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Effect of health insurance on childhood cancer survival

Cancer Sep 15, 2017

Lee JM et al. -The current study showed that cancer survival is similar for children with Medicaid and those with private insurance. Slightly inferior survival was observed for children who were uninsured compared to children with private insurance.

Methods
The effect of health insurance on 5-year childhood cancer mortality was estimated with marginal survival probabilities abd restricted mean survival times in children less than 15 years of age.

Results
8219 children were studied.
The mean survival time was 1.32 months shorter after 5 years for uninsured children (n = 131) versus those with private insurance (n = 4297), whereas the mean survival time was 0.62 months shorter for children with Medicaid at diagnosis (n = 2838).
Children who were uninsured had a 1.26-fold higher risk of cancer death than those who were privately insured at diagnosis.
The risk for those with Medicaid was similar to the risk for those with private insurance at diagnosis (HR, 1.06).

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