Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis
Background: The aim of this study is to assess the impact of disability on participation in CRC screening and to determine the overall effect size. Methods: We conducted a systematic review and meta-analysis to compare CRC screening participation in individuals with and without disabilities. The sea...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-11-01
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| Series: | Current Oncology |
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| Online Access: | https://www.mdpi.com/1718-7729/31/11/517 |
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| author | Giovanni Emanuele Ricciardi Rita Cuciniello Emanuele De Ponti Carlo Lunetti Flavia Pennisi Carlo Signorelli Cristina Renzi |
| author_facet | Giovanni Emanuele Ricciardi Rita Cuciniello Emanuele De Ponti Carlo Lunetti Flavia Pennisi Carlo Signorelli Cristina Renzi |
| author_sort | Giovanni Emanuele Ricciardi |
| collection | DOAJ |
| description | Background: The aim of this study is to assess the impact of disability on participation in CRC screening and to determine the overall effect size. Methods: We conducted a systematic review and meta-analysis to compare CRC screening participation in individuals with and without disabilities. The search encompassed five databases (PubMed, EMBASE, Scopus, Google Scholar, medRxiv). Pooled estimates were calculated for each type of CRC screening and disability categories to synthesize the findings. The participation in CRC screening was derived using a random effects model. Results: A total of 20 articles were included, most of them from the USA. Based on pooled estimates, individuals with disabilities have lower odds of undergoing CRC screening versus those without disabilities (OR = 0.80, 95%CI 0.73–0.87). Analysis by screening type indicated that individuals with a disability have lower odds of a fecal occult blood test or a fecal immunochemical test (OR: 0.72, 95%CI 0.65–0.81), with no significant difference for a colonoscopy. Individuals with intellectual disabilities had significantly lower rates of CRC screening participation (OR = 0.65, 95%CI 0.53–0.79), especially for FOBT/FIT (OR = 0.58, 95%CI 0.49–0.69). Conclusions: Disparities exist for CRC screening participation in people with disabilities. Further research and coordinated efforts are essential to develop interventions for improving early cancer diagnosis for this non-negligible patient group. |
| format | Article |
| id | doaj-art-f58c811643c84b1aba04ff05c51bf1c8 |
| institution | Kabale University |
| issn | 1198-0052 1718-7729 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj-art-f58c811643c84b1aba04ff05c51bf1c82024-11-26T17:58:58ZengMDPI AGCurrent Oncology1198-00521718-77292024-11-0131117023703910.3390/curroncol31110517Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-AnalysisGiovanni Emanuele Ricciardi0Rita Cuciniello1Emanuele De Ponti2Carlo Lunetti3Flavia Pennisi4Carlo Signorelli5Cristina Renzi6PhD National Programme in One Health Approaches to Infectious Diseases and Life Science Research, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, ItalySchool of Medicine, Università Vita-Salute San Raffaele, 20132 Milano, ItalySchool of Medicine, Università Vita-Salute San Raffaele, 20132 Milano, ItalySchool of Medicine, Università Vita-Salute San Raffaele, 20132 Milano, ItalyPhD National Programme in One Health Approaches to Infectious Diseases and Life Science Research, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, ItalySchool of Medicine, Università Vita-Salute San Raffaele, 20132 Milano, ItalySchool of Medicine, Università Vita-Salute San Raffaele, 20132 Milano, ItalyBackground: The aim of this study is to assess the impact of disability on participation in CRC screening and to determine the overall effect size. Methods: We conducted a systematic review and meta-analysis to compare CRC screening participation in individuals with and without disabilities. The search encompassed five databases (PubMed, EMBASE, Scopus, Google Scholar, medRxiv). Pooled estimates were calculated for each type of CRC screening and disability categories to synthesize the findings. The participation in CRC screening was derived using a random effects model. Results: A total of 20 articles were included, most of them from the USA. Based on pooled estimates, individuals with disabilities have lower odds of undergoing CRC screening versus those without disabilities (OR = 0.80, 95%CI 0.73–0.87). Analysis by screening type indicated that individuals with a disability have lower odds of a fecal occult blood test or a fecal immunochemical test (OR: 0.72, 95%CI 0.65–0.81), with no significant difference for a colonoscopy. Individuals with intellectual disabilities had significantly lower rates of CRC screening participation (OR = 0.65, 95%CI 0.53–0.79), especially for FOBT/FIT (OR = 0.58, 95%CI 0.49–0.69). Conclusions: Disparities exist for CRC screening participation in people with disabilities. Further research and coordinated efforts are essential to develop interventions for improving early cancer diagnosis for this non-negligible patient group.https://www.mdpi.com/1718-7729/31/11/517disabilitycolorectal cancerscreening |
| spellingShingle | Giovanni Emanuele Ricciardi Rita Cuciniello Emanuele De Ponti Carlo Lunetti Flavia Pennisi Carlo Signorelli Cristina Renzi Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis Current Oncology disability colorectal cancer screening |
| title | Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis |
| title_full | Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis |
| title_fullStr | Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis |
| title_short | Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis |
| title_sort | disability and participation in colorectal cancer screening a systematic review and meta analysis |
| topic | disability colorectal cancer screening |
| url | https://www.mdpi.com/1718-7729/31/11/517 |
| work_keys_str_mv | AT giovanniemanuelericciardi disabilityandparticipationincolorectalcancerscreeningasystematicreviewandmetaanalysis AT ritacuciniello disabilityandparticipationincolorectalcancerscreeningasystematicreviewandmetaanalysis AT emanueledeponti disabilityandparticipationincolorectalcancerscreeningasystematicreviewandmetaanalysis AT carlolunetti disabilityandparticipationincolorectalcancerscreeningasystematicreviewandmetaanalysis AT flaviapennisi disabilityandparticipationincolorectalcancerscreeningasystematicreviewandmetaanalysis AT carlosignorelli disabilityandparticipationincolorectalcancerscreeningasystematicreviewandmetaanalysis AT cristinarenzi disabilityandparticipationincolorectalcancerscreeningasystematicreviewandmetaanalysis |