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Association of Medicaid Expansion With Mortality Disparity by Race and Ethnicity Among Patients With De Novo Stage IV Breast Cancer.


ABSTRACT:

Importance

Patients who are uninsured and belong to racial and ethnic minority groups or have low socioeconomic status have suboptimal access to health care, likely affecting outcomes. The association of the Affordable Care Act's Medicaid expansion with survival among patients with metastatic breast cancer is unknown.

Objective

To examine the association between Medicaid expansion and mortality disparity among patients with de novo stage IV breast cancer.

Design, setting, and participants

Cross-sectional, population-based study of survival using Cox proportional hazards regression and difference-in-difference (DID) analysis of data from the National Cancer Database and patients diagnosed as having de novo stage IV breast cancer between January 1, 2010, and December 31

SUBMITTER: Malinowski C 

PROVIDER: S-EPMC8990354 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature