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The Milbank quarterly · Dec 2018
Comparative StudyDisparities in Breast Cancer Survival by Socioeconomic Status Despite Medicare and Medicaid Insurance.
- Jeffrey H Silber, Paul R Rosenbaum, Richard N Ross, Joseph G Reiter, Bijan A Niknam, Alexander S Hill, Diana M Bongiorno, Shivani A Shah, Lauren L Hochman, Orit Even-Shoshan, and Kevin R Fox.
- Center for Outcomes Research, Children's Hospital of Philadelphia.
- Milbank Q. 2018 Dec 1; 96 (4): 706-754.
AbstractPolicy Points Patients with low socioeconomic status (SES) experience poorer survival rates after diagnosis of breast cancer, even when enrolled in Medicare and Medicaid. Most of the difference in survival is due to more advanced cancer on presentation and the general poor health of lower SES patients, while only a very small fraction of the SES disparity is due to differences in cancer treatment. Even when comparing only low- versus not-low-SES whites (without confounding by race) the survival disparity between disparate white SES populations is very large and is associated with lower use of preventive care, despite having insurance.© 2018 Milbank Memorial Fund.
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