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Insurance status and stage of cancer at diagnosis among women with breast cancer †

  1. Michael T. Halpern MD, PhD‡,*,
  2. John Bian PhD,
  3. Elizabeth M. Ward PhD,
  4. Nicole M. Schrag MSPH,
  5. Amy Y. Chen MD, MPH

Article first published online: 11 JUN 2007

DOI: 10.1002/cncr.22786

Issue

Cancer

Cancer

Volume 110, Issue 2, pages 403–411, 15 July 2007

Additional Information

How to Cite

Halpern, M. T., Bian, J., Ward, E. M., Schrag, N. M. and Chen, A. Y. (2007), Insurance status and stage of cancer at diagnosis among women with breast cancer . Cancer, 110: 403–411. doi: 10.1002/cncr.22786

Author Information

  1. Epidemiology and Surveillance Research, American Cancer Society, Atlanta, Georgia

  1. ‡

    Fax: (404) 327-6450

*Strategic Director, Health Services Research, American Cancer Society, 1599 Clifton Road NE, Atlanta, GA 30329-4251

  1. †

    See related editorial on pages 231–3 and related original article on pages 395–402, this issue.

Publication History

  1. Issue published online: 29 JUN 2007
  2. Article first published online: 11 JUN 2007
  3. Manuscript Accepted: 13 APR 2007
  4. Manuscript Revised: 22 MAR 2007
  5. Manuscript Received: 9 MAR 2007

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REFERENCES

  • 1
    Holahan J, Cook A. Changes in economics conditions and health insurance coverage, 2000–2004. Health Aff (Millwood). 2005; W5( suppl web exclusives): 498–508.
  • 2
    Institute of Medicine. Insuring America's Health: Principles and Recommendations. Washington, DC: National Academy Press; 2004.
  • 3
    Ayanian JZ, Weissman JS, Schneider EC, Ginsburg JA, Zaslavsky AM. Unmet health needs of uninsured adults in the United States. JAMA. 2000; 284: 2061–2069.
  • 4
    Beckles GL, Engelgau MM, Narayan KM, Herman WH, Aubert RE, Williamson DF. Population-based assessment of the level of care among adults with diabetes in the U.S. Diabetes Care. 1998; 21: 1432–1438.
  • 5
    Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R. Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys. J Natl Cancer Inst. 2001; 93: 1704–1713.
  • 6
    DeVoe JE, Fryer GE, Phillips R, Green L. Receipt of preventive care among adults: insurance status and usual source of care. Am J Public Health. 2003, 93: 786–791.
  • 7
    Powell-Griner E, Bolen J, Bland S. Health care coverage and use of preventive services among the near elderly in the United States. Am J Public Health. 1999; 89: 882–886.
  • 8
    Berry DA, Cronin KA, Plevritis SK, et al. Cancer Intervention and Surveillance Modeling Network (CISNET) collaborators. Effect of screening and adjuvant therapy on mortality from breast cancer. N Engl J Med. 2005; 353: 1784–1792.
  • 9
    Christensen LH, Engholm G, Cortes R, et al. Reduced mortality for women with mammography-detected breast cancer in east Denmark and south Sweden. Eur J Cancer. 2006; 42: 2773–2780.
  • 10
    Cronin KA, Feuer EJ, Clarke LD, Plevritis SK. Impact of adjuvant therapy and mammography on U.S. mortality from 1975 to 2000: comparison of mortality results from the CISNET breast cancer base case analysis. J Natl Cancer Inst Monogr. 2006;( 36): 112–121.
  • 11
    Bradely CJ, Given CW, Roberts C. Late stage cancers in a Medicaid-insured population. Med Care. 2003; 41: 722–728.
  • 12
    Bradley CJ, Gardiner J, Given CW, Roberts C. Cancer, Medicaid enrollment, and survival disparities. Cancer. 2005; 103: 1712–1708.
    Direct Link:
  • 13
    Lee-Feldstein A, Feldstein PJ, Buchmueller T, Katterhagen C. The relationship of HMOs, health insurance, and delivery systems to breast cancer outcomes. Med Care. 2000; 38: 705–718.
  • 14
    McDavid K, Tucker TC, Sloggett A, Coleman MP. Cancer survival in Kentucky and health insurance coverage Arch Int Med. 2003; 163: 2135–2144.
  • 15
    Richardson LC, Tian L, Voti L, et al. The roles of teaching hospitals, insurance status, and race/ethnicity in receipt of adjuvant therapy for regional-stage breast cancer in Florida. Am J Public Health. 2006; 96: 160–166.
  • 16
    Roetzheim RG, Pal N, Tennant C, et al. Effects of health insurance and race on early detection of cancer. J Natl Cancer Inst. 1999; 91: 1409–1415.
  • 17
    Roetzheim RG, Gonzalez EC, Ferrante JM, Pal N, Van Durme DJ, Krischer JP. Effects of health insurance and race on breast carcinoma treatments and outcomes. Cancer. 2000; 89: 2202–2213.
    Direct Link:
  • 18
    American College of Surgeons. What is the NCDB? Available from URL: http://www.facs.org/cancer/ncdb/ncdbabout.html Accessed March 8, 2008.
  • 19
    Kaiser Family Foundation. State Medicaid Fact Sheet. Available from URL: http://www.kff.org/mfs/pdfs/pdf_106.pdf Accessed March 8, 2007.
  • 20
    Santerre RE. The inequity of Medicaid reimbursement in the United States. App Health Econ Health Policy. 2002; 1: 25–32.
  • 21
    White H. A heteroskedasticity-consistent covariate matrix estimator and a direct test for heteroskedasticity. Econometrica. 1980; 48: 817–838.
  • 22
    StataCorp. Stata Statistical Software, release 8.0. College Station, Tex: Stata Corporation; 2003.
  • 23
    Woodward WA, Strom EA, Tucker SL, McNeese MD, Perkins GH, Schecter NR, Singletary SE, Theriault RL, Hortobagyi GN, Hunt KK, Buchholz TA. Changes in the 2003 American Joint Committee on Cancer staging for breast cancer dramatically affect stage-specific survival. J Clin Oncol. 2003; 21: 3244–3248.
  • 24
    Osteen RT, Winchester DP, Hussey DH, et al. Insurance coverage of patients with breast cancer in the 1991 Commission on Cancer Patient Care Evaluation study. Ann Surg Oncol. 1994; 1: 462–467.
  • 25
    Ayanian JZ, Kohler BA, Abe T, Epstein AM. The relation between health insurance coverage and clinical outcomes among women with breast cancer. New Engl J Med. 1993; 329: 326–331.
  • 26
    Elmore JG, Nakano CY, Linden HM, Reisch LM, Ayanian JZ, Larson EB. Racial inequities in the timing of breast cancer detection, diagnosis, and initiation of treatment. Med Care. 2005; 43: 141–148.
  • 27
    Lantz PM, Mujahid M, Schwartz K, et al. The influence of race, ethnicity, and individual socioeconomic factors on breast cancer stage at diagnosis. Am J Public Health. 2006; 96: 2173–2178.
  • 28
    Berk ML, Schur CL. Access to care: how much difference does Medicaid make? Health Aff (Millwood). 1998; 17: 169–180.
  • 29
    Greenwald HP, O'Keefe S, Dicamillo M. The importance of public sector health care in an underserved population. JHealth Hum Serv Adm. 2004; 27: 142–157.
  • 30
    Chen JY, Diamant A, Pourat N, Kagawa-Singer M. Racial/ethnic disparities in the use of preventive services among the elderly. Am J Prev Med. 2005; 29: 388–395.
  • 31
    Coughlin SS, Uhler RJ, Bobo JK, Caplan L. Breast cancer screening practices among women in the United States, 2000. Cancer Causes Control. 2004; 15: 159–170.
  • 32
    Parker J, Gebretsadik T, Sabogal F, Newman J, Lawson HW. Mammography screening among California Medicare beneficiaries: 1993–1994. Am J Prev Med. 1998; 15: 198–205.
  • 33
    Sambamoorthi U, McAlpine DD. Racial, ethnic, socioeconomic, and access disparities in the use of preventive services among women. Prev Med. 2003; 37: 475–484.
  • 34
    American Cancer Society. Cancer Prevention and Early Detection: Facts and Figures 2006. Atlanta, Ga: American Cancer Society; 2006.
  • 35
    Scharpf TP, Rimm AA. Mammography utilization rates among young white and black women in the USA. Public Health. 2006; 120: 937–941.
  • 36
    Smith-Bindman R, Miglioretti DL, Lurie N, et al. Does utilization of screening mammography explain racial and ethnic differences in breast cancer? Ann Intern Med. 2006; 144: 541–553.
  • 37
    Gwyn K, Bondy ML, Cohen DS, et al. Racial differences in diagnosis, treatment, and clinical delays in a population-based study of patients with newly diagnosed breast carcinoma. Cancer. 2004; 100: 1595–1604.
    Direct Link:
  • 38
    Katz SJ, Lantz PM, Paredes Y, et al. Breast cancer treatment experiences of Latinas in Los Angeles County. Am J Public Health. 2005; 95: 2225–2230.
  • 39
    Jones BA, Dailey A, Calvocoressi L, et al. Inadequate follow-up of abnormal screening mammograms: findings from the Race Differences in Screening Mammography Process Study (United States). Cancer Causes Control. 2005; 16: 809–821.
  • 40
    Tangka FK, Dalaker J, Chattopadhyay SK, et al. Meeting the mammography screening needs of underserved women: the performance of the National Breast and Cervical Cancer Early Detection Program in 2002–2003 (United States). Cancer Causes Control. 2006; 17: 1145–1154.
  • 41
    Perkins CI, Wright WE, Allen M, Samuels SJ, Romano PS. Breast cancer stage at diagnosis in relation to duration of Medicaid enrollment. Med Care. 2001; 39: 1224–1233.
  • 42
    McCoy CB, Pereyra M, Metsch LR, Collado-Mesa F, Messiah SE, Sears S. A community-based breast cancer screening program for medically underserved women: its effect on disease stage at diagnosis and on hazard of death. Rev Panam Salud Publica. 2004; 15: 160–167.
  • 43
    Oluwole SF, Ali AO, Adu A, et al. Impact of a cancer screening program on breast cancer stage at diagnosis in a medically underserved urban community. J Am Coll Surg. 2003; 196: 180–188.
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