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Disparities in liver cancer surveillance among people with disabilities: A national database study in Korea

Journal of Clinical Gastroenterology Jan 10, 2021

Seo JY, Shin DW, Yu SJ, et al. - Among people with disabilities, researchers assessed disparities in liver cancer surveillance. Researchers compared national disability registration data with national cancer surveillance data and analyzed age-standardized participation rates for each year during the 2006-2015 period according to presence, type, and severity of the disability. Factors associated with liver cancer surveillance were also investigated by multivariate logistic regression using the most current data (2014-2015). In people with disabilities, the age-adjusted and sex-adjusted surveillance rate for liver cancer increased from 25.7% in 2006 to 49.6% in 2015; during the same period, surveillance rate among people without disabilities increased from 24.9% to 54.5%, so over time, disparities in surveillance for liver cancer increased. Among people with disabilities, the surveillance participation rate was 12% lower than among people without disabilities. Among people with severe disabilities and people with renal disease, brain injuries, ostomy problems, and intellectual disabilities, surveillance rates were decidedly lower.

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