Journal article
Association of insurance types and outcomes in acute promyelocytic leukemia
Leukemia & lymphoma, Vol.63(11), pp.2627-2635
09/19/2022
DOI: 10.1080/10428194.2022.2090554
PMID: 35737360
Abstract
Understanding the association between insurance status and survival in an evolving US healthcare system remains a challenge but is essential to address healthcare disparities. We utilized National Cancer Database to evaluate the effects of insurance type on one-month mortality and overall survival (OS) in patients with acute promyelocytic leukemia. Among patients <65 years, one-month mortality was worse for uninsured patients and patients with Medicare compared to patients with private insurance. OS was similar between patients with private insurance and uninsured patients but worse for patients with Medicare and Medicaid/other government insurance. In multivariate analysis, older age and greater comorbidity burden conferred worse OS. For patients ≥65 years, insurance type did not affect one-month mortality and OS. Older age, greater comorbidity burden, and treatment at non-academic centers conferred worse one-month mortality and OS. Our results highlight healthcare disparities based on insurance types for both younger and older patients.
Details
- Title: Subtitle
- Association of insurance types and outcomes in acute promyelocytic leukemia
- Creators
- Prajwal Dhakal - University of IowaUtsav Joshi - Rochester General HospitalElizabeth Lyden - University of Nebraska Medical CenterAvantika Pyakuryal - Pokhara UniversityKrishna Gundabolu - University of Nebraska Medical CenterVijaya Raj Bhatt - University of Nebraska Medical Center
- Resource Type
- Journal article
- Publication Details
- Leukemia & lymphoma, Vol.63(11), pp.2627-2635
- Publisher
- Taylor & Francis
- DOI
- 10.1080/10428194.2022.2090554
- PMID
- 35737360
- ISSN
- 1042-8194
- eISSN
- 1029-2403
- Language
- English
- Date published
- 09/19/2022
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9984359592502771
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