The Effect of Health Insurance Status on the Treatment and Outcomes of Patients With Colorectal Cancer
The Effect of Health Insurance Status on the Treatment and Outcomes of Patients With Colorectal Cancer
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DOI：
10.1002/jso.23627
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发表时间：
2014-09-01
影响因子：
2.5
通讯作者：
Whiteside, Martin A.
中科院分区：
文献类型：
--
作者：
Parikh, Alexander A.;Robinson, Jamie;Whiteside, Martin A.
背景和目的没有保险和保险不足的癌症患者往往有延迟诊断和较差的结果。随着美国医疗改革的推进，这种差距可能会变得越来越重要。我们的目的是调查健康保险状况的影响，对介绍，治疗和生存结直肠癌（CRC）patients.MethodsA的10,692例确诊为CRC之间的2004年和2008年确定从田纳西州癌症登记处分为五组：私人，医疗保险，军事，医疗补助，和无保险。构建多变量回归模型，以检验保险与接受推荐的辅助治疗和总生存期（OS）之间的关系。
Background and ObjectivesUninsured and underinsured cancer patients often have delayed diagnosis and inferior outcomes. As healthcare reform proceeds in the US, this disparity may gain increasing importance. Our objective was to investigate the impact of health insurance status on the presentation, treatment, and survival among colorectal cancer (CRC) patients.MethodsA total of 10,692 patients diagnosed with CRC between 2004 and 2008 identified from the Tennessee Cancer Registry were stratified into five groups: Private, Medicare, Military, Medicaid, and uninsured. Multivariable regression models were constructed to test the association of insurance with receipt of recommended adjuvant therapy and overall survival (OS).ResultsUninsured and Medicaid patients were more often African American (AA) and presented with higher stage tumors (P