Universität zu Köln

Gross, Sophie E., Pfaff, Holger ORCID: 0000-0001-9154-6575, Swora, Michael, Ansmann, Lena, Albert, Ute-Susann and Gross-Kunkel, Anke (2020). Health disparities among breast cancer patients with/without disabilities in Germany. Disabil. Health J., 13 (2). NEW YORK: ELSEVIER SCIENCE INC. ISSN 1876-7583

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Abstract

Background: Prevalence and incidence of cancer are increasing in people with disability. Nevertheless, little is known about cancer care for people with disabilities. Objective: The goal of this study was to examine the quality of care of breast cancer patients with preexisting disabilities regarding diagnosis and type of breast surgery in Germany. Methods: 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. Results: 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. Conclusion: 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. (c) 2019 Elsevier Inc. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gross, Sophie E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Swora, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Albert, Ute-Susann UNSPECIFIED UNSPECIFIED UNSPECIFIED Gross-Kunkel, Anke UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-338468
DOI:	10.1016/j.dhjo.2019.100873
Journal or Publication Title:	Disabil. Health J.
Volume:	13
Number:	2
Date:	2020
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1876-7583
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTELLECTUAL DISABILITIES; WOMEN; DIAGNOSIS; ADULTS; CARE; INDIVIDUALS; EXPERIENCES; SERVICES; ACCESS; RISK Multiple languages Health Care Sciences & Services; Health Policy & Services; Public, Environmental & Occupational Health; Rehabilitation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33846