Changes in cancer mortality after Medicaid expansion and the role of stage at diagnosis.

ABSTRACT:

Background

Medicaid expansion is associated with improved survival following cancer diagnosis. However, little research has assessed how changes in cancer stage may mediate improved cancer mortality or how expansion may have decreased population-level cancer mortality rates.

Methods

Nationwide state-level cancer data from 2001 to 2019 for individuals ages 20-64 years were obtained from the combined Surveillance, Epidemiology, and End Results National Program of Cancer Registries (incidence) and the National Center for Health Statistics (mortality) databases. We estimated changes in distant stage cancer incidence and cancer mortality rates from pre- to post-2014 in expansion vs nonexpansion states using generalized estimating equations with robust standard errors. Mediation a

SUBMITTER: Barnes JM 

PROVIDER: S-EPMC10407703 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature