The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients

© 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. The effect of insurance type on lung cancer diagnosis, treatment, and survival in Asian patients living in the United States is still under debate. We have analyzed this issue using the Surveillance, Epidemiology, and End...

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Main Authors: Apichat Tantraworasin, Emanuela Taioli, Bian Liu, Raja M. Flores, Andrew J. Kaufman
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/58257
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-582572018-09-05T04:35:13Z The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients Apichat Tantraworasin Emanuela Taioli Bian Liu Raja M. Flores Andrew J. Kaufman Biochemistry, Genetics and Molecular Biology Medicine © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. The effect of insurance type on lung cancer diagnosis, treatment, and survival in Asian patients living in the United States is still under debate. We have analyzed this issue using the Surveillance, Epidemiology, and End Results database. There were 102,733 lung cancer patients age 18–64 years diagnosed between 2007 and 2013. Multilevel regression analysis was performed to identify the association between insurance types, stage at diagnosis, treatment modalities, and overall mortality in Asian and non-Hispanic White (NHW) patients. Clinical characteristics were significantly different between Asian and NHW patients, except for gender. Asian patients were more likely to present with advanced disease than NHW patients (ORadj= 1.12, 95% CI = 1.06–1.19). Asian patients with non-Medicaid insurance underwent lobectomy more than NHW patients with Medicaid or uninsured; were more likely to undergo mediastinal lymph node evaluation (MLNE) (ORadj= 1.98, 95% CI = 1.72–2.28) and cancer-directed surgery and/or radiation therapy (ORadj= 1.41, 95% CI = 1.20–1.65). Asian patients with non-Medicaid insurance had the best overall survival. Uninsured or Medicaid-covered Asian patients were more likely to be diagnosed with advanced disease, less likely to undergo MLNE and cancer-directed treatments, and had shorter overall survival than their NHW counterpart. 2018-09-05T04:21:44Z 2018-09-05T04:21:44Z 2018-05-01 Journal 20457634 2-s2.0-85044390338 10.1002/cam4.1331 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85044390338&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/58257
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Biochemistry, Genetics and Molecular Biology
Medicine
spellingShingle Biochemistry, Genetics and Molecular Biology
Medicine
Apichat Tantraworasin
Emanuela Taioli
Bian Liu
Raja M. Flores
Andrew J. Kaufman
The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients
description © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. The effect of insurance type on lung cancer diagnosis, treatment, and survival in Asian patients living in the United States is still under debate. We have analyzed this issue using the Surveillance, Epidemiology, and End Results database. There were 102,733 lung cancer patients age 18–64 years diagnosed between 2007 and 2013. Multilevel regression analysis was performed to identify the association between insurance types, stage at diagnosis, treatment modalities, and overall mortality in Asian and non-Hispanic White (NHW) patients. Clinical characteristics were significantly different between Asian and NHW patients, except for gender. Asian patients were more likely to present with advanced disease than NHW patients (ORadj= 1.12, 95% CI = 1.06–1.19). Asian patients with non-Medicaid insurance underwent lobectomy more than NHW patients with Medicaid or uninsured; were more likely to undergo mediastinal lymph node evaluation (MLNE) (ORadj= 1.98, 95% CI = 1.72–2.28) and cancer-directed surgery and/or radiation therapy (ORadj= 1.41, 95% CI = 1.20–1.65). Asian patients with non-Medicaid insurance had the best overall survival. Uninsured or Medicaid-covered Asian patients were more likely to be diagnosed with advanced disease, less likely to undergo MLNE and cancer-directed treatments, and had shorter overall survival than their NHW counterpart.
format Journal
author Apichat Tantraworasin
Emanuela Taioli
Bian Liu
Raja M. Flores
Andrew J. Kaufman
author_facet Apichat Tantraworasin
Emanuela Taioli
Bian Liu
Raja M. Flores
Andrew J. Kaufman
author_sort Apichat Tantraworasin
title The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients
title_short The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients
title_full The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients
title_fullStr The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients
title_full_unstemmed The influence of insurance type on stage at presentation, treatment, and survival between Asian American and non-Hispanic White lung cancer patients
title_sort influence of insurance type on stage at presentation, treatment, and survival between asian american and non-hispanic white lung cancer patients
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85044390338&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/58257
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