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- Title
Insurance Status Is Related to Receipt of Therapy and Survival in Patients with Early-Stage Pancreatic Exocrine Carcinoma.
- Authors
Boevers, Emily; McDowell, Bradley D.; Mott, Sarah L.; Button, Anna M.; Lynch, Charles F.
- Abstract
Objectives. The study objective was to determine how insurance status relates to treatment receipt and overall survival for patients with early-stage pancreatic exocrine carcinoma. Methods. SEER data were evaluated for 17,234 patients diagnosed with Stage I/II pancreatic exocrine carcinoma. Multivariate regression models controlled for personal characteristics to determine whether insurance status was independently associated with overall survival and receipt of radiation/surgery. Results. Odds of receiving radiation were 1.50 and 1.75 times higher for insured patients compared to Medicaid and uninsured patients, respectively (p<0.01). Insured patients had 1.68 and 1.57 times increased odds of receiving surgery compared to Medicaid and uninsured patients (p<0.01). Risk of death was 1.33 times greater (p<0.01) in Medicaid patients compared to insured patients; when further adjusted for treatment, the risk of death was attenuated but remained significant (HR = 1.16, p<0.01). Risk of death was 1.16 times higher for uninsured patients compared to insured patients (p=0.02); when further adjusted for treatment, the risk of death was no longer significant (HR = 1.01, p=0.83). Conclusions. Uninsured and Medicaid-insured patients experience lower treatment rates compared to patients who have other insurances. The increased likelihood of treatment appears to explain the insured group’s survival advantage.
- Subjects
INSURANCE; PANCREATIC cancer; PATIENTS; SURGERY; MEDICAID
- Publication
Journal of Cancer Epidemiology, 2017, p1
- ISSN
1687-8558
- Publication type
Article
- DOI
10.1155/2017/4354592