Effect of Insurance Payer Status on the Surgical Treatment of Early Stage Breast Cancer Data Analysis From a Single Health System

被引：13

作者：

Adepoju, Linda ^{[1
]}

Wanjiku, Stephen ^{[2
]}

Brown, Megan ^{[2
]}

Qu, Weikai ^{[1
]}

Williams, Mallory ^{[1
]}

Redfern, Roberta E. ^{[2
]}

Sferra, Joseph J. ^{[3
]}

机构：

[1] Univ Toledo, Med Ctr, Dept Surg, Toledo, OH 43606 USA

[2] Promed Hlth Syst, Sponsored Res, Toledo, OH USA

[3] Promed Hlth Syst, Dept Surg, Toledo, OH USA

来源：

JAMA SURGERY | 2013年 / 148卷 / 06期

关键词：

COMPARING TOTAL MASTECTOMY; 20-YEAR FOLLOW-UP; RADICAL-MASTECTOMY; SURGERY;

D O I：

10.1001/jamasurg.2013.61

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The effect of insurance payer status on surgical treatment of early stage breast cancer is unclear. This retrospective study examined the effect of insurance payer on mastectomy rates of 1539 women treated within a single health system. Women with Medicaid had significantly larger tumors compared with those with private insurance (PI) at diagnosis (3.3 cm vs 2.1 cm, P<.05) and were more likely to be treated with mastectomy for larger tumors compared with women with PI. However, women with PI were more likely to have mastectomy for smaller tumors; among women with tumors less than 2 cm, 11% with Medicaid underwent mastectomy compared with 47% with PI (P<.05). Overall, when compared with those with PI, women with Medicaid were more likely to receive mastectomy (60% vs 39%, P<.05).

引用

页码：570 / 572

页数：3

共 15 条

[1]

[Anonymous], 2012, R LANG ENV STAT COMP

[2] Treatment variation by insurance status for breast cancer patients [J].

Coburn, Natalie ;

Fulton, John ;

Pearlman, Deborah N. ;

Law, Calvin ;

DiPaolo, Brenda ;

Cady, Blake .

BREAST JOURNAL, 2008, 14 (02) :128-134

[3] 5-YEAR RESULTS OF A RANDOMIZED CLINICAL-TRIAL COMPARING TOTAL MASTECTOMY AND SEGMENTAL MASTECTOMY WITH OR WITHOUT RADIATION IN THE TREATMENT OF BREAST-CANCER [J].

FISHER, B ;

BAUER, M ;

MARGOLESE, R ;

POISSON, R ;

PILCH, Y ;

REDMOND, C ;

FISHER, E ;

WOLMARK, N ;

DEUTSCH, M ;

MONTAGUE, E ;

SAFFER, E ;

WICKERHAM, L ;

LERNER, H ;

GLASS, A ;

SHIBATA, H ;

DECKERS, P ;

KETCHAM, A ;

OISHI, R ;

RUSSELL, I .

NEW ENGLAND JOURNAL OF MEDICINE, 1985, 312 (11) :665-673

[4] Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer [J].

Fisher, B ;

Anderson, S ;

Bryant, J ;

Margolese, RG ;

Deutsch, M ;

Fisher, ER ;

Jeong, J ;

Wolmark, N .

NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (16) :1233-1241

[5] Are Mastectomy Rates Really Increasing in the United States? [J].

Habermann, Elizabeth B. ;

Abbott, Andrea ;

Parsons, Helen M. ;

Virnig, Beth A. ;

Al-Refaie, Waddah B. ;

Tuttle, Todd M. .

JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (21) :3437-3441

[6] Medicare breast surgery fees and treatment received by older women with localized breast cancer [J].

Hadley, J ;

Mandelblatt, JS ;

Mitchell, JM ;

Weeks, JC ;

Guadagnoli, E ;

Hwang, YT .

HEALTH SERVICES RESEARCH, 2003, 38 (02) :553-573

[7]

HALL WH, 1991, JAMA-J AM MED ASSOC, V265, P391

[8] Breast conservation surgery for breast cancer at a regional medical center [J].

Kotwall, CA ;

Covington, D ;

Churchill, P ;

Brinker, C ;

Weintritt, D ;

Maxwell, JG .

AMERICAN JOURNAL OF SURGERY, 1998, 176 (06) :510-513

[9] Assessment of the current Medicare reimbursement system for breast cancer operations [J].

Lucci, A ;

Shoher, A ;

Sherman, MO ;

Azzizadeh, A .

ANNALS OF SURGICAL ONCOLOGY, 2004, 11 (12) :1037-1044

[10] Quality Measures for Breast Cancer Surgery Initial Validation of Feasibility and Assessment of Variation Among Surgeons [J].

McCahill, Laurence E. ;

Privette, Alicia ;

James, Ted ;

Sheehey-Jones, Johanna ;

Ratliff, John ;

Majercik, Donald ;

Krag, David N. ;

Stanley, Mary ;

Harlow, Seth .

ARCHIVES OF SURGERY, 2009, 144 (05) :455-462

← 1 2 →