with communication and brain/mental disabilities suggests unjustifiable disability-related barriers that need to be addressed. (C) 2018 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.relation.isPartOf | JOURNAL OF THORACIC ONCOLOGY | - |
dc.title | Disparities in the Diagnosis and Treatment of Lung Cancer among People with Disabilities | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.jtho.2018.10.158 | - |
dc.type.rims | ART | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC ONCOLOGY, v.14, no.2, pp.163 - 175 | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000456410800014 | - |
dc.identifier.scopusid | 2-s2.0-85060333297 | - |
dc.citation.endPage | 175 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 163 | - |
dc.citation.title | JOURNAL OF THORACIC ONCOLOGY | - |
dc.citation.volume | 14 | - |
dc.contributor.affiliatedAuthor | Han, Kyungdo | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.subject.keywordAuthor | Lung cancer | - |
dc.subject.keywordAuthor | Disability | - |
dc.subject.keywordAuthor | Stage | - |
dc.subject.keywordAuthor | Treatment | - |
dc.subject.keywordAuthor | Survival | - |
dc.subject.keywordPlus | BREAST | - |
dc.subject.keywordPlus | INSURANCE | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | STAGE | - |
dc.subject.keywordPlus | STATISTICS | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | WOMEN | - |
dc.relation.journalResearchArea | Oncology | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Oncology | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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