Relationship between insurance status and outcomes for patients with breast cancer in Missouri.

ABSTRACT:

Background

The cancer stage at diagnosis, treatment delays, and breast cancer mortality vary with insurance status.

Methods

Using the Missouri Cancer Registry, this analysis included 31,485 women diagnosed with invasive breast cancer from January 1, 2007, to December 31, 2015. Odds ratios (ORs) of a late-stage (stage III or IV) diagnosis and a treatment delay (>60 days after the diagnosis) were calculated with logistic regression. The hazard ratio (HR) of breast cancer mortality was calculated with Cox proportional hazards regression. Mediation analysis was used to quantify the individual contributions of each covariate to mortality.

Results

The OR of a late-stage diagnosis was higher for patients with Medicaid (OR, 1.72; 95% confidence interval [CI], 1.56-1.91) or no

SUBMITTER: Berrian JL 

PROVIDER: S-EPMC9386891 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature