2020
State Medicaid expansion status, insurance coverage and stage at diagnosis in head and neck cancer patients
Osazuwa-Peters N, Barnes JM, Megwalu U, Boakye E, Johnston KJ, Gaubatz ME, Johnson KJ, Panth N, Sethi RKV, Varvares MA. State Medicaid expansion status, insurance coverage and stage at diagnosis in head and neck cancer patients. Oral Oncology 2020, 110: 104870. PMID: 32629408, DOI: 10.1016/j.oraloncology.2020.104870.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHead and Neck NeoplasmsHumansInsurance CoverageMaleMedicaidNeoplasm StagingUnited StatesConceptsNeck cancer patientsInsurance coverage ratesHNC patientsCancer patientsMedicaid expansionYoung adultsEarly-stage diseaseInsurance coverageState Medicaid expansion statusEnd Results ProgramDiagnosis of HNCMedicaid expansion statusSignificant increaseState Medicaid expansionsLow incomeUnmarried patientsQuasi-experimental differenceResults ProgramLip cancerMedicaid coveragePatientsEarly-stage diagnosisDiagnosis rateCoverage rateExpansion statusChange in stage of presentation of head and neck cancer in the United States before and after the affordable care act
Panth N, Barnes JM, Simpson MC, Boakye E, Sethi RKV, Varvares MA, Osazuwa-Peters N. Change in stage of presentation of head and neck cancer in the United States before and after the affordable care act. Cancer Epidemiology 2020, 67: 101763. PMID: 32593161, DOI: 10.1016/j.canep.2020.101763.Peer-Reviewed Original ResearchConceptsHealth insurance statusAffordable Care ActEarly-stage presentationHNC patientsInsurance statusNeck cancerCancer DatabaseEarly-stage diagnosisPatients' health insurance statusNational Cancer DatabaseEarly-stage diseaseStage of presentationCare ActRetrospective data analysisOutcomes of interestLogistic regression modelsPrimary HNCPrognostic factorsInsurance typeHNC casesEarly diagnosisPost-ACAACA implementationPatientsSignificant association
2019
Socioeconomic and Demographic Variation in Insurance Coverage Among Patients With Head and Neck Cancer After the Affordable Care Act
Panth N, Barnes J, Sethi RKV, Varvares MA, Peters N. Socioeconomic and Demographic Variation in Insurance Coverage Among Patients With Head and Neck Cancer After the Affordable Care Act. JAMA Otolaryngology - Head & Neck Surgery 2019, 145: 1144-1149. PMID: 31670798, PMCID: PMC6824226, DOI: 10.1001/jamaoto.2019.2724.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedDatabases, FactualFemaleHead and Neck NeoplasmsHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthLinear ModelsMaleMedically UninsuredMiddle AgedPatient Protection and Affordable Care ActRegistriesRetrospective StudiesSocioeconomic FactorsUnited StatesYoung AdultConceptsLow-income zip codesNational Cancer DatabasePercentage of patientsAffordable Care ActInsurance statusUninsured statusNeck cancerUninsured patientsACA periodZip codesSignificant associationHospital-based cancer registryHigh-income zip codesRetrospective cohort studyInsurance coverageCare ActHealth insurance statusPercentage point decreaseHNC populationCohort studyPrimary HNCCancer RegistryCancer DatabaseEarly diagnosisMAIN OUTCOMEInsurance status, stage of presentation, and survival among female patients with head and neck cancer
Panth N, Simpson MC, Sethi RKV, Varvares MA, Osazuwa‐Peters N. Insurance status, stage of presentation, and survival among female patients with head and neck cancer. The Laryngoscope 2019, 130: 385-391. PMID: 30900256, DOI: 10.1002/lary.27929.Peer-Reviewed Original ResearchConceptsHealth insurance statusInsurance statusNeck cancerIncidence trendsFemale patientsGray proportional hazards modelsAdvanced stage HNCAdvanced stage presentationDisease-specific survivalEnd Results (SEER) databaseRetrospective cohort studyLate-stage diseaseOutcome of headStage of presentationProportional hazards modelJoinpoint regression analysisStage IV HNCStage diseaseCohort studyResults databaseHNC patientsPrimary headHazards modelPatientsMedicaid