Medicaid Expansion Status and Receipt of Palliative Care in Stage IV Oral Cavity Cancer.

ABSTRACT:

Objective

Early and integrated palliative care (PC) interventions are recommended for advanced-stage cancers. The rate with which patients with stage IV oral cavity squamous cell carcinoma (OCSCC) receive PC as part of their oncologic care is unknown. We sought to understand the utilization of PC for patients with stage IV OCSCC in Medicaid expanded versus non-expanded states.

Study design

Retrospective cohort.

Setting

National Cancer Database was queried for patients with stage IV OCSCC from 2004 to 2017.

Methods

Patients in Medicaid expanded (EXP) states were categorized as pre-expansion (pre-EXP) or post-expansion (post-EXP). Patients in nonexpanded states (NEXP) were categorized as diagnosed before 2014 (pre-NEXP) or during/after 2014 (post-NEXP). Multivari

SUBMITTER: Arch RS 

PROVIDER: S-EPMC12626276 | biostudies-literature | 2025 Oct-Dec

REPOSITORIES: biostudies-literature