Insurance Status Effect on Laryngeal Cancer Survival: A Population Based Study
| Autor: | Neil Bhattacharyya, Nicholas B. Abt, Anuraag S. Parikh, Lauren E. Miller |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Oncology
Larynx medicine.medical_specialty Population Insurance Coverage Internal medicine Overall survival Medicine Humans education Laryngeal Neoplasms education.field_of_study Medically Uninsured Insurance Health business.industry Medicaid Cancer Cancer survival General Medicine medicine.disease United States Population based study medicine.anatomical_structure Cross-Sectional Studies Otorhinolaryngology Insurance status business |
| Zdroj: | The Annals of otology, rhinology, and laryngology. 131(7) |
| ISSN: | 1943-572X |
| Popis: | Objective: To analyze insurance status effect on overall survival (OS) and disease-specific survival (DSS) in laryngeal cancer. Study Design: Cross-sectional population analysis. Setting: Surveillance, Epidemiology, and End Results (SEER) database. Participants: Laryngeal cancer patients from 2007 to 2016. Main Outcome Measures: Kaplan-Meier method with log-rank statistic analyzed OS and DSS by insurance status. Multivariable cox proportional hazard modeling generated survival prognostic factors. Results: Of 19 667 laryngeal cancer cases, initial disease presentation was stage I: 7770 patients (39.5%), stage II: 3337 patients (17.0%), stage III: 3289 patients (16.7%), and stage IV: 5226 patients (26.6%). Patients had non-Medicaid insurance (15 523, 78.9%), had Medicaid (3306, 16.8%), or were uninsured (891, 4.5%). Mean and median OS for insured, Medicaid, and uninsured patients were 60.5, 49.6, and 56.6 and 74.0, 40.0, and 65.0 months, respectively. Following multivariable analysis, OS for insured, Medicaid, and uninsured patients was stage I: 87.9, 82.8, and 88.4 ( P Conclusion: Insured laryngeal cancer patients had prolonged OS and DSS compared to Medicaid and uninsured patients. Medicaid patients had equivalent survival outcomes to uninsured patients. Level of Evidence: 2c. |
| Databáze: | OpenAIRE |
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