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Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea

We aimed to evaluate the impacts of disability on the diagnosis, treatment, and prognosis of bile duct cancer (BDC) according to the severity and type of disability. Patients diagnosed with BDC were selected from an age- and sex-matched population (1:3 ratio) with or without disabilities from the Na...

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Autores principales: Park, Seon Mee, Kim, So Young, Yeob, Kyoung Eun, Shin, Dong Wook, Han, Joung-Ho, Park, Jong Heon, Park, Jong Hyock
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779117/
https://www.ncbi.nlm.nih.gov/pubmed/36554502
http://dx.doi.org/10.3390/ijerph192416625
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author Park, Seon Mee
Kim, So Young
Yeob, Kyoung Eun
Shin, Dong Wook
Han, Joung-Ho
Park, Jong Heon
Park, Jong Hyock
author_facet Park, Seon Mee
Kim, So Young
Yeob, Kyoung Eun
Shin, Dong Wook
Han, Joung-Ho
Park, Jong Heon
Park, Jong Hyock
author_sort Park, Seon Mee
collection PubMed
description We aimed to evaluate the impacts of disability on the diagnosis, treatment, and prognosis of bile duct cancer (BDC) according to the severity and type of disability. Patients diagnosed with BDC were selected from an age- and sex-matched population (1:3 ratio) with or without disabilities from the National Disability Database, the Korean Central Cancer Registry, and the Korean National Health Insurance claims database. The cohort included 15,065 patients with BDC, with a significantly lower rate in those with severe disabilities than in people without or with mild disabilities (110.6 vs. 136.5 vs. 147.6 per 105 persons, respectively). People with severe disabilities were diagnosed with BDC at an earlier age but were less likely to undergo surgery (adjusted odds ratio (aOR) = 0.52, 95% confidence interval (CI): 0.45–0.61) or chemotherapy (aOR = 0.76, 95% CI: 0.61–0.95) compared to those without disabilities. This trend was more evident in patients with mental disabilities. The overall and cancer-specific mortality rates were higher in patients (especially women) with disabilities than in those without. There needs systemic approach to ensure equal access to quality cancer care for people with disabilities.
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spelling pubmed-97791172022-12-23 Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea Park, Seon Mee Kim, So Young Yeob, Kyoung Eun Shin, Dong Wook Han, Joung-Ho Park, Jong Heon Park, Jong Hyock Int J Environ Res Public Health Article We aimed to evaluate the impacts of disability on the diagnosis, treatment, and prognosis of bile duct cancer (BDC) according to the severity and type of disability. Patients diagnosed with BDC were selected from an age- and sex-matched population (1:3 ratio) with or without disabilities from the National Disability Database, the Korean Central Cancer Registry, and the Korean National Health Insurance claims database. The cohort included 15,065 patients with BDC, with a significantly lower rate in those with severe disabilities than in people without or with mild disabilities (110.6 vs. 136.5 vs. 147.6 per 105 persons, respectively). People with severe disabilities were diagnosed with BDC at an earlier age but were less likely to undergo surgery (adjusted odds ratio (aOR) = 0.52, 95% confidence interval (CI): 0.45–0.61) or chemotherapy (aOR = 0.76, 95% CI: 0.61–0.95) compared to those without disabilities. This trend was more evident in patients with mental disabilities. The overall and cancer-specific mortality rates were higher in patients (especially women) with disabilities than in those without. There needs systemic approach to ensure equal access to quality cancer care for people with disabilities. MDPI 2022-12-10 /pmc/articles/PMC9779117/ /pubmed/36554502 http://dx.doi.org/10.3390/ijerph192416625 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Park, Seon Mee
Kim, So Young
Yeob, Kyoung Eun
Shin, Dong Wook
Han, Joung-Ho
Park, Jong Heon
Park, Jong Hyock
Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
title Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
title_full Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
title_fullStr Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
title_full_unstemmed Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
title_short Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
title_sort disparities in the diagnosis and treatment of bile duct cancer in people with disabilities: a national cohort study in south korea
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779117/
https://www.ncbi.nlm.nih.gov/pubmed/36554502
http://dx.doi.org/10.3390/ijerph192416625
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