The impact of the affordable care act on breast cancer care in the USA: A multi-institutional analysis.
Breast Neoplasms
/ diagnostic imaging
Female
Health Services Accessibility
/ statistics & numerical data
Humans
Mammography
/ statistics & numerical data
Mastectomy
/ statistics & numerical data
Medicaid
/ statistics & numerical data
Middle Aged
Patient Protection and Affordable Care Act
/ statistics & numerical data
Retrospective Studies
Ultrasonography, Mammary
/ statistics & numerical data
United States
/ epidemiology
Urban Population
affordable care act
breast cancer
cancer disparities
Journal
The breast journal
ISSN: 1524-4741
Titre abrégé: Breast J
Pays: United States
ID NLM: 9505539
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
25
05
2018
revised:
06
12
2018
accepted:
10
12
2018
pubmed:
13
6
2019
medline:
22
4
2020
entrez:
13
6
2019
Statut:
ppublish
Résumé
There are less data available on the effect of the ACA on breast cancer care beyond the screening level. A retrospective review at participating iCaRe2/BCCR institutions was completed before and after ACA. Post-ACA, patients were older, more urban, and more likely to be insured through Medicaid. Increased imaging use was noted post-ACA. These patients were less likely to be diagnosed with late-stage cancers, received fewer mastectomies, and were more likely to have radiation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
948-952Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
Churilla TM, Egleston B, Bleicher R, Dong Y, Meyer J, Anderson P. Disparities in the local management of breast cancer in the US according to health insurance status. Breast J. 2017:23(2):169-176.
Walker GV, Grant SR, Guadagnolo BA, et al. Disparities in stage at diagnosis, treatment, and survival in nonelderly adult patients with cancer according to insurance status. J Clin Oncol. 2014;32:3118-3125.
Slatore CG, Au DH, Gould MK. An official American Thoracic Society systematic review: insurance status and disparities in lung cancer practices and outcomes. Am J Respir Crit Care Med. 2010;182:1195-1205.
Amini A, Jones BL, Yeh N, et al. Disparities in disease presentation in the four screenable cancers according to health insurance status. Public Health. 2016;138:50-56.
Gorey KM, Richter NL, Luginaah IN, et al. Breast Cancer among women living in poverty: Better care in Canada than in the United States. Soc Work Res. 2015;39(2):107-118.
Gorey MK, Luginaah I, Hamm C, Fung KY, Holowaty EJ. Breast cancer care in Canada and the United States: ecological comparisons of extremely impoverished and affluent urban neighbourhoods. Health Place. 2010;16(1):156-163.
Gorey KM, Luginaah I, Holowaty EJ, Fung KY, Hamm C. Breast cancer survival in Ontario and California, 1998-2006. Socioeconomic inequity remains much greater in the United States. Ann Epidemiol. 2009;19(2):121-124.
Patient Protection and Affordable Care Act. Pub L No. 111-148.
Department of Health and Human Services (US), Office of the Assistant Secretary for Planning and Education Data Point. The Affordable Care Act is Improving Access to Preventive Services for Millions of Americans. May 14, 2015. https://aspe.hhs.gov/pdf-report/affordable-care-act-improving-access-preventive-services-millions-americans. Accessed July 31, 2017.
Department of Health and Human Services (US), Office of the Assistant Secretary for Planning and Education Issue Brief. Health Care Coverage and the Affordable Care Act 2010-2016. March 3, 2016. https://aspe.hhs.gov/pdf-report/health-insurance-coverage-and-affordable-care-act-2010-2016. Accessed July 31, 2017.
Metha SJ, Polsky D, Zhu J, et al. ACA-mandated elimination of cost sharing for preventive screening has had limited early impact. Am J Manag Care. 2015;21(7):511-517.
Cooper GS, Kou TD, Schluchter MD, Dor A, Koroukian SM. Changes in receipt of cancer screening in medicare beneficiaries following the affordable care act. JNCI. 2016;108(5):1-8.
American Association for Cancer Research. News Release September 25, 2106. http://www.aacr.org/Newsroom/Pages/News-Release-Detail.aspx?ItemID=943#.WFgsBEkixaQ. Accessed September 26, 2016.
Obeng-Gyasi S, Tolnitch L, Greenup R, Hwang ES. The impact of the affordable care act on North Carolinian breast cancer patients seeking financial support for treatment. Ann Surg Oncol. 2016;23:3412-3417.
Moss HA, Havrilesky LJ, Suneja G, Chino J. Trends in insurance status among patients diagnosed with cancer before and after the implementation of the affordable care act. J Oncol Pract. 2018;14(2):92-102.
Millon-Underwood S, Kelber ST. Exploratory study of breast cancer screening practices of urban women: a closer look at who is and is not getting screened. ABNF J. 2015;26(2):30-38.
Nguyen-Pham S, Leung K, McLaughlin D. Disparities in breast cancer stage at diagnosis in urban and rural adult women: a systematic review and meta-analysis. Ann Epidemiol. 2014;24(3):228-235.
American Cancer Society. Breast Cancer Facts & Figures 2017-2018. Atlanta: American Cancer Society, Inc.; 2017.
Reyna C, Lee MC. Breast cancer in young women: special considerations in multidisciplinary care. J Multidiscip Health. 2014;7:419-429.
Recht A, Comen EA, Fine RE, et al. Postmastectomy radiotherapy: an American Society of Clinical Oncology, American Society for Radiation Oncology, and Society of Surgical Oncology Focused Guideline Update. J Clin Oncol. 2016;34(36):4431-4442.