Evidence map›Paper›PMID 32612319›Full record

ArticleJournal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management]2020

Does Medicare Coverage Improve Cancer Detection and Mortality Outcomes?

Rebecca M Myerson, Reginald D Tucker-Seeley, Dana P Goldman, Darius N Lakdawalla

Abstract read
In one paragraph

Article in Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management], 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  18. Mammograms and Mortality: How Has the Evidence Evolved?The journal of economic perspectives : a journal of the American Economic Association · 2021
    Article
  19. The U.S. Health Care System on the Eve of the Covid-19 Epidemic: A Summary of Recent Evidence on Its Impaired Performance.International journal of health services : planning, administration, evaluation · 2020
    Article
  20. Do Welfare Regimes Moderate Cumulative Dis/advantages Over the Life Course? Cross-National Evidence from Longitudinal SHARE Data.The journals of gerontology. Series B, Psychological sciences and social sciences · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rebecca M Myerson
Reginald D Tucker-Seeley
Dana P Goldman
Darius N Lakdawalla

Funding

USC Resource Center for Minority Aging Research (US-RCMAR)P30AG043073 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JULIE M ZISSIMOPOULOS · 2012 to 2026
$10.1M
Financial well-being following prostate cancer diagnosisK01CA169041 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TUCKER-SEELEY, REGINALD D. · 2012 to 2016
$675k
NCI NIH HHS K01 CA169041NIA NIH HHS P30 AG043073
6 · The paper itself

Abstract

Medicare is a large government health insurance program in the United States that covers about 60 million people. This paper analyzes the effects of Medicare insurance on health for a group of people in urgent need of medical care: people with cancer. We used a regression discontinuity design to assess impacts of near-universal Medicare insurance at age 65 on cancer detection and outcomes, using population-based cancer registries and vital statistics data. Our analysis focused on the three tumor sites for which screening is recommended both before and after age 65: breast, colorectal, and lung cancer. At age 65, cancer detection increased by 72 per 100,000 population among women and 33 per 100,000 population among men; cancer mortality also decreased by nine per 100,000 population for women but did not significantly change for men. In a placebo check, we found no comparable changes at age 65 in Canada. This study provides the first evidence to our knowledge that near-universal access to Medicare at age 65 is associated with improvements in population-level cancer mortality.

Identifiers

PMID32612319
PMCPMC7318119

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.