Impact of Insurance Coverage on Outcomes in Primary Breast Sarcoma
المؤلفون المشاركون
Koenig, Julie L.
Tsai, C. Jillian
Sborov, Katherine
Horst, Kathleen C.
Pollom, Erqi L.
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-03-15
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Private insurance is associated with better outcomes in multiple common cancers.
We hypothesized that insurance status would significantly impact outcomes in primary breast sarcoma (PBS) due to the additional challenges of diagnosing and coordinating specialized care for a rare cancer.
Using the National Cancer Database, we identified adult females diagnosed with PBS between 2004 and 2013.
The influence of insurance status on overall survival (OS) was evaluated using the Kaplan–Meier estimator with log-rank tests and Cox proportional hazard models.
Among a cohort of 607 patients, 67 (11.0%) had Medicaid, 217 (35.7%) had Medicare, and 323 (53.2%) had private insurance.
Compared to privately insured patients, Medicaid patients were more likely to present with larger tumors and have their first surgical procedure further after diagnosis.
Treatment was similar between patients with comparable disease stage.
In multivariate analysis, Medicaid (hazard ratio (HR), 2.47; 95% confidence interval (CI), 1.62–3.77; p<0.001) and Medicare (HR, 1.68; 95% CI, 1.10–2.57; p=0.017) were independently associated with worse OS.
Medicaid insurance coverage negatively impacted survival compared to private insurance more in breast sarcoma than in breast carcinoma (interaction p<0.001).
In conclusion, patients with Medicaid insurance present with later stage disease and have worse overall survival than privately insured patients with PBS.
Worse outcomes for Medicaid patients are exacerbated in this rare cancer.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Koenig, Julie L.& Tsai, C. Jillian& Sborov, Katherine& Horst, Kathleen C.& Pollom, Erqi L.. 2018. Impact of Insurance Coverage on Outcomes in Primary Breast Sarcoma. Complexity،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1212821
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Koenig, Julie L.…[et al.]. Impact of Insurance Coverage on Outcomes in Primary Breast Sarcoma. Complexity No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1212821
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Koenig, Julie L.& Tsai, C. Jillian& Sborov, Katherine& Horst, Kathleen C.& Pollom, Erqi L.. Impact of Insurance Coverage on Outcomes in Primary Breast Sarcoma. Complexity. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1212821
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1212821
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر