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3,152 results on '"Wright, Jason D"'

272. Racial and Ethnic Disparities in the Use of Robot-Assisted Surgery and Minimally Invasive Surgery in Pelvic Cancer Treatment: A Systematic Review.

Author

Jialin Mao, Genkinger, Jeanine M., Rundle, Andrew G., Wright, Jason D., Aryal, Suvekshya, Liebeskind, Alexander Y., and Tehranifar, Parisa

Abstract

Surgical innovations for cancer treatment may penetrate differentially across racial and ethnic groups and contribute to disparities in health and health care quality. We summarized the current evidence of racial and ethnic disparities in robot-assisted surgery (RAS) and minimally invasive surgery (MIS) use in four major pelvic cancer treatments. We identified studies related to racial and ethnic disparities in RAS and/or MIS use in the treatment of prostate, endometrial, bladder, and rectal cancers during 2001 to 2022 from PubMed, EMBASE, and the Cochrane database. Twenty-eight studies were selected (prostate = 7, endometrial = 14, bladder = 1, rectal = 5, multiple cancers = 1) and all were retrospective. Thirteen and 23 studies examined racial and ethnic differences in individual patients' receipt of RAS and MIS, respectively. Black patients were less likely to receive RAS/MIS than White patients in most studies. Hispanic patients were less likely to receive RAS/MIS than White patients in just over half of the studies. Studies of Asian patients were few and reported mixed results. Three studies examined disparities on the center level and found that racial and ethnic minority prostate cancer patients were less likely to be treated at RAS-performing or high-technology facilities. More work is needed to improve understanding of the mechanisms underlying racial and ethnic disparities in RAS and MIS use and their impact on disparities in health outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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273. Association Between Copayment Assistance, Insurance Type, Prior Authorization, and Time to Receipt of Oral Anticancer Drugs.

Author

Lichtenstein, Morgan R. L., Beauchemin, Melissa P., Raghunathan, Rohit, Shing Lee, Doshi, Sahil D., Law, Cynthia, Accordino, Melissa K., Elkin, Elena B., Wright, Jason D., and Hershman, Dawn L.

Subjects
THERAPEUTIC use of antineoplastic agents, INSURANCE companies, CONFIDENCE intervals, ORAL drug administration, TIME, LOG-rank test, MEDICAL care costs, COMPARATIVE studies, HEALTH insurance, DESCRIPTIVE statistics, RESEARCH funding, MEDICAID, DATA analysis software, LONGITUDINAL method, MEDICARE
Abstract

PURPOSE Oral anticancer drugs (OACDs) have become increasingly prevalent over the past decade. OACD prescriptions require coordination between payers and providers, which can delay drug receipt. We examined the association between insurance type, pursuit of copayment assistance, pursuit of prior authorization (PA), and time to receipt (TTR) for new OACD prescriptions. METHODS We prospectively collected data on new OACD prescriptions for adult oncology patients from January 1, 2018, to December 31, 2019, including demographic and clinical characteristics, insurance type, and pursuit of PA and copayment assistance. TTR was defined as the number of days from prescription to OACD receipt. We summarized TTR using cumulative incidence and compared TTR by insurance type, pursuit of copayment assistance, and PA activity using the logrank test. RESULTS Our cohort of 1,024 patients was 53% male, and 40% were younger than 65. Twenty-six percent had commercial insurance only, 16% had Medicaid only, and 59% had Medicare with or without additional insurance. Eighty-six percent of prescriptions were successfully received. Across all prescriptions, 69% involved PA activity, and 21% involved the copayment assistance process. In unadjusted analyses, prescriptions involving the copayment assistance process had longer TTR compared with those not involving assistance (log-rank P value = .005) and OACDs covered by Medicare/commercial insurance had a longer TTR compared with Medicaid (log-rank P value = .006). The PA process was not associated with TTR (log-rank P value = .124). CONCLUSION The process for obtaining OACDs is complex. The copayment assistance process and Medicare/commercial insurance are associated with delayed TTR. New policies are needed to reduce time to OACD receipt. [ABSTRACT FROM AUTHOR]

Published
2024
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275. Systemic Progestins and Progestin-Releasing Intrauterine Device Therapy for Premenopausal Patients With Endometrial Intraepithelial Neoplasia

Author

Suzuki, Yukio, primary, Chen, Ling, additional, Hou, June Y., additional, St. Clair, Caryn M., additional, Khoury-Collado, Fady, additional, de Meritens, Alexandre Buckley, additional, Matsuo, Koji, additional, Melamed, Alexander, additional, Hershman, Dawn L., additional, and Wright, Jason D., additional

Published
2023
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277. The potential role of GLP-1 receptor agonist targeting in fertility-sparing treatment in obese patients with endometrial malignant pathology: a call for research

Author

Violette, Caroline J., primary, Agarwal, Ravi, additional, Mandelbaum, Rachel S., additional, González, José L., additional, Hong, Kurt M., additional, Roman, Lynda D., additional, Klar, Maximilan, additional, Wright, Jason D., additional, Paulson, Richard J., additional, Obermair, Andreas, additional, and Matsuo, Koji, additional

Published
2023
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278. Implementation of Systematic Financial Screening in an Outpatient Breast Oncology Setting

Author

Beauchemin, Melissa P., primary, DeStephano, David, additional, Raghunathan, Rohit, additional, Harden, Erik, additional, Accordino, Melissa, additional, Hillyer, Grace C., additional, Kahn, Justine M., additional, May, Benjamin L., additional, Mei, Billy, additional, Rosenblat, Todd, additional, Law, Cynthia, additional, Elkin, Elena B., additional, Kukafka, Rita, additional, Wright, Jason D., additional, and Hershman, Dawn L., additional

Published
2023
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279. Impact of a Hospital-Based Specialty Pharmacy in Partnership With a Care Coordination Organization on Time to Delivery and Receipt of Oral Anticancer Drugs

Author

Beauchemin, Melissa P., primary, Lichtenstein, Morgan R.L., additional, Raghunathan, Rohit, additional, Doshi, Sahil D., additional, Lee, Shing, additional, Law, Cynthia, additional, Accordino, Melissa K., additional, Elkin, Elena B., additional, Wright, Jason D., additional, and Hershman, Dawn L., additional

Published
2023
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293. Gynecologic cancer

Author

Wright, Jason D.

Subjects
United States. Food and Drug Administration -- Reports, Cervical cancer -- Reports, Cancer screening -- Reports, Cancer -- Reports, Preventive medicine -- Reports, Endometrial cancer -- Reports, Cancer research -- Reports, Immunotherapy -- Reports, Health, American College of Obstetricians and Gynecologists -- Reports
Abstract

Gynecologic malignancies remain a major cause of morbidity and mortality. In this article: latest cervical cancer screening recommendations from the USPSTF, and 2 endometrial cancer news items, on SLN biopsy [...]

Published
2018

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