Disparities in the diagnosis and treatment of colorectal cancer among patients with disabilities

Table 3 Odds ratio for polypectomy, surgery, chemotherapy, radiotherapy, and no treatment

Overall mortality	Total No.	Polypectomy, EMR, ESD				Surgery+				CT+				RT+				No treatment
		No	Yes	Model 1	Model 2	No	Yes	Model 1	Model 2	No	Yes	Model 1	Model 2	No	Yes	Model 1	Model 2	No	Yes	Model 1	Model 2
Disability
Non-disabled patients	81069	69542	11527	REF	REF	22244	58825	REF	REF	53607	27462	REF	REF	71523	9546	REF	REF	73623	7446	REF	REF
Disabled patients	19664	16815	2849	1.022 (0.978-1.069)	0.998 (0.951-1.048)	6292	13372	0.804 (0.777-0.831)	0.848 (0.817-0.88)	13761	5903	0.837 (0.81-0.866)	0.837 (0.805-0.87)	17717	1947	0.823 (0.782-0.867)	0.895 (0.844-0.950)	17105	2559	1.479 (1.410-1.552)	1.389 (1.318-1.464)
By disability severity
Grades 1-3	6517	5640	877	0.938 (0.871-1.010)	0.909 (0.839-0.986)	2312	4205	0.688 (0.652-0.725)	0.743 (0.700-0.789)	4705	1812	0.752 (0.711-0.795)	0.703 (0.660-0.749)	5911	606	0.768 (0.705-0.837)	0.866 (0.784-0.956)	5409	1108	2.025 (1.891-2.170)	1.884 (1.744-2.034)
Grades 4-6	13147	11175	1972	1.065 (1.011-1.121)	1.041 (0.984-1.101)	3980	9167	0.871 (0.837-0.907)	0.904 (0.865-0.945)	9056	4091	0.882 (0.848-0.918)	0.908 (0.868-0.949)	11806	1341	0.851 (0.801-0.904)	0.909 (0.849-0.974)	11696	1451	1.227 (1.156-1.302)	1.166 (1.093-1.243)
Grade 1	986	879	107	0.735 (0.601-0.899)	0.741 (0.598-0.918)	415	571	0.520 (0.458-0.591)	0.592 (0.513-0.684)	756	230	0.594 (0.512-0.689)	0.508 (0.431-0.598)	910	76	0.626 (0.495-0.792)	0.772 (0.594-1.004)	731	255	3.452 (2.987-3.988)	2.913 (2.476-3.428)
Grade 2	2402	2061	341	0.998 (0.889-1.121)	0.941 (0.829-1.068)	877	1525	0.657 (0.604-0.715)	0.718 (0.653-0.789)	1786	616	0.673 (0.614-0.739)	0.655 (0.591-0.727)	2209	193	0.655 (0.564-0.760)	0.811 (0.686-0.959)	1982	420	2.095 (1.881-2.334)	1.917 (1.701-2.160)
Grade 3	3129	2700	429	0.959 (0.864-1.063)	0.937 (0.838-1.049)	1020	2109	0.782 (0.724-0.844)	0.821 (0.755-0.894)	2163	966	0.872 (0.807-0.942)	0.811 (0.743-0.884)	2792	337	0.904 (0.806-1.015)	0.927 (0.813-1.058)	2696	433	1.588 (1.431-1.762)	1.555 (1.388-1.742)
Grade 4	3531	3038	493	0.979 (0.888-1.079)	1.040 (0.936-1.155)	1097	2434	0.839 (0.780-0.902)	0.891 (0.823-0.966)	2478	1053	0.830 (0.771-0.893)	0.871 (0.802-0.946)	3193	338	0.793 (0.708-0.889)	0.893 (0.784-1.016)	3075	456	1.466 (1.325-1.622)	1.242 (1.113-1.385)
Grade 5	4695	4007	688	1.036 (0.953-1.126)	1.018 (0.931-1.114)	1460	3235	0.838 (0.786-0.893)	0.889 (0.829-0.953)	3298	1397	0.827 (0.775-0.882)	0.896 (0.833-0.963)	4240	455	0.804 (0.728-0.888)	0.882 (0.788-0.986)	4136	559	1.336 (1.220-1.464)	1.190 (1.078-1.314)
Grade 6	4921	4130	791	1.155 (1.068-1.250)	1.062 (0.975-1.157)	1423	3498	0.930 (0.872-0.991)	0.928 (0.866-0.994)	3280	1641	0.977 (0.919-1.038)	0.944 (0.881-1.011)	4373	548	0.939 (0.857-1.029)	0.944 (0.851-1.048)	4485	436	0.961 (0.869-1.064)	1.076 (0.966-1.198)
By disability type
Physical
Grades 1-3	2306	1968	338	1.036 (0.922-1.165)	0.966 (0.851-1.097)	763	1543	0.765 (0.700-0.835)	0.791 (0.717-0.871)	1573	733	0.910 (0.832-0.994)	0.806 (0.729-0.891)	2058	248	0.903 (0.790-1.032)	0.894 (0.768-1.041)	1997	309	1.530 (1.354-1.729)	1.636 (1.431-1.870)
Grades 4-6	8421	7076	1345	1.147 (1.078-1.220)	1.100 (1.028-1.176)	2481	5940	0.905 (0.862-0.951)	0.925 (0.877-0.977)	5688	2733	0.938 (0.894-0.984)	0.937 (0.887-0.989)	7541	880	0.874 (0.813-0.941)	0.895 (0.824-0.973)	7633	788	1.021 (0.945-1.103)	1.028 (0.946-1.116)
Communication
Grades 1-3	1423	1255	168	0.808 (0.687-0.950)	0.883 (0.743-1.050)	460	963	0.792 (0.708-0.886)	0.888 (0.784-1.005)	1012	411	0.793 (0.706-0.890)	0.855 (0.751-0.973)	1291	132	0.766 (0.640-0.917)	0.907 (0.74-1.112)	1193	230	1.906 (1.652-2.200)	1.429 (1.221-1.671)
Grades 4-6	3844	3335	509	0.921 (0.837-1.013)	0.967 (0.872-1.072)	1184	2660	0.850 (0.792-0.911)	0.899 (0.832-0.971)	2729	1115	0.798 (0.743-0.856)	0.883 (0.816-0.957)	3449	395	0.858 (0.772-0.954)	1.008 (0.893-1.138)	3335	509	1.509 (1.371-1.662)	1.266 (1.141-1.406)
Brain
Grades 1-3	1400	1260	140	0.670 (0.562-0.799)	0.684 (0.568-0.824)	560	840	0.567 (0.509-0.632)	0.606 (0.537-0.685)	1089	311	0.557 (0.491-0.633)	0.537 (0.467-0.617)	1295	105	0.607 (0.497-0.742)	0.758 (0.606-0.948)	1046	354	3.346 (2.959-3.784)	2.935 (2.557-3.370)
Grades 4-6	613	530	83	0.945 (0.749-1.192)	0.898 (0.699-1.153)	194	419	0.817 (0.688-0.969)	0.838 (0.695-1.012)	436	177	0.792 (0.665-0.944)	0.808 (0.664-0.982)	563	50	0.665 (0.498-0.889)	0.792 (0.573-1.093)	527	86	1.614 (1.283-2.029)	1.651 (1.287-2.119)
Mental
Grades 1-3	463	420	43	0.618 (0.451-0.846)	0.696 (0.498-0.973)	160	303	0.716 (0.591-0.868)	0.773 (0.622-0.960)	306	157	1.002 (0.826-1.215)	0.588 (0.475-0.728)	427	36	0.632 (0.449-0.888)	0.627 (0.428-0.919)	377	86	2.256 (1.782-2.854)	2.366 (1.827-3.064)
Grades 4-6
Cardiopulmonary
Grades 1-3	385	323	62	1.158 (0.882-1.521)	0.970 (0.724-1.301)	135	250	0.700 (0.568-0.864)	0.780 (0.620-0.981)	274	111	0.791 (0.634-0.986)	0.828 (0.648-1.059)	334	51	1.144 (0.851-1.537)	1.471 (1.039-2.081)	340	45	1.309 (0.958-1.788)	1.304 (0.934-1.822)
Grades 4-6	1	0	1	-	-	1	0	-	-	1	0	-	-	1	0	-	-	1	0	-	-
Other
Grades 1-3	540	414	126	1.836 (1.503-2.244)	1.387 (1.111-1.731)	234	306	0.494 (0.417-0.587)	0.573 (0.474-0.693)	451	89	0.385 (0.307-0.484)	0.406 (0.317-0.520)	506	34	0.503 (0.356-0.713)	0.691 (0.469-1.018)	456	84	1.821 (1.441-2.301)	1.858 (1.441-2.396)
Grades 4-6	268	234	34	0.877 (0.611-1.257)	0.659 (0.451-0.962)	120	148	0.466 (0.366-0.594)	0.579 (0.444-0.756)	202	66	0.638 (0.483-0.842)	0.579 (0.426-0.787)	252	16	0.476 (0.287-0.789)	0.412 (0.241-0.706)	200	68	3.362 (2.551-4.431)	3.286 (2.415-4.472)

Model 1 is unadjusted and model 2 is adjusted for age, sex, income level, place of residence, Charlson comorbidity index, and cancer stage. EMR: Endoscopic mucosal resection; ESD: Endoscopic submucosal dissection; CT: Computed tomography; RT: Radiotherapy.