Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/24474656/ below:

Insurance status and distant-stage disease at diagnosis among adolescent and young adult patients with cancer aged 15 to 39 years: National Cancer Data Base, 2004 through 2010

Affiliations

• ¹ Health Services Research, American Cancer Society, Atlanta, Georgia.

• PMID: 24474656
• DOI: 10.1002/cncr.28568

Item in Clipboard

Anthony S Robbins et al. Cancer. 2014.

• ¹ Health Services Research, American Cancer Society, Atlanta, Georgia.

• PMID: 24474656
• DOI: 10.1002/cncr.28568

Item in Clipboard

Background: The percentage of adolescent and young adult (AYA) patients with cancer (those aged 15-39 years) diagnosed at a distant stage of disease did not significantly change between 1975 and 2004. It has been hypothesized that a lack of health insurance may be a significant risk factor for a diagnosis of distant-stage disease among AYA patients, but to the authors' knowledge this has not been examined in a national sample.

Methods: The National Cancer Data Base, a hospital-based cancer registry, was used to obtain data regarding incident cancer cases among patients aged 15 years to 39 years who were diagnosed between 2004 and 2010. After all exclusions, a total of 285,448 cases were available for analysis; all AYA cancer sites were included. A retrospective study was conducted to assess the association between insurance status and stage of disease at diagnosis.

Results: After adjusting for age, race/ethnicity, facility type, ZIP code-based income and education levels, and US Census region, it was found that among males, uninsured patients were 1.51 times more likely to be diagnosed at a distant stage of disease compared with patients with private insurance (95% confidence interval, 1.46-1.55). Among females, the effect of insurance was stronger, with uninsured patients found to be 1.86 times more likely to be diagnosed at a distant stage (95% confidence interval, 1.79-1.94). The effect of insurance status was substantially stronger for malignancies that are more amenable to early detection (melanoma, thyroid carcinoma, breast carcinoma, genitourinary carcinoma), and substantially weaker for those that are less amenable to early detection (lung carcinoma, adrenocortical carcinoma, Wilms tumor).

Conclusions: In a large national sample of AYA patients with cancer, insurance status was found to be a strong independent risk factor for distant-stage disease at the time of diagnosis.

Keywords: adolescents; cancer disparities; health care reform; health insurance; young adults.

© 2014 American Cancer Society.

PubMed Disclaimer

• Association of insurance status and ethnicity with cancer stage at diagnosis for 12 cancer sites: a retrospective analysis.

  Halpern MT, Ward EM, Pavluck AL, Schrag NM, Bian J, Chen AY. Halpern MT, et al. Lancet Oncol. 2008 Mar;9(3):222-31. doi: 10.1016/S1470-2045(08)70032-9. Epub 2008 Feb 20. Lancet Oncol. 2008. PMID: 18282806

• The association of insurance and stage at diagnosis among patients aged 55 to 74 years in the national cancer database.

  Ward EM, Fedewa SA, Cokkinides V, Virgo K. Ward EM, et al. Cancer J. 2010 Nov-Dec;16(6):614-21. doi: 10.1097/PPO.0b013e3181ff2aec. Cancer J. 2010. PMID: 21131794

• Disparities in stage at diagnosis among adults with testicular germ cell tumors in the National Cancer Data Base.

  Lerro CC, Robbins AS, Fedewa SA, Ward EM. Lerro CC, et al. Urol Oncol. 2014 Jan;32(1):23.e15-21. doi: 10.1016/j.urolonc.2012.08.012. Epub 2013 Feb 8. Urol Oncol. 2014. PMID: 23395701

• Insurance status and survival disparities among nonelderly rectal cancer patients in the National Cancer Data Base.

  Robbins AS, Chen AY, Stewart AK, Staley CA, Virgo KS, Ward EM. Robbins AS, et al. Cancer. 2010 Sep 1;116(17):4178-86. doi: 10.1002/cncr.25317. Cancer. 2010. PMID: 20549764

• Disparities and trends in sentinel lymph node biopsy among early-stage breast cancer patients (1998-2005).

  Chen AY, Halpern MT, Schrag NM, Stewart A, Leitch M, Ward E. Chen AY, et al. J Natl Cancer Inst. 2008 Apr 2;100(7):462-74. doi: 10.1093/jnci/djn057. Epub 2008 Mar 25. J Natl Cancer Inst. 2008. PMID: 18364506

• Sociodemographic disparities in differentiated thyroid cancer survival among adolescents and young adults in California.

  Keegan TH, Grogan RH, Parsons HM, Tao L, White MG, Onel K, Horn-Ross PL. Keegan TH, et al. Thyroid. 2015 Jun;25(6):635-48. doi: 10.1089/thy.2015.0021. Epub 2015 Apr 20. Thyroid. 2015. PMID: 25778795 Free PMC article.

• Insurance impacts survival for children, adolescents, and young adults with bone and soft tissue sarcomas.

  Penumarthy NL, Goldsby RE, Shiboski SC, Wustrack R, Murphy P, Winestone LE. Penumarthy NL, et al. Cancer Med. 2020 Feb;9(3):951-958. doi: 10.1002/cam4.2739. Epub 2019 Dec 15. Cancer Med. 2020. PMID: 31838786 Free PMC article.

• Understanding, measuring, and addressing the financial impact of cancer on adolescents and young adults.

  Salsman JM, Bingen K, Barr RD, Freyer DR. Salsman JM, et al. Pediatr Blood Cancer. 2019 Jul;66(7):e27660. doi: 10.1002/pbc.27660. Epub 2019 Feb 12. Pediatr Blood Cancer. 2019. PMID: 30756484 Free PMC article. Review.

• Importance of baseline PET/CT imaging on radiation field design and relapse rates in patients with Hodgkin lymphoma.

  Figura N, Flampouri S, Mendenhall NP, Morris CG, McCook B, Ozdemir S, Slayton W, Sandler E, Hoppe BS. Figura N, et al. Adv Radiat Oncol. 2017 Jan 18;2(2):197-203. doi: 10.1016/j.adro.2017.01.006. eCollection 2017 Apr-Jun. Adv Radiat Oncol. 2017. PMID: 28740932 Free PMC article.

• Life after cancer matters: supporting 2.1 million survivors of adolescent and young adult cancer.

  Williams AM, Roth ME. Williams AM, et al. J Natl Cancer Inst. 2025 Mar 1;117(3):385-387. doi: 10.1093/jnci/djae284. J Natl Cancer Inst. 2025. PMID: 39673288 No abstract available.

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3