Health disparities among breast cancer patients with/without disabilities in Germany
| Autor: | Michael Swora, Ute-Susann Albert, Lena Ansmann, Holger Pfaff, Anke Groß-Kunkel, Sophie E. Groß |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Adolescent Breast surgery medicine.medical_treatment Breast Neoplasms Young Adult 03 medical and health sciences 0302 clinical medicine Breast cancer Germany Intellectual Disability Surveys and Questionnaires Intellectual disability Health care Prevalence medicine Humans Disabled Persons 030212 general & internal medicine Healthcare Disparities Early Detection of Cancer Aged business.industry Incidence Incidence (epidemiology) Public Health Environmental and Occupational Health Health services research Cancer General Medicine Middle Aged medicine.disease Healthy Volunteers Health equity Female business 030217 neurology & neurosurgery Mammography |
| Zdroj: | Disability and Health Journal. 13:100873 |
| ISSN: | 1936-6574 |
| DOI: | 10.1016/j.dhjo.2019.100873 |
| Popis: | Prevalence and incidence of cancer are increasing in people with disability. Nevertheless, little is known about cancer care for people with disabilities.The goal of this study was to examine the quality of care of breast cancer patients with pre-existing disabilities regarding diagnosis and type of breast surgery in Germany.Within the framework of quality assurance of breast cancer centers, a patient survey was conducted by the University of Cologne. Survey data from 4626 newly-diagnosed breast cancer patients treated in 86 hospitals were analyzed using multilevel modeling. Data about socio-demographics, disability specific data as well as data about diagnosis and type of surgery were collected.About 13% (n = 568) of the patients indicated they had a pre-existing disability prior to their breast cancer. The majority of patients with disabilities have physical impairments (PI n = 385; 68.0%) or sensory impairments (SI n = 131; 23.1%). 16.7% of the patients indicated they have a mental illness (MI n = 95; 16.7%) and 8 patients indicated to have an intellectual disability (ID n = 8; 1.4%). Patients with PI and SI are less often diagnosed for cancer through a mammography screening (OR PI = 0.70; p 0.05; OR SI = 0.58; p 0.05). Patients with PI are less likely to receive breast conserving treatment (OR = 0.58; p 0.00) and more likely to have a mastectomy without reconstruction (OR = 1.96; p 0.00) compared to patients without disabilities.Our data show that there are differences in the frequency of cancer diagnosis through mammography screening and in surgery applied between breast cancer patients with and without disabilities. |
| Databáze: | OpenAIRE |
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