Positive impact of the Patient Protection and Affordable Care Act Medicaid expansion on Louisiana women with breast cancer
Positive impact of the Patient Protection and Affordable Care Act Medicaid expansion on Louisiana women with breast cancer
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DOI：
10.1002/cncr.33265
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发表时间：
2020-11-03
期刊：
影响因子：
6.2
通讯作者：
Wu, Xiao-Cheng
中科院分区：
文献类型：
--
作者：
Chu, Quyen D.;Li, Tingting;Wu, Xiao-Cheng
背景 路易斯安那州是少数几个颁布《患者保护和平价医疗法案》(ACA) 医疗补助扩展的州之一。据作者所知，这如何影响路易斯安那州的乳腺癌状况尚不清楚。作者假设 ACA 扩展对路易斯安那州诊断为乳腺癌的女性产生积极影响。 方法对路易斯安那州肿瘤登记处的 14,640 名居住在路易斯安那州、2012 年至 2018 年间被美国癌症联合委员会诊断为 0 期至 IV 期乳腺癌的 20 至 64 岁女性的数据进行了分析。研究时段分为2组：1）ACA扩展之前（2012年1月1日-2016年5月31日）； 2) ACA 扩展后（2016 年 6 月 1 日至 2018 年 12 月 31 日）。卡方检验和多变量逻辑回归模型用于评估 ACA 扩展的影响。 P值
Background Louisiana is one of the few Southern states that enacted the Medicaid expansion of the Patient Protection and Affordable Care Act (ACA). To the authors' knowledge, the issue of how this has affected the breast cancer landscape in Louisiana is unknown. The authors have postulated that ACA expansion had a positive impact for Louisiana women diagnosed with breast cancer.Methods Data from the Louisiana Tumor Registry regarding 14,640 women aged 20 to 64 years who resided in Louisiana and were diagnosed with American Joint Committee on Cancer stage 0 to stage IV breast cancer between 2012 and 2018 were analyzed. The study period was divided into 2 groups: 1) before ACA expansion (January 1, 2012-May 31, 2016); and 2) after ACA expansion (June 1, 2016-December 31, 2018). The chi-square test and multivariable logistic regression models were used to assess the impact of ACA expansion. A P value