Tag: Disparities in Cancer Care Delivery

Objective:  To (1) characterize change in type of insurance coverage among childhood cancer survivors from diagnosis to survivorship and (2) examine whether insurance change is associated with cancer-related follow-up care utilization. Data sources:  Participants in this study were derived from the Project Forward study, a population-based, observational study of childhood cancer survivors in Los Angeles…Continue Reading Insurance coverage change and survivorship care among young adult survivors of childhood cancer

Tsui J, Sabik LM, Cantor JC. Understanding the Impact of Insurance Coverage Across the Cancer Care Continuum: Moving Beyond Fragmented Systems and Cross-Sectional Data to Inform Policy. J Natl Cancer Inst. 2020 Jul 1;112(7):657-658. doi: 10.1093/jnci/djaa049. PubMed PMID: 32337553; PubMed Central PMCID: PMC7357315….Continue Reading Understanding the Impact of Insurance Coverage Across the Cancer Care Continuum: Moving Beyond Fragmented Systems and Cross-Sectional Data to Inform Policy

Background:  Patients with colorectal cancer (CRC) and multiple comorbidities are less likely to receive guideline-concordant treatment (GCT), a disparity exacerbated by racial and ethnic disparities in GCT. Yet, positive patient experiences with care are associated with more appropriate care use. We investigated associations between patient experiences with care, race and ethnicity, and receipt of GCT…Continue Reading Associations Between Patient Experience With Care, Race and Ethnicity, and Receipt of CRC Treatment Among SEER-CAHPS Patients With Multiple Comorbidities

Objective:  To examine geospatial patterns of cancer care utilization across diverse populations in New Jersey-a state where most residents live in urban areas. Data sources/study setting:  We used data from the New Jersey State Cancer Registry from 2012 to 2014. Study design:  We examined the location of cancer treatment among patients 20-65 years of age…Continue Reading Disparities in geospatial patterns of cancer care within urban counties and structural inequities in access to oncology care

Importance:  There is a disproportionately greater burden of COVID-19 among Hispanic and non-Hispanic Black individuals, who also experience poorer cancer outcomes. Understanding individual-level and area-level factors contributing to inequities at the intersection of COVID-19 and cancer is critical. Objective:  To evaluate associations of individual-level and area-level social determinants of health (SDOH) with delayed or discontinued…Continue Reading Evaluation of Inequities in Cancer Treatment Delay or Discontinuation Following SARS-CoV-2 Infection

Purpose:  To identify predictors of financial hardship, operationalized as foregoing health care, making financial sacrifices, and being concerned about having inadequate financial and insurance information. Methods:  Cancer survivors (n = 346) identified through the New Jersey State Cancer Registry were surveyed from August 2018 to September 2019. Multivariable logistic regression analyses were performed. Results:  Cancer…Continue Reading Financial hardship among cancer survivors in Southern New Jersey

Research Objective:  Initiatives to address social determinants of health (SDOH) and measure health-related social needs (HRSN) within clinic settings are increasing. However, few have focused on the specific needs of Asian Americans (AA). We examine the prevalence of HRSN during a period spanning the COVID-19 pandemic to inform strategies to improve cancer screening and primary…Continue Reading Health Related Social Needs Among Chinese American Primary Care Patients During the COVID-19 Pandemic: Implications for Cancer Screening and Primary Care

Abstract Oncotype DX® (ODX) is a valid test of breast cancer (BC) recurrence risk and chemotherapy benefit. The purpose of this study was to examine prevalence of and factors associated with receipt of ODX testing among eligible Latinas/Hispanics diagnosed with BC. Sociodemographic and tumor data of BC cases diagnosed between 2008 and 2017 among Latina/Hispanic women…Continue Reading Oncotype DX Test Receipt among Latina/Hispanic Women with Early Invasive Breast Cancer in New Jersey: A Registry-Based Study

Purpose:  Black women are disproportionately burdened by comorbidities and breast cancer. The complexities of coordinating care for multiple health conditions can lead to adverse consequences. Care coordination may be exacerbated when care is received outside the same health system, defined as care fragmentation. We examine types of practice setting for primary and breast cancer care…Continue Reading Fragmentation of Care Among Black Women With Breast Cancer and Comorbidities: The Role of Health Systems

Purpose:  Diabetes and hypertension are two common comorbidities that affect breast cancer patients, particularly Black women. Disruption of chronic disease management during cancer treatment has been speculated. Therefore, this study examined the implementation of clinical practice guidelines and health outcomes for these comorbidities before and during cancer treatment. Methods:  We used a population-based, prospective cohort…Continue Reading Patterns of chronic disease management and health outcomes in a population-based cohort of Black women with breast cancer