医学
医疗补助
入射(几何)
头颈部鳞状细胞癌
癌症
头颈部癌
流行病学
阶段(地层学)
内科学
肿瘤科
危险系数
古生物学
医疗保健
置信区间
物理
光学
经济
生物
经济增长
作者
Jane Kapler Smith,Prerana Jayanth,Scott A. Hong,Matthew C. Simpson,Sean T. Massa
出处
期刊:Head & neck
[Wiley]
日期:2023-04-25
卷期号:45 (7): 1663-1675
被引量:1
摘要
Uninsured individuals age 55-64 experience disproportionately poor outcomes compared to their insured counterparts. Adequate coverage may prevent these delays. This study investigates a "Medicare-effect" on head and neck squamous cell carcinoma (HNSCC) diagnosis and treatment.The Surveillance, Epidemiology, and End Results (SEER) database was queried for persons ages 60-70 years in the United States from 2000 to 2016 with HNSCC. A "Medicare effect" was defined as an increase in incidence, reduction in advanced stage presentation, and/or decrease in cancer-specific mortality (CSM).Compared to their Medicaid or uninsured counterparts, patients age 65 have an increased incidence of HNSCC diagnosis, reduction in advanced stage presentation, decrease in cancer-specific mortality, and higher likelihood of receiving cancer-specific surgery.Patients age 65 with Medicare have decreased incidence of HNSCC, less hazard of late-stage diagnosis, and lower cancer-specific mortality than their Medicaid or uninsured counterparts, supporting the idea of a "Medicare effect" in HNSCC.
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