Multi-methods Study on Inclusive Cancer Diagnosis in People with Disabilities and Health Outcomes (MICaDO)

Cristina Renzi

Status: Not yet enrolling

Conditions: Cancer Diagnosis; Disabled Persons

Treatments: Other: Not applicable- observational study

Study type: Observational

Funder types: Other

Identifiers

NCT06841263

2024-1740 (Other Grant/Funding Number)

CET 470-2024

Details and patient eligibility

About

The MICaDO study is a multi-method study that aims to investigate inclusive cancer diagnosis in people with disabilities and health outcomes. The main objective is to examine variations in cancer diagnosis and outcomes among individuals with psychiatric, intellectual, neurological, and sensory disabilities to develop interventions aimed at improving cancer care. The hypothesis that investigators will investigate is that people with disability are diagnosed with cancer later than people without disability due to a range of barriers, including physical, sensory, cognitive, and social barriers. The study will use a mixed-methods approach, combining quantitative research (electronic health record analysis) and qualitative research (interviews). The total duration of the study is two years.

Enrollment: 80 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Electronic health record study:

• Patients with psychiatric, intellectual, neurological, and sensory disabilities who received care at San Raffaele Hospital of Milan between 2011 and 2024
• Patients without disabilities who received care at San Raffaele Hospital of Milan between 2011 and 2024 (ratio 4:1 of patients without vs. with disabilities)
• Patients with psychiatric, intellectual, neurological, and sensory disabilities recorded in the Lombardy Regional Data Warehouse between 2011 and 2024
• Patients without disabilities recorded in the Lombardy Regional Data Warehouse between 2011 and 2024 (ratio 4:1 of patients without vs. with disabilities)
• Patients aged 18 and over

Qualitative Interviews:

• Patients aged 18 and over with psychiatric, intellectual, neurological, and sensory disabilities who received care at San Raffaele Hospital of Milan, DAMA (Disabled Advanced Medical Assistance) in Territorial Social Health Companies "Santi Paolo e Carlo" and LEDHA (League for the Rights of People with Disabilities and the Promotion of Autonomy) and their caregivers
• Healthcare provider working at San Raffaele Hospital of Milan, DAMA (Disabled Advanced Medical Assistance) in Territorial Social Health Companies "Santi Paolo e Carlo" and general practitioners

Exclusion criteria

• Patients under 18 years of age
• Patients don't speak the Italian language (for the qualitative study)

Trial design

80 participants in 1 patient group

Peoplewith psychiatric, intellectual, neurological, sensory and physical disabilities

Treatment:

Other: Not applicable- observational study