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The association of Medicaid expansion and pediatric cancer overall survival.

Authors :
Barnes JM
Neff C
Han X
Kruchko C
Barnholtz-Sloan JS
Ostrom QT
Johnson KJ
Source :
Journal of the National Cancer Institute [J Natl Cancer Inst] 2023 Jun 08; Vol. 115 (6), pp. 749-752.
Publication Year :
2023

Abstract

Medicaid eligibility expansion, though not directly applicable to children, has been associated with improved access to care in children with cancer, but associations with overall survival are unknown. Data for children ages 0 to 14 years diagnosed with cancer from 2011 to 2018 were queried from central cancer registries data covering cancer diagnoses from 40 states as part of the Centers for Disease Control and Prevention's National Program of Cancer Registries. Difference-in-differences analyses were used to compare changes in 2-year survival from 2011-2013 to 2015-2018 in Medicaid expansion relative to nonexpansion states. In adjusted analyses, there was a 1.50 percentage point (95% confidence interval = 0.37 to 2.64) increase in 2-year overall survival after 2014 in expansion relative to nonexpansion states, particularly for those living in the lowest county income quartile (difference-in-differences  = 5.12 percentage point, 95% confidence interval = 2.59 to 7.65). Medicaid expansion may improve cancer outcomes for children with cancer.<br /> (© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Details

Language :
English
ISSN :
1460-2105
Volume :
115
Issue :
6
Database :
MEDLINE
Journal :
Journal of the National Cancer Institute
Publication Type :
Academic Journal
Accession number :
36782354
Full Text :
https://doi.org/10.1093/jnci/djad024