High rates of postoperative radiotherapy delay in head and neck cancer before and after Medicaid expansion
| Autor: | Loren K. Mell, Erik Risa, John Pang, Farhoud Faraji, Joseph A. Califano, Jeffrey J. Houlton |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
03 medical and health sciences 0302 clinical medicine Port (medical) Adjuvant therapy Humans Medicine 030212 general & internal medicine Proportional Hazards Models Retrospective Studies Medicaid Squamous Cell Carcinoma of Head and Neck business.industry Head and neck cancer Hazard ratio medicine.disease Combined Modality Therapy Head and neck squamous-cell carcinoma United States Confidence interval Surgery Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Cohort Radiotherapy Adjuvant business |
| Zdroj: | Head & Neck. 43:2672-2684 |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.26736 |
| Popis: | BACKGROUND The objective is to study the effect of Medicaid expansion on postoperative radiation therapy (PORT) delay in patients with head and neck squamous cell carcinoma (HNSCC). METHODS Patients from the National Cancer Database with HNSCC undergoing curative-intent surgery in the 2 years before and after Medicaid expansion were analyzed (n = 11 717) using the difference-in-differences technique to study the effect on PORT delay. RESULTS The rate of PORT delay before and after expansion was 66.0% and 66.9%, respectively. Medicaid patients had more frequent PORT delay than privately insured patients (pre-expansion 77.2% vs. 59.4%, p |
| Databáze: | OpenAIRE |
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