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

Showing content from https://pubmed.ncbi.nlm.nih.gov/30199428/ below:

Increased Cancer Screening for Low-income Adults Under the Affordable Care Act Medicaid Expansion

Affiliations

• ¹ Departments of Environmental and Occupational Health.
• ² Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, IN.

• PMID: 30199428
• DOI: 10.1097/MLR.0000000000000984

Item in Clipboard

Michael Hendryx et al. Med Care. 2018 Nov.

• ¹ Departments of Environmental and Occupational Health.
• ² Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, IN.

• PMID: 30199428
• DOI: 10.1097/MLR.0000000000000984

Item in Clipboard

Background: We tested whether Medicaid expansion under the Affordable care Act was associated with increased screening for cervical, breast, and colorectal cancer among low-income adults.

Methods: We analyzed Behavioral Risk Factor Surveillance System data, identifying 2012 as preexpansion and 2016 as postexpansion (2014 was treated as a wash-out, and 2013 and 2015 had missing screening data from most states). States (including District of Columbia) either expanded Medicaid in 2014 (n=28) or not (n=18); five states that expanded after 2014 were excluded. Participants included low-income adults aged 18-64 without dependent children. A difference-in-difference approach tested whether expansion was significantly associated with screening, controlling for time, state effects, age, sex, race/ethnicity, education, and urban/rural population. For comparison, we also conducted analyses among the low-income Medicare (aged 65 and above) population, and a higher income population.

Results: There was a significant expansion effect for women aged 18-64 for cervical cancer screening (N=29,059; odds ratio, 1.04; 95% confidence interval, 1.01-1.08), and for adults 50-64 for colorectal cancer screening (N=32,290; odds ratio, 1.12; 95% confidence interval, 1.03-1.22). Effects for mammography for women aged 40-64, or aged 50-64, were not significant. As expected, there were no significant improvements associated with expansion among the Medicare population, or among a population ineligible due to higher income.

Conclusions: Medicaid expansion under the Affordable Care Act was associated with increased screening for cervical and colorectal cancer for low-income adults. It will be important to monitor possible adverse cancer outcomes in nonexpansion states among vulnerable populations over time.

PubMed Disclaimer

• Changes in Breast and Colorectal Cancer Screening After Medicaid Expansion Under the Affordable Care Act.

  Fedewa SA, Yabroff KR, Smith RA, Goding Sauer A, Han X, Jemal A. Fedewa SA, et al. Am J Prev Med. 2019 Jul;57(1):3-12. doi: 10.1016/j.amepre.2019.02.015. Epub 2019 May 22. Am J Prev Med. 2019. PMID: 31128952

• State Medicaid expansion decisions and disparities in women's cancer screening.

  Sabik LM, Tarazi WW, Bradley CJ. Sabik LM, et al. Am J Prev Med. 2015 Jan;48(1):98-103. doi: 10.1016/j.amepre.2014.08.015. Epub 2014 Oct 30. Am J Prev Med. 2015. PMID: 25441234 Free PMC article.

• Effect of Medicaid Expansion on Colorectal Cancer Screening Rates.

  Zerhouni YA, Trinh QD, Lipsitz S, Goldberg J, Irani J, Bleday R, Haider AH, Melnitchouk N. Zerhouni YA, et al. Dis Colon Rectum. 2019 Jan;62(1):97-103. doi: 10.1097/DCR.0000000000001260. Dis Colon Rectum. 2019. PMID: 30407931

• Association of the Affordable Care Act's Medicaid Expansion With Care Quality and Outcomes for Low-Income Patients Hospitalized With Heart Failure.

  Wadhera RK, Joynt Maddox KE, Fonarow GC, Zhao X, Heidenreich PA, DeVore AD, Matsouaka RA, Hernandez AF, Yancy CW, Bhatt DL. Wadhera RK, et al. Circ Cardiovasc Qual Outcomes. 2018 Jul;11(7):e004729. doi: 10.1161/CIRCOUTCOMES.118.004729. Circ Cardiovasc Qual Outcomes. 2018. PMID: 29946015 Free PMC article.

• Medicaid Expansions: Probing Medicaid's Filling of the Cancer Genetic Testing and Screening Space.

  Modell SM, Schlager L, Allen CG, Marcus G. Modell SM, et al. Healthcare (Basel). 2022 Jun 8;10(6):1066. doi: 10.3390/healthcare10061066. Healthcare (Basel). 2022. PMID: 35742117 Free PMC article. Review.

• The Affordable Care Act's Medicaid Expansion and Impact Along the Cancer-Care Continuum: A Systematic Review.

  Moss HA, Wu J, Kaplan SJ, Zafar SY. Moss HA, et al. J Natl Cancer Inst. 2020 Aug 1;112(8):779-791. doi: 10.1093/jnci/djaa043. J Natl Cancer Inst. 2020. PMID: 32277814 Free PMC article.

• Coverage for Adults With Chronic Disease Under the First 5 Years of the Affordable Care Act.

  Myerson R, Crawford S. Myerson R, et al. Med Care. 2020 Oct;58(10):861-866. doi: 10.1097/MLR.0000000000001370. Med Care. 2020. PMID: 32732785 Free PMC article.

• Reduction in Standard Cancer Screening in 2020 throughout the U.S.

  Dennis LK, Hsu CH, Arrington AK. Dennis LK, et al. Cancers (Basel). 2021 Nov 25;13(23):5918. doi: 10.3390/cancers13235918. Cancers (Basel). 2021. PMID: 34885028 Free PMC article.

• Utilization of access to colorectal cancer screening modalities in low-income populations after medicaid expansion.

  Fletcher G, Culpepper-Morgan J, Genao A, Alatevi E. Fletcher G, et al. World J Gastrointest Oncol. 2023 Sep 15;15(9):1653-1661. doi: 10.4251/wjgo.v15.i9.1653. World J Gastrointest Oncol. 2023. PMID: 37746654 Free PMC article.

• Disparities in Meeting USPSTF Breast, Cervical, and Colorectal Cancer Screening Guidelines Among Women in the United States.

  Benavidez GA, Zgodic A, Zahnd WE, Eberth JM. Benavidez GA, et al. Prev Chronic Dis. 2021 Apr 15;18:E37. doi: 10.5888/pcd18.200315. Prev Chronic Dis. 2021. PMID: 33856975 Free PMC article.

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