Health disparities among breast cancer patients with/without disabilities in Germany

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 o...

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Bibliographic Details
Published in:Disability and health journal 2020-04, Vol.13 (2), p.100873-100873, Article 100873
Main Authors: Groß, Sophie E., Pfaff, Holger, Swora, Michael, Ansmann, Lena, Albert, Ute-Susann, Groß-Kunkel, Anke
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - epidemiology
Disability
Disabled Persons - statistics & numerical data
Early Detection of Cancer - statistics & numerical data
Female
Germany - epidemiology
Health care
Health services research
Healthcare Disparities - statistics & numerical data
Healthy Volunteers - statistics & numerical data
Humans
Incidence
Inequalities
Intellectual Disability
Mammography - statistics & numerical data
Middle Aged
Prevalence
Surveys and Questionnaires
Young Adult
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Summary: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 
ISSN:1936-6574
1876-7583
DOI:10.1016/j.dhjo.2019.100873