2022 JULY 26 (LajmeRx) — From a News Reporter-Staff News Editor at Education Daily Report — ATLANTA– A new report led by researchers at American Cancer Society (ACS) shows that individuals without health insurance coverage were significantly more likely to be diagnosed with late-stage cancer and have worse survival rates after cancer diagnosis compared to individuals with private health insurance. The study also showed for six cancers—prostate, colorectal, non-Hodgkin’s lymphoma, oral cavity, liver and esophagus—uninsured individuals diagnosed with Stage I disease had worse survival rates than individuals with private health coverage diagnosed with Stage II disease. The findings were published in CA: A Cancer Journal for Clinicians. “Our findings extend previous research showing that lack of health insurance coverage is associated with later stage of diagnosis and worse short-term survival among individuals newly diagnosed with cancer, with more recent data and more information on long-term survival,” he said. Jingxuan Zhaosenior associate scientist at American Cancer Society and lead author of the study. “Improving access to comprehensive health insurance coverage is critical to ensuring access to care throughout the cancer care continuum, including receiving recommended cancer screening, timely diagnosis, and quality treatment.” The researchers used data from US The National Cancer Database (NCDB), a nationwide hospital-based cancer registry jointly sponsored by the ACS and American College of Surgeons. The NCDB includes about 70% of all newly diagnosed cancer cases in the US from more than 1500 facilities accredited by American College of surgeons’ Commission on Cancer. The NCDB contains patient information on demographic characteristics, tumor characteristics, health insurance coverage, and vital status. The study authors included individuals aged 18-64 years newly diagnosed with cancer from 2010 to 2013, with any of 19 common invasive cancers.
The analysis showed that people without health insurance coverage were more likely to have a cancer diagnosis at a later stage than people with private health insurance coverage. Also, people without health insurance coverage were more likely to have worse short- and long-term survival rates after a cancer diagnosis than people with private health coverage.
Compared with privately insured individuals diagnosed with Stage II cancer, uninsured individuals diagnosed with Stage I cancer had worse survival rates for 6 cancer sites—prostate, colorectal, non-Hodgkin’s lymphoma, oral cavity, liver and esophagus. In multivariable analyses, individuals without health insurance had worse survival than their privately insured counterparts within each stage for all 19 cancers combined and for 14 of 19 cancer sites.
“Our study adds to the growing body of evidence showing that access to comprehensive health insurance coverage is critical to improving cancer care and outcomes,” says Dr. William Dahutchief scientist at American Cancer Society. “People shouldn’t have to suffer worse survival rates or a later diagnosis because they can’t afford treatment.”
Dr. Robin Yabroff is the senior author of the study. Other ACS authors include: Drs. Xuesong HanDr. Leticia Nogueiraand Dr. Ahmed Jemal.
Sources from American Cancer Society about health insurance coverage can be found here.
Guide URL: https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/caac.21732 Keywords for this news article include: American Cancer SocietyCancer, Diagnosis and Screening, Health insuranceHealth and Medicine, Oncology.
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