{
  "abstract": "Individuals with disabilities may experience disparities in cancer diagnosis, but population-based evidence remains limited. We conduct a population-based cohort study using linked cancer registry and administrative healthcare data for digestive system cancers diagnosed between 2018 and 2021 in Northern Italy, examining diagnostic routes and one-year survival according to pre-existing impairments. Individuals with impairments are more likely to be diagnosed following emergency presentation compared with those without impairments (51.8% compared with 37.9%; adjusted odds ratio 1.41, 95% confidence interval 1.23–1.61), particularly those with impairments of mental and neuromusculoskeletal functions. They also have higher one-year mortality (hazard ratio 1.36, 95% confidence interval 1.26–1.46), independent of socio-demographic and clinical factors. Here, we show that disability-related disparities in emergency cancer diagnosis and survival persist across multiple impairment categories, providing population-based evidence from a European setting on differences in diagnostic pathways across heterogeneous disability groups.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "name": "Flavia Pennisi",
      "orcid": "0009-0001-9185-9747"
    },
    {
      "name": "Carlotta Buzzoni"
    },
    {
      "name": "Federico Gervasi"
    },
    {
      "name": "Maria Teresa Greco"
    },
    {
      "name": "Carlo Signorelli"
    },
    {
      "name": "Antonio Giampiero Russo",
      "orcid": "0000-0002-5681-5861"
    },
    {
      "name": "Cristina Renzi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b24bbebd3g6vx.bib",
  "cited_by": 0,
  "doi": "10.1038/s41467-026-78262-w",
  "fulltext_url": null,
  "id": "b24bbebd3g6vx",
  "issns": [
    "2041-1723"
  ],
  "landing_url": "https://www.nature.com/articles/s41467-026-78262-w",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2730|Global Cancer Incidence and Screening"
    ]
  ],
  "openalex": "W7221328155",
  "pdf_url": "https://www.nature.com/articles/s41467-026-78262-w_reference.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-10",
  "publisher": "Springer Science and Business Media LLC",
  "ris": "https://research.draconitic.com/paper/b24bbebd3g6vx.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:38Z",
      "native_id": "10.1038/s41467-026-78262-w",
      "source": "crossref",
      "url": "https://www.nature.com/articles/s41467-026-78262-w"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Global Cancer Incidence and Screening",
      "subfield": "oncology"
    }
  ],
  "title": "Disability related disparities in diagnosis and survival of digestive system cancers in Northern Italy",
  "title_text": "Disability related disparities in diagnosis and survival of digestive system cancers in Northern Italy",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:38Z",
  "url": "https://research.draconitic.com/paper/b24bbebd3g6vx",
  "venue": "Nature Communications",
  "versions": []
}