Health Insurance Coverage and Racial/Ethnic Disparities in US Childhood and Adolescent Cancer Survival

Wang, Xiaoyan; Brown, Derek S.; Cao, Yin; Ekenga, Christine C.; Guo, Shenyang; Johnson, Kimberly

doi:10.1016/j.jpeds.2023.02.022

Cited by 2 publications

(1 citation statement)

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“…Not surprisingly, the authors demonstrated that children and adolescents enrolled in Medicaid are more likely to have a distant stage diagnosis and worse survival outcomes compared to children on private insurance. This is consistent with previous studies evaluating the impact of insurance coverage on outcomes among children with acute lymphoblastic leukemia and other cancers 2–4 . In fact, this observation supports the persistent disparities related to health equity among all individuals diagnosed with cancer.…”

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confidence: 92%

The evidence is mounting: Insurance coverage disruptions lead to worse outcomes among children diagnosed with cancer

Lupo,

Magyar

2024

Pediatric Blood & Cancer

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In this issue of Pediatric Blood & Cancer, Johnson et al. leveraged Surveillance, Epidemiology, and End Results (SEER)-Medicaid-linked data to examine (i) stage at diagnosis, and (ii) survival disparities in children diagnosed with cancer who were enrolled in Medicaid. 1 An additional and novel component to this study was the assessment of Medicaid coverage disruptions on delays in diagnosis and inferior survival outcomes. Not surprisingly, the authors demonstrated that children and adolescents enrolled in Medicaid are more likely to have a distant stage diagnosis and worse survival outcomes compared to children on private insurance. This is consistent with previous studies evaluating the impact of insurance coverage on outcomes among children with acute lymphoblastic leukemia and other cancers. 2-4 In fact, this

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Section: Highlightsupporting

confidence: 92%