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Treatment Patterns and Survival Among Low-Income Medicaid Patients With Head and Neck Cancer

Treatment Patterns and Survival Among Low-Income Medicaid Patients With Head and Neck Cancer ORIGINAL ARTICLE ONLINE FIRST Treatment Patterns and Survival Among Low-Income Medicaid Patients With Head and Neck Cancer Sujha Subramanian, PhD; Amy Chen, MD Importance: Medicaid beneficiaries by definition are low patients were less likely to get surgical treatment and more income but they are not necessarily a homogeneous group. likely to die than white patients, even after controlling No study has assessed differences and disparities among for demographics, stage at diagnosis, and tumor site. Older Medicaid beneficiaries with head and neck cancers. age and disability status also increased 12-month mor- tality. Patients in California, who were alive for at least Objective: To examine predictors of treatment receipt 12 months, have approximately half the odds of dying and mortality among Medicaid patients with head and within 24 months compared with those in Georgia. neck cancer. Conclusions and Relevance: Concrete steps should Design: Retrospective cohort study using Medicaid claims be taken to address the significant racial disparities linked with cancer registry data for 2 states, California observed in head and neck cancer outcomes among and Georgia, for the years 2002 through 2006. Medicaid beneficiaries. Further research is needed to explore the state-level policies and attributes to exam- Setting: Inpatient and ambulatory http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Treatment Patterns and Survival Among Low-Income Medicaid Patients With Head and Neck Cancer

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References (32)

Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2013.2549
pmid
23598992
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE ONLINE FIRST Treatment Patterns and Survival Among Low-Income Medicaid Patients With Head and Neck Cancer Sujha Subramanian, PhD; Amy Chen, MD Importance: Medicaid beneficiaries by definition are low patients were less likely to get surgical treatment and more income but they are not necessarily a homogeneous group. likely to die than white patients, even after controlling No study has assessed differences and disparities among for demographics, stage at diagnosis, and tumor site. Older Medicaid beneficiaries with head and neck cancers. age and disability status also increased 12-month mor- tality. Patients in California, who were alive for at least Objective: To examine predictors of treatment receipt 12 months, have approximately half the odds of dying and mortality among Medicaid patients with head and within 24 months compared with those in Georgia. neck cancer. Conclusions and Relevance: Concrete steps should Design: Retrospective cohort study using Medicaid claims be taken to address the significant racial disparities linked with cancer registry data for 2 states, California observed in head and neck cancer outcomes among and Georgia, for the years 2002 through 2006. Medicaid beneficiaries. Further research is needed to explore the state-level policies and attributes to exam- Setting: Inpatient and ambulatory

Journal

JAMA Otolaryngology - Head & Neck Surgery – American Medical Association

Published: May 1, 2013

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