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Correction to: Disparities in the Diagnosis and Treatment of Gastric Cancer in Relation to Disabilities

Authors :
Dong-Wook Shin
Ichiro Kawachi
Kyoung Eun Yeob
Seon Mee Park
In Young Cho
Jong Hyock Park
Jong Heon Park
So Young Kim
Hyoung Woo Kim
Source :
Clin Transl Gastroenterol, Clinical and Translational Gastroenterology
Publication Year :
2021
Publisher :
Ovid Technologies (Wolters Kluwer Health), 2021.

Abstract

INTRODUCTION: We investigated potential disparities in the diagnosis, treatment, and survival of gastric cancer (GC) patients with and without disabilities. METHODS: We linked Korean National Disability Registry data with the Korean National Health Insurance database and Korean Central Cancer Registry data. This study included a total of 16,849 people with disabilities and 58,872 age- and sex-matched control subjects in whom GC had been diagnosed. RESULTS: When compared to GC patients without disabilities, patients with disabilities tended to be diagnosed at a later stage (localized stage 53.7% vs 59.0% or stage unknown 10.7% vs 6.9%), especially those with severe disabilities (P < 0.001). This was more evident in patients with mental impairment (localized stage 41.7% and stage unknown 15.2%). In addition, not receiving treatment was more common in patients with disabilities than those without disabilities (29.3% vs 27.2%, P < 0.001), and this disparity was more evident in those with severe disabilities (35.4%) and in those with communication (36.9%) and mental (32.3%) impairment. Patients with disabilities were at slightly higher risk of overall mortality as well as GC-specific mortality compared to people without disabilities (adjusted hazard ratio [aHR] = 1.18, 95% confidence interval: 1.14–1.21 and aHR = 1.12, 95% confidence interval: 1.09–1.16, respectively), and these disparities were more pronounced in those with severe disabilities (aHR = 1.62 and 1.51, respectively). DISCUSSION: Patients with disabilities, especially severe disabilities, were diagnosed with GC at a later stage, received less staging evaluation and treatment, and their overall survival rate was slightly worse compared to those without disabilities.

Details

ISSN :
2155384X
Volume :
12
Database :
OpenAIRE
Journal :
Clinical and Translational Gastroenterology
Accession number :
edsair.doi.dedup.....21dd6a5532938cf40fd4716784957840
Full Text :
https://doi.org/10.14309/ctg.0000000000000322