Medicaid expansion and surgery for HPB/GI cancers: NCDB difference-in-difference analysis.

ABSTRACT:

Background

It is unclear if Medicaid expansion improved access to surgical resection for hepatopancreatobiliary (HPB) and gastrointestinal (GI) cancers.

Methods

This was a quasi-experimental, cohort study using difference-in-difference analysis to evaluate differences in surgical resection for HPB/GI cancers in the post-Medicaid expansion era compared to the pre-Medicaid expansion era among patients residing in states that had Medicaid expansion versus not.

Results

During the pre- (2011-2013) and post-Medicaid expansion (2015-2017) eras, there were 49,954 patients between the ages of 40-64 who had liver cancer (n = 19,384; 38.8%), pancreatic cancer (n = 14,351; 28.7%), colorectal liver metastasis (n = 7566; 15.1%), or gastric cancer (n = 8653; 17.3%). 43.2% resided in

SUBMITTER: Kaelberer Z 

PROVIDER: S-EPMC10150456 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature