Treatment quality and outcomes vary with hospital burden of uninsured and Medicaid patients with cancer in early non–small cell lung cancerCentral MessagePerspective

Autor: Zaid Muslim, MD, Syed S. Razi, MD, Kostantinos Poulikidis, MD, M. Jawad Latif, MD, Joanna F. Weber, PhD, Cliff P. Connery, MD, Faiz Y. Bhora, MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: JTCVS Open, Vol 11, Iss , Pp 272-285 (2022)
Druh dokumentu: article
ISSN: 2666-2736
DOI: 10.1016/j.xjon.2022.05.020
Popis: Objectives: Safety-net hospitals deliver a significant level of care to uninsured patients, Medicaid-enrolled patients, and other vulnerable patients. Little is known about the impact of safety-net hospital status on outcomes in non–small cell lung cancer. We aimed to compare treatment characteristics and outcomes between hospitals categorized according to their relative burden of uninsured or Medicaid-enrolled patients with non–small cell lung cancer. Methods: We queried the National Cancer Database for patients with clinical stage I and II non–small cell lung cancer presenting from 2004 to 2018. We categorized hospitals on the basis of their relative burden of uninsured or Medicaid-enrolled patients with non–small cell lung cancer into low-burden (16.8%) quartiles. We investigated the impact of care at these hospitals on outcomes while controlling for sociodemographic, clinical, and facility characteristics. Results: We identified 204,189 patients treated at 1286 facilities. There were 592 low-burden, 297 medium-burden, 219 high-burden, and 178 highest burden hospitals. Patients at highest burden hospitals were more likely to be younger, male, Black, and Hispanic (P
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